Monosomy 7 myelodysplasia is a rare hematological entity and is associ
ated with morphological abnormalities in bone marrow and peripheral sm
ear, and poor prognosis in children. We describe 2 children with infan
tile monosomy 7 myelodysplasia which evolved to leukemia. One of them
died after 1 month, and the other is still on therapy for acute myeloc
ytic leukemia (M4) which has evolved from chronic myelomonocytic leuke
mia. We concluded that chromosomal analysis must be done routinely in
patients with myelodysplasia, in acute myeloid leukemia and chronic my
elomonocytic leukemia.