“…Indeed, piebald-like pigmentary anomalies occur in association with sensorineural deafness in the Waardenburg syndromes, though skin hypopigmentation is usually much less extensive and severe in WS than it is in piebaldism [Sellars and Beighton, 1983a;Winship and Beighton, 1992]-in a series of 89 South African children with WS, none had skin changes that approached those of the current proposita in severity [Sellars and Beighton, 1983a]. Similarly, in a series of 4,452 children attending special schools in South Africa, none had the combination of hearing loss and the skin changes of piebaldism [Sellars and Beighton, 1983b;Beighton et al, 1991]. Nevertheless, there have been occasional reports of piebaldism associated with sensorineural deafness.…”