We characterized by fluorescence in situ hybridization and Southern bl
otting 14 partial Xq monosomies, II due to terminal deletions and 3 se
condary to X/autosome translocations. Three cases were mosaics with a
XO cell line. In view of the possible role played by telomeres in chro
mosome segregation, we hypothesize a relationship between the loss of
telomeric sequences in terminal deletions and the presence of 45,X cel
ls. A correlation between phenotype and extent of deletion revealed th
at there is no correspondence between the size of the deletion and imp
airment of gonadal function. Turner stigmata are absent in patients wi
thout an XO cell line, when the breakpoint is distal to Xq24. A low bi
rthweight is present whenever the breakpoint is at q22 or more proxima
l.