As the Human Genome Project unfolds, more and more genetic disorders are be
ing found that are not transmitted in the usual dominant, recessive, or X-l
inked pattern. How do you explain these strange exceptions to Mendelian rul
es to your patients and their families? In this article, Dr Wagstaff discus
ses imprinting, trinucleotide repeat expansion, mitochondrial inheritance,
and mosaicism and explains how they occur and how they affect transmission
of inherited diseases.