We describe a patient with severe failure to thrive, mild-moderate dev
elopmental delay, cleft lip and palate, and other anomalies. Routine c
ytogenetic analysis documented a de novo chromosome rearrangement invo
lving chromosome 4, but the origin of the derived material was unknown
. Using chromosome specific painting probes, the karyotype was defined
as 46,XY,der(4) t(4;10) (q35;p11.23). Characterization of the dup(10p
) by fluorescence in situ hybridization (FISH) analysis provides anoth
er example of the usefulness of this technology in identifying small d
eletions, duplications, or supernumerary marker chromosomes. (C) 1994
Wiley-Liss, Inc.