It has been suggested that autism may arise as the result of exposure to hi
gh concentrations of prenatal testosterone. There is evidence that the rati
o of the lengths of the and and 4th digit (2D:4D) may be negatively correla
ted with prenatal testosterone. We measured 2D:4D in 95 families recruited
via the National Autistic Society, UK. The sample comprised a total 72 chil
dren with autism (62 males, 10 females; age range 2 to 14 years), including
23 children (20 males, three females) with Asperger syndrome(AS), 34 sibli
ngs, 88 fathers, 88 mothers and sex- and age-matched control participants.
We found that the 2D:4D ratios of children with autism, their siblings, fat
hers and mothers were lower than population normative values. Children with
AS, who share the social and communicative symptoms of autism but have nor
mal or even high IQ, had higher 2D:4D ratios than children with autism but
lower ratios than population normative values. There were positive associat
ions between 2D:4D ratios of children with autism and the ratios of their r
elatives. Children with autism had lower than expected 2D:4D ratios and chi
ldren with AS higher ratios than expected in relation to their fathers' 2D:
4D ratio. It was concluded that 2D:4D ratio may be a possible marker for au
tism which could implicate prenatal testosterone in its aetiology.