Trisomy 22 is the most frequent trisomy, after trisomy 16, of the tris
omies present in miscarriages. The children born with trisomy 22 have
usually unbalanced translocations 11; 22 or mosaicisms. In a recent re
view Bacino et al. [1] were able to find 17 cases of children born wit
h trisomy 22 including only 3 cases confirmed by molecular cytogenetic
s. We report a patient with an extra chromosome 22q- without mosaicism
. This chromosomal anomaly was defined with FISH studies. The phenotyp
e include microcephaly, microtia with pre auricular tags, hyperteloris
m, epicanthus, palatal cleft, short neck, winging scapulae, hypoplasia
of the distal phalanges, pulmonary stenosis and mental retardation.