“…Many syndromes can be associated with PUGS, such as the Mckusick-Kaufman syndrome (MKS), the Bardet-Biedl syndrome (BBS), and the handfoot-genital syndrome. 1 • The MKS is characterized by hydrometrocolpos (dilatation of the vagina and uterus due to accumulation of cervical mucus because of maternal estrogen stimulation), postaxial polydactyl (the presence of additional fingers in ulnar part of the hand, and in the fibular part of the foot), and congenital heart disease (atrioventricular canal, ventricular septal defect, and hypoplastic left heart, seen in 10-20% of reported cases). • In BBS, PUGS is correlated with postaxial polydactyl, progressive rod-cone dystrophy, obesity, renal abnormalities, hypogenitalism mental retardation, and mental development delay.…”