Two sisters presented with multiple congenital abnormalities and developmen
tal delay; abnormalities elsewhere in their extended family suggested that
their father carried a balanced translocation, G-banded chromosome analysis
showed apparently normal karyotypes, Fluorescence in situ hybridisation (F
ISH) with whole chromosome paints revealed no apparent abnormality in the f
ather, However, further FISH studies, using multiple subtelomeric probes, d
emonstrated a derivative chromosome 16 in one sister. Subsequent studies sh
owed that her sister also had a derivative 16 which had been inherited in a
n unbalanced form from their father, who carried a balanced reciprocal tran
slocation between chromosomes 1 and 16. This report describes the detection
of this submicroscopic translocation and the clinical findings in the two
sisters. (C) 2000 Wiley-Liss, Inc.