We report on a 22-month-old girl with minor facial anomalies, global develo
pmental delay, growth retardation, seizures, and leukoencephalopathy, Initi
al clinical assessment suggested the diagnosis of Williams syndrome, Result
s of fluorescence in situ hybridization testing for elastin were normal. Ho
wever, chromosome analysis showed a 46,XX,del(9) (p13.1p21.1) karyotype in
pe ripheral lymphocytes. Parental chromosomes were normal, indicating a de
novo de letion, This patient's manifestations are compared with those of tw
o other cases with overlapping deletions of the proximal short arm of chrom
osome 9, (C) 2000 Wiley-Liss, Inc.