We describe a pedigree in which four male members are affected by a co
ntiguous gene abnormality involving the short arm of the X chromosome
(Xp22.32). Bivariate flow cytometry of lymphoblastoid cell lines from
two of these individuals and a normal male showed a 6-7 megabase delet
ion in affected males, and high resolution chromosomal G-banding of an
obligate heterozygote showed the deletion to reside in the Xp22.32 re
gion. Affected members had X-linked ichthyosis due to steroid sulphata
se deficiency, Kallmann's syndrome, but no ocular albinism. In two out
of four affected individuals studied, there was unilateral renal agen
esis. Deletion analysis using the Xp22.32 markers MIC2, DXS31, DXS 89,
GMGX9, DXS278, DXS143, and DXS9 showed that the deletion extended fro
m DXS31 to DXS143 (inclusive). The absence of ocular albinism in this
pedigree shows conclusively that the X-linked ocular albinism gene res
ides proximal to the DXS143 locus. Further, the inconstant association
of unilateral renal agenesis with X-linked Kallmann's syndrome, even
when the latter is caused by a complete deletion of the gene, suggests
that the absence of the X-linked Kallmann gene can be compensated in
renal development.