We report on a child with apparent Sotos syndrome (cerebral gigantism) and
partial duplication of the short arm of chromosome 20 mosaicism, Trisomy 20
p11.2-p12.1 was diagnosed using cytogenetic and FISH studies. The somatosta
tin receptor 4 (SSTR4) gene is included in the duplicated segment. This sug
gests that a dosage effect of this gene might be related to some of the cli
nical findings observed in our patient. The present observation emphasizes
the importance of chromosome analysis in patients with well-delineated but
sporadic conditions. (C) 2000 Wiley-Liss, Inc.