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July 1978, Vol 132, No. 7 >
Article | July 1978

Dermatoglyphic Alterations Associated With Acute Rheumatic Fever in Children FREE

Shyamal K. Sanyal, FAAP, FACC; Dilp P. Mukerjee, PhD; Syad H. Ahmed, MD, DCH
[+] Author Affiliations

Read in part before the annual meeting of the American Academy of Pediatrics, Oct 21, 1973.

Reprint requests to Cardiopulmonary Disease Service, St Jude Children's Research Hospital, PO Box 318, Memphis, TN 38101 (Dr Sanyal).


Am J Dis Child. 1978;132(7):692-695. doi:10.1001/archpedi.1978.02120320052012.
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• The dermatoglyphic configurations of 78 children with acute rheumatic fever were compared with those of 46 first-degree relatives and 1,310 normal subjects. Of the children with acute rheumatic fever, 75% had an ulnar deviation of the axial triradius. In about 40% of this group, the ulnar deviation was associated with a concomitant distal displacement, which resulted in a significantly higher mean maximal angle atd (P <.001) and significantly lower mean ab and td ridge counts (P <.001) relative to normal control values. The palmar dermatoglyphics of patients with acute rheumatic fever were more closely related to the configurations of first-degree relatives than to normal controls. The dermatoglyphic profiles of six patients were nearly identical to those of their first-degree relatives, all of whom had a history of acute rheumatic fever. Presence of abnormal dermatoglyphic profiles in a large proportion of children with acute rheumatic fever supports the hypothesis that certain individuals have a genetic predisposition to this disease.

(Am J Dis Child 132:692-695, 1978)

REFERENCES

1 +
Miller JR:  Dermatoglyphics in pediatric practice . J Pediatr 69:302-312, 1966;.
2 +
Uchida IA:  Evaluation of dermatoglyphics in medical genetics . Pediatr Clin North Am 10:409-422, 1963;.
3 +
Holt SB, Lindsten J:  Dermatoglyphic anomalies in Turner's syndrome . Ann Hum Genet 28:87-98, 1964;.
4 +
Plato CC, Cereghino JJ, Steinberg FS:  Palmar dermatoglyphics of Down's syndrome: Revisited . Pediatr Res 7:111-118, 1973;.
5 +
Aches R, Harper RG, Siegel M:  Unusual dermatoglyphic findings associated with rubella embryopathy . N Engl J Med 274:148-150, 1966;.
6 +
Sanchez-Cascos A:  Palm-print pattern in congenital heart disease . Br Heart J 27:599-603, 1965;.
7 +
Hale AR, Phillips JH, Burch GE:  Features of palmar dermatoglyphics in congenital heart disease: A report on the variants frequently associated with congenital lesions of the heart . JAMA 176:41-45, 1961;.
8 +
Wertelecki W, Plato CC, Fraumeni JF, et al:  Dermatoglyphics in leukemia . Pediatr Res 7:620-626, 1973;.
9 +
Swartz MH, Herman MV, Teichholz, LE:  Dermatoglyphic patterns in patients with mitral valve prolapse: A clue to pathogenesis . Am J Cardiol 38:588-593, 1976;.
10 +
Cheadle WB:  Harvian lectures on the various manifestations of the rheumatic state as exemplified in childhood and early life . Lancet 1:821-827, 871-877, 921-927, 1889;.
11 +
Markowitz M, Gordis L: Rheumatic Fever , ed 2. Philadelphia, WB Saunders Co, 1972;, pp 28-29.
12 +
Holt SB: The Genetics of Dermal Ridges . Springfield, Ill, Charles C Thomas Publisher, 1968;, p 40.
13 +
Biswas PC:  Ethno-geographic variations in dermatoglyphics: Proceedings of the 2nd International Congress . Human Genet 3:1430-1433, 1961;.
14 +
Sanyal SK, Thapar MK, Ahmed SH, et al:  The initial attack of acute rheumatic fever during childhood in North India: A prospective study of the clinical profile . Circulation 49:7-12, 1974;.
15 +
Penrose LS:  Dermatoglyphic topology . Nature 205:544-546, 1965;.
16 +
Penrose LS:  Memorandum on dermatoglyphic nomenclature , in Bergsma D (ed): Birth Defects . London, National Foundation, March of Dimes, 1968;, vol 4, pp 1-13.
17 +
Garg BM:  Dermatoglyphics of Muslim population of Delhi . Indian J Soc Work 22:2-6, 1961;.
18 +
Seth PK:  The ab ridge count in palmar dermatoglyphics of the Indians of Punjab . Punjab Manual 63:240-244, 1963;.
19 +
Singh RD:  Digital pattern frequency and size variation in some castes of Eastern UP . Anthropologist 14:169-172, 1961;.
20 +
Mukherjee DP, Saha KC:  Dermatoglyphics in normal Bengali population . J Indian Med Assoc 54:405-408, 1970;.
21 +
Sanyal SK, Mukerjee DP, Ahmed SH:  Dermatoglyphics in diagnosis of rheumatic fever: Preliminary observations . Ann Indian Acad Med Sci 8:62-64, 1972;.
22 +
Penrose LS, Loesch D:  Topological classification of palmar dermatoglyphics . J Ment Defic Res 14:111-128, 1970;.
23 +
Gall C Jr, Stern AM, Cohen MM, et al:  Holt-Oram syndrome: Clinical and genetic study of a large family . Am J Hum Genet 18:187-200, 1966;.
24 +
Mulvihill JT, Smith DW:  The genesis of dermatoglyphics . J Pediatr 75:579-589, 1969;.
25 +
Wilson MG, Schweitzer M:  Pattern of hereditary susceptibility in rheumatic fever . Circulation 10:699-704, 1954;.
26 +
Spagnuolo M, Taranta A:  Rheumatic fever in siblings: Similarity of its clinical manifestations . N Engl J Med 278:183-187, 1968;.

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References

1 +
Miller JR:  Dermatoglyphics in pediatric practice . J Pediatr 69:302-312, 1966;.
2 +
Uchida IA:  Evaluation of dermatoglyphics in medical genetics . Pediatr Clin North Am 10:409-422, 1963;.
3 +
Holt SB, Lindsten J:  Dermatoglyphic anomalies in Turner's syndrome . Ann Hum Genet 28:87-98, 1964;.
4 +
Plato CC, Cereghino JJ, Steinberg FS:  Palmar dermatoglyphics of Down's syndrome: Revisited . Pediatr Res 7:111-118, 1973;.
5 +
Aches R, Harper RG, Siegel M:  Unusual dermatoglyphic findings associated with rubella embryopathy . N Engl J Med 274:148-150, 1966;.
6 +
Sanchez-Cascos A:  Palm-print pattern in congenital heart disease . Br Heart J 27:599-603, 1965;.
7 +
Hale AR, Phillips JH, Burch GE:  Features of palmar dermatoglyphics in congenital heart disease: A report on the variants frequently associated with congenital lesions of the heart . JAMA 176:41-45, 1961;.
8 +
Wertelecki W, Plato CC, Fraumeni JF, et al:  Dermatoglyphics in leukemia . Pediatr Res 7:620-626, 1973;.
9 +
Swartz MH, Herman MV, Teichholz, LE:  Dermatoglyphic patterns in patients with mitral valve prolapse: A clue to pathogenesis . Am J Cardiol 38:588-593, 1976;.
10 +
Cheadle WB:  Harvian lectures on the various manifestations of the rheumatic state as exemplified in childhood and early life . Lancet 1:821-827, 871-877, 921-927, 1889;.
11 +
Markowitz M, Gordis L: Rheumatic Fever , ed 2. Philadelphia, WB Saunders Co, 1972;, pp 28-29.
12 +
Holt SB: The Genetics of Dermal Ridges . Springfield, Ill, Charles C Thomas Publisher, 1968;, p 40.
13 +
Biswas PC:  Ethno-geographic variations in dermatoglyphics: Proceedings of the 2nd International Congress . Human Genet 3:1430-1433, 1961;.
14 +
Sanyal SK, Thapar MK, Ahmed SH, et al:  The initial attack of acute rheumatic fever during childhood in North India: A prospective study of the clinical profile . Circulation 49:7-12, 1974;.
15 +
Penrose LS:  Dermatoglyphic topology . Nature 205:544-546, 1965;.
16 +
Penrose LS:  Memorandum on dermatoglyphic nomenclature , in Bergsma D (ed): Birth Defects . London, National Foundation, March of Dimes, 1968;, vol 4, pp 1-13.
17 +
Garg BM:  Dermatoglyphics of Muslim population of Delhi . Indian J Soc Work 22:2-6, 1961;.
18 +
Seth PK:  The ab ridge count in palmar dermatoglyphics of the Indians of Punjab . Punjab Manual 63:240-244, 1963;.
19 +
Singh RD:  Digital pattern frequency and size variation in some castes of Eastern UP . Anthropologist 14:169-172, 1961;.
20 +
Mukherjee DP, Saha KC:  Dermatoglyphics in normal Bengali population . J Indian Med Assoc 54:405-408, 1970;.
21 +
Sanyal SK, Mukerjee DP, Ahmed SH:  Dermatoglyphics in diagnosis of rheumatic fever: Preliminary observations . Ann Indian Acad Med Sci 8:62-64, 1972;.
22 +
Penrose LS, Loesch D:  Topological classification of palmar dermatoglyphics . J Ment Defic Res 14:111-128, 1970;.
23 +
Gall C Jr, Stern AM, Cohen MM, et al:  Holt-Oram syndrome: Clinical and genetic study of a large family . Am J Hum Genet 18:187-200, 1966;.
24 +
Mulvihill JT, Smith DW:  The genesis of dermatoglyphics . J Pediatr 75:579-589, 1969;.
25 +
Wilson MG, Schweitzer M:  Pattern of hereditary susceptibility in rheumatic fever . Circulation 10:699-704, 1954;.
26 +
Spagnuolo M, Taranta A:  Rheumatic fever in siblings: Similarity of its clinical manifestations . N Engl J Med 278:183-187, 1968;.

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