We note that several of the enriched genes-SALL4 (Duane-Radial Ray Syndrome), PAX2 (Papillorenal syndrome), ACGT1 (Baraitser-Winter Syndrome 2), SALL1 (Townes-Brocks Syndrome 1) can also present with congenital renal anomalies. The gene discussed is SALL4; the disease is Okihiro syndrome.