The clinical features and cytogenetic results of an 18 year old mental
ly handicapped female found to be a mosaic for a tandem duplication of
chromosome 1 (46,XX, dup(1)(q12q22)/46,XX) are reported. The case is
compared with the three previously described cases and possible mechan
isms for the origin of the duplication are discussed. This patient was
not found to have features of Proteus syndrome which was previously r
eported in a subject mosaic for a tandem duplication involving chromos
ome (1)(q11q25).