EDITORMental retardation is a component of a large number of syndromes, most of which qualify individually as rare genetic diseases. Altogether, mental retardation affects 2-3% of the population and is unexplained in 40% of cases. According to Knight et al,¹ subtle telomeric chromosomal rearrangements are responsible for approximately 1% of unexplained mental retardation (with the proportion being highest, 7.4%, in the subclass of unexplained moderate to severe mental retardation). The identification of the genes responsible will require the precise delimitation of minimum deletion regions, which relies upon the collection of a large number of cases. Because of the low expected frequency of each telomeric deletion in mental retardation, the procedure to be applied should allow the screening of many patients at a low cost.

It is not yet clear whether all chromosome ends are associated with mental retardation syndromes with similar frequency. Distal chromosome 1p36 deletions were . . . [Full text of this article]