Background Abnormalities presumed to occur during foetal life have bee
n associated with schizophrenia. Polydactyly is a developmental abnorm
ality but no previous association has been reported between polydactyl
y and functional psychotic illness. Method individuals with both polyd
actyly and a functional psychosis were ascertained during a study of f
amilial schizophrenia. Results Five such individuals were ascertained
in the course of assessing 234 individuals with familial psychosis, gi
ving a rate of polydactyly in the sample of around 10 times the genera
l population rate. Conclusions This study provides preliminary evidenc
e that polydactyly is over-represented in individuals with familial sc
hizophrenia and related psychotic illnesses.