We report on an individual with severe mental retardation, seizures, m
icrocephaly, unusual face, scoliosis, and cleft feet and cleft right h
and, The chromosomal study showed a proximal interstitial deletion 7q
(q11.23q22). From our review of the literature, 11 patients have been
reported with ectrodactyly (split hand/split foot malformation) and pr
oximal/intermediate interstitial deletions or rearrangements of 7q, Th
e critical segment for ectrodactyly seems to be located between 7q21.2
and 7q22.1. This malformation is present in 41% of the patients whose
deletion involves the critical segment. (C) 1995 Wiley-Liss, Inc.