Abstract
Six cases of unilateral pulmonary agenesis with skeletal and other deformities have been diagnosed in our hospitals. The various pulmonary, spinal, rib and limb anomalies with their possible interrelationships were examined and described in detail and comparison with previously reported cases was made. It became apparent that the limb abnormalities which most constantly involved hypoplasia of the phalanges of a thumb with varying metacarpal and radial anomalies, were ipsilateral to the pulmonary agenesis in all cases. The spinal deformities involved degrees of failure of segementation of T1–T3 with other vertebrae randomly involved. Rib abnormalities also varied and did not necessarily correspond to the same side as the pulmonary agenesis. The concept of the anomalies all being part of a group of neural crest injuries was then explored.
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References
Kissane JM (1975) Pathology of infancy and childhood Mosby, St Louis
North K, McCredie J (1987) Neurotomes — a neuroanatomic method of interpretation of multiple congenital malformations. Am J Med Genet 26: 23
Boyden ED (1955) Developmental anomalies of the lung. Am J Surg 89: 79
Oyamada A, Gasul BM, Holinger PH (1953) Agenesis of the lung. Report of one case, with a review of all previously reported cases. Am J Dis Child 85: 182
Booth JB, Barry CL (1967) Unilateral pulmonary agenesis. Arch Dis Child 42: 361
Wilson JG, Warkany J (1949) Aortic-arch and cardiac anomalies in the offspring of Vitamin A deficient rats. Am J Anat 85: 113
Warkany J (1951) Congenital anomalies. Pediatrics 7: 607
Singer M (1974) Neurotrophic control of limb degeneration in the news. Ann N Y Acad Sci 228: 308
Knapp K, Lenz W, Nowack G (1962) Multiple congenital abnormalities. Lancet II: 725
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Osborne, J., Masel, J. & McCredie, J. A spectrum of skeletal anomalies associated with pulmonary agenesis: possible neural crest injuries. Pediatr Radiol 19, 425–432 (1989). https://doi.org/10.1007/BF02387641
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DOI: https://doi.org/10.1007/BF02387641