A third case of an interstitial deletion of the long arm of chromosome
6 with clinical features mimicking Prader-Willi syndrome (PWS) is pre
sented. Although preliminary clinical evaluation in each case suggeste
d PWS, further review revealed that the features in all three cases ar
e not completely compatible with the characteristic findings in Prader
-Willi syndrome. Furthermore, the deletions in the three cases do not
show a consistent region of overlap. Consequently, no particular band
or region in 6q can be defined as associated with obesity. However, ou
r findings confirm the suggestion of Villa et al. in 1995, that indivi
duals with a PWS phenotype who are cytogenetically and molecularly neg
ative for a deletion of 15q11-q13 should be examined for a deletion of
6q.