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Also known as: biological malformation, physical deformity

Witches’-brooms, or hexenbesens, are closely grouped, many-branched structures commonly found on a number of species of trees and shrubs and caused by certain fungi. Witches’-brooms live a more or less independent existence, despite the fact that they are derived from the tissues of the host. In accordance with their independence, the witches’-brooms tend to break away from the normal correlations of the parent plant. Instead of branching out horizontally, the brooms stand as more or less erect clusters of branches. Witches’-brooms do not as a rule flower, and the vegetative buds may open several weeks earlier in the spring than do those present on healthy branches, indicating further the independence of these structures from normal controls.

Similar structures occur in certain plant species after virus infection. These appear to result from the excessive stimulation and development of secondary shoots. The witches’-broom virus in potatoes, for example, causes the infected plant to produce numerous buds on the above-ground stems of potato plants. Long, slender stolons resembling aerial roots that are covered with hairs develop from these adventitious buds.

Fasciation

This condition is best placed in that category of teratological abnormalities known as monstrosities. Fasciation is a term that has been used to describe a series of abnormal growth phenomena resulting from many different causes, all of which result in flattening of the main axis of the plant. Although a ribbonlike expansion of the stem is often the most striking feature of this condition, all parts of the plant may be affected. As fasciation develops, the growing point of the plant becomes broader; the unregulated tissue growth results in significant increases in the weight and volume of the plant. The apical growing point becomes linear and comblike in some instances or develops numerous growing points, producing a witches’-broom effect. In still other instances, the growing points may be coiled and resemble a ram’s horn, or they may be fused and highly distorted into a grotesque tangle of coils. Fasciations found in plants such as the common cockscomb (Celosia argentea cristata) and in cacti are highly prized by gardeners.

There seems little doubt that nutritional changes due to disturbances in the growth-hormone relationships in a plant play an important role in fasciation. It has been suggested that maldistribution of growth hormones in the plant is also a cause of these abnormalities.

Armin C. Braun

Animal malformations

Among the newborn young and embryos of man and most other species of animals are found occasional individuals who are malformed in whole or in part. The most grossly abnormal of these have been referred to from ancient times as monsters, probably because the birth of one was thought to signify something monstrous or portentous; the less severely malformed are usually known as abnormalities or anomalies.

Monsters have been regarded by primitive peoples as of supernatural origin. The birth of a malformed individual was often attributed, before the rise of modern science, to intercourse between human beings and devils or animals. The mythical beings that appear in the folklore of many peoples—races of dwarfs and giants, of sirens, mermaids, and men with a single median eye (cyclops) or leg (skiapods)—were probably suggested by observations of malformed humans. Giants and dwarfs were often classed as monsters, probably because of the prominent places they occupied in mythology.

The objective study of malformations began with the English physiologist William Harvey (1651), who correctly attributed them to deviations from the normal course of embryonic development. Systematic scientific study, however, had to await the pioneer work of the French anatomists Étienne and Isidore Geoffroy Saint-Hilaire. Their Traité de Teratologie (1836), which laid the basis for the science of teratology, still remains a valuable source of information. Recent improvements in understanding have come from the application of experimental analytical methods and from increased knowledge of the mechanisms of inheritance—e.g., from genetics.

In man certain gross defects in babies at birth have been shown to be associated with effects acting through the mother in early pregnancy: gross defects of eyes and ears caused by infection of the mother with rubella (German measles); and microcephalic idiocy with diagnostic use of X ray on the mother. The latter observations have been confirmed by animal experimentation. It has been established that higher rates of congenital malformations occur in areas of higher natural radioactivity. The effect may be induced by fallout from atomic explosions.

The teratogenic action of many drugs has been tragically dramatized. The appearance of an alarming number of deformed, basically limbless infants, especially in Germany, in the late 1950s and early 1960s, was traced to the ingestion by pregnant women of the sedative thalidomide (known under many trade names). This drug adversely influences the developing fetus; it appears to interfere with development only in the first seven weeks of pregnancy. Hallucinogenic drugs, such as LSD (lysergic acid diethylamide), are suspected of damaging chromosomes, and their use could result in defective offspring.

According to form, two main classes of malformations may be recognized: those with defective or excessive growth in a single body, and those with partial or complete doubling of the body on one of its axes.

Repetition or deficiency of parts

Somatic characters

Repetition or deficiency of single parts, such as fingers or toes (polydactyly, hypodactyly [ectrodactyly], brachydactyly), is a frequent anomaly in man and other mammals. In many analyzed cases it has been shown to result from the inheritance of an abnormal gene that produces a localized disturbance of a growth process in the embryo. In the rabbit a recessive gene for brachydactyly (short digits) causes a localized breakdown of circulation in the developing limb bud of the embryo, followed by necrosis (tissue death) and healing.

Absence or abnormality of whole limbs is less common and includes, besides clubfoot, the so-called congenital amputations once thought to be caused by the strangulation of a limb by a fold of embryonic membrane (amnion). It is probable that internal abnormalities of the bone are more frequent causes of such amputations than are strangulations. Cases are recorded of human identical twins in which both members have the same type of limb abnormality, suggesting a hereditary predisposition to this type of malformation. Besides malformed individuals with rudimentary limbs (phocomelus; having “seal-like limbs”), others have incomplete or underdeveloped extremities (hemimelus, micromelus, ectromelus).

A rare type of malformation, but one that has always attracted special interest, occurs when the lower extremities are more or less united, as in the mythical figures of sirens or mermaids. Such sirenoid individuals may have a single foot (uromelus), or limbs fused throughout their length with no separate feet (sirenomelus or symmelus).

Absence of the brain at birth (anencephaly); an abnormally small brain and head (microcephaly); and enlargement of the brain and head, sometimes to prodigious dimensions due to dilation of the ventricles by fluid (hydrocephaly), are frequent congenital defects in man. In some cases they have been traced to defective genes, although they may also arise from accidental or traumatic processes during embryonic development. Occasionally, malformed persons are found in which a part of the brain protrudes through the cranium as an encephalocoele. An extreme variant of this type is pseudencephaly, in which the whole brain is everted and rests upon the top of the cranium like a wig.

Cyclopian malformations with a single median eye occur rarely in man and other animals. More frequent anomalies are anophthalmia (absence of eyes) and microphthalmia (abnormally small eyes), both occasionally the result of abnormal heredity. Defective closure of lines of junction in the embryo produces malformations such as cleft palate, in which the ventral laminae of the palate have failed to fuse, and cleft lip, in which the median nasal and maxillary processes fail to unite. A frequent abnormality in human infants is spina bifida, in which the spine fails to close over and a gap is left in the vertebral column. These conditions are inherited, albeit somewhat irregularly, in man.