Further delineation of Hennekam syndrome

L. I. Al-Gazali, J. Hertecant, R. Ahmed, N. A. Khan, R. Padmanabhan

Research output: Contribution to journalArticlepeer-review

20 Citations (Scopus)


We report four children from four inbred Arab families with varying manifestations of Hennekam syndrome and additional features that have not been previously reported. These include abnormalities of the middle ear, anomalous pulmonary venous drainage, interrupted inferior vena cava, polysplenia, crossed renal ectopia, median position of the liver and multiple cavernous haemangiomas. In addition, in one case lymphoedema was absent and oedema due to hypoproteinaemia appeared at 6 years of age. Since anomalies of the veins and the consequent developmental abnormalities of the lymphatics might lead to alterations in the fluid balance of the embryo, we hypothesize that altered fluid dynamics due to defective vascular and lymphatic development might disrupt critical events in craniofacial morphogenesis resulting in Hennekam syndrome.

Original languageEnglish
Pages (from-to)227-232
Number of pages6
JournalClinical Dysmorphology
Issue number4
Publication statusPublished - Oct 2003


  • Hennekam syndrome
  • Intestinal lymphangiectasia
  • Lymphedema, craniofacial morphogenesis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Anatomy
  • Pathology and Forensic Medicine
  • Genetics(clinical)


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