“…Indeed, for isolated cases unassociated with other congenital anomalies and/ or developmental delay, the latest evidence based on complex segregation analysis on a large number of probands and their families ) points to different modes of inheritance according to the extent of the aganglionosis: for cases extending beyond the sigmold colon, the analysed data indicate one or several dominant genes with incomplete penetrance, whereas for cases not extending farther than the sigmoid colon, either a multifactorial mode of inheritance or one caused by a recessive gene with very low penetrance seems equally likely. Moreover, HD is also known to occur in dominantly inherited conditions, such as the Waardenburg syndrome (Branski et al 1979;Ommen and McKusick 1979;, and in a number of recessive disorders including the cartilage-hair hypoplasia syndrome (McKusick et al 1965;Boothby and Bower 1973) and the Smith-Lemli-Opitz syndrome type II (Patterson et al 1983;Le Merrer et al 1988). Chromosome aberrations, trisomy 21 being an exception (Passarge 1967;Garver et al 1985;Spouge and Baird 1985), have very rarely been associated with HD: to the best of our knowledge, they have been reported only in single cases involving chromosome 2 (de novo deletion 2p22, Webb et al 1988), chromosomes 2 and 10 (partial trisomy 2p and partial monosomy 10q, Larson et al 1982), chromosome 4 (partial trisomy 4q, Issa et al 1976), chromosome 7 (terminal deletion 7q, Baumann et al 1980), chromosome 8 (partial trisomy 8qter, Fryns et al 1974;mosaic trisomy 8, Frangoulis and Taylor 1983), chromosomes 11 and 22 (partial trisomy 11q23 and 22q11, Beedgen et al 1986) and chromosome 17 (partial trisomy 17q, Gallien et al 1981).…”