Cytogenetic analysis of bone marrow cells was performed on a 2-year-old Afr
ican-American male with Down syndrome (DS) and myelodysplastic syndrome (MD
S), specifically refractory anemia Mith excess blasts in transformation (RA
EB-T). Chromosome analysis showed, in addition to the constitutional trisom
y 21, a trisomy of chromosome 11 and a dup(1)(q23q31). This duplication of
Iq is apparently a new chromosomal abnormality in a child with MDS. Partial
trisomy of the long arm of chromosome 1 has been reported by several autho
rs and appears to represent a nonrandom chromosomal anomaly in patients wit
h MDS/acute myelogenous leukemia and DS. (C) 2000 Elsevier Science Inc. All
rights reserved.