RT Journal A1 BORTZ J, PARKER S, RAY TL T1 LAck of associated renal anomalies in familial polythelia JF American Journal of Diseases of Children JO American Journal of Diseases of Children YR 1989 FD August 1 VO 143 IS 8 SP 883 OP 883 DO 10.1001/archpedi.1989.02150200019011 UL http://dx.doi.org/10.1001/archpedi.1989.02150200019011 AB Sir.—Recent articles have addressed the possible association of supernumerary nipples with renal anomalies. Kenney et al,1 examining Israeli infants, and Mimouni et al,2 examining American term neonates, demonstrated no associated renal anomalies with isolated supernumerary nipples. However, Hersh et al3 examined dysmorphic American children and Varsano et al4 examined Israeli children referred to an emergency department. They demonstrated associated renal anomalies in 11% and 23%, respectively, of those children with a supernumerary nipple. A recent study by Meggyessy and Mehes5 demonstrated renal abnormalities in 6 (8%) of 78 Hungarian patients hospitalized for illnesses unrelated to the urinary tract and healthy newborn infants.A limited number of instances of familial polythelia have been reported. Hersh et al3 described two parentchild pairs with polythelia. Klinkerfuss6 found polymastia with inconsistent polythelia in five females in four generations.Patient Report.—We report a case of an American