We report the case of a child with partial trisomy of the short arm of chro
mosome 17, which was characterized by 24-color spectral karyotyping (SKY) a
nd other fluorescence in situ hybridization (FISH) methods. The child had p
henotypic features previously associated with trisomy 17p, including facial
characteristics, developmental delay, postnatal growth retardation, single
transverse crease, inguinal hernia, redundant neck skin folds, congenital
heart defect, and club foot. This case illustrates the power of SKY for cha
racterizing derivative/marker chromosomes in patients with rare cytogenetic
syndromes.