“…Furthermore, the histological similarity between Wolfflin nodules and Brushfield spots (Donaldson, 1961; Jaeger, 1980), and the fact that the position and appearance of Brushfield spots for patients with Down’s syndrome can be quite similar to what is seen in normal controls (Figure 2C), suggests that the region on chromosome 21 that has been associated with Brushfield spots (Delabar et al., 1993), may also holds candidates genes for Wolfflin nodules. The genes ERG (Rao et al., 1987), ETS2 (Boulukos et al., 1988), HMG (Landsman et al., 1989), MX1 (Horisberger et al., 1988), WRB (Egeo et al., 1998), DSCR1 (Fuentes et al., 1995), and SH3BGR (Vidal‐Taboada et al., 1997) as well as other genes which map to this region (Gosset et al., 1995), could from this perspective be potential candidate genes for Wolfflin nodules. However, normal individuals that do have mutations in some of these genes, do not always have Wolfflin nodules or Brushfield spots, indicating that the appearance of Wolfflin nodules depend on the interaction between several genes.…”