We report a deletion of 1p36.3 in a child with microcephaly, mental re
tardation, broad forehead, deep set eyes, depressed nasal bridge, flat
midface, relative prognathism, and abnormal ears. The phenotype is co
nsistent with that described for partial monosomy for 1p36.3. Reverse
chromosome painting and microsatellite and Southern blot analyses were
used to map the extent of the deletion. Fluorescence in situ hybridis
ation (FISH) analysis using probes from every telomere indicates that
the rearrangement is likely to be a chromosomal truncation or rearrang
ement involving subtelomeric repetitive DNA. The deletion was identifi
ed by screening a sample of children and adults with idiopathic mental
retardation. In conjunction with previous work on this sample, we est
imate that 7.4% of the group have subtelomeric rearrangements.