Molecular genetic investigation of a female infant with Beckwith-Wiede
mann syndrome (BWS) showed loss of IGF2 imprinting but no evidence of
uniparental disomy. In addition, a deletion of chromosome 18q22.1 was
identified in this infant without clinical features of 18q-syndrome (m
icrocephaly, short stature, hypotonia). The association of a chromosom
e 18 deletion and BWS may be coincidental or may indicate the location
of a trans activating regulator element for maintenance of IGF2 impri
nting.