Two female infants with de novo interstitial deletions of 8p were stud
ied. One with a deletion from p11.21 to p11.23, and the other patient
with a deletion from p11.23 to p21.3 had several clinical manifestatio
ns of the terminal 8p- syndrome. Band 8p11.23 was deleted in both pati
ents. The clinical manifestations common to both patients included low
birthweight, growth deficiency, congenital heart disease, mental reta
rdation, dolichocephaly, low-set, malformed ears, high-arched palate,
thin lips and micrognathia. Since these features may occur in most pat
ients with chromosomal imbalance, and the terminal 8p- syndrome has hi
therto been assumed to result from terminal deletions of 8p, ranging f
rom p21.3 to p23, it is likely that these features are simply related
to the chromosomal imbalance rather than to band specific imbalance of
8p11.23. The present study suggests that two different types of delet
ion, interstitial and terminal, are associated with still poorly defin
ed, rather non-specific clinical features.