A woman had a karyotype of 46Xinv(X)(p21.2;q26.1) and mosaicism of dys
trophin-negative muscle fibers. The X-chromosome inversion was transmi
tted to her daughter, who had an elevated serum CK. The genetic transm
ission as well as the probable random inactivation of the abnormal X c
hromosome in this mildly affected patient distinguish this case from t
hose of dystrophinopathy with X;autosome translocations.