RT Journal Article SR Electronic T1 Evidence of genetic and phenotypic heterogeneity in the Romano-Ward syndrome. JF Journal of Medical Genetics JO J Med Genet FD BMJ Publishing Group Ltd SP 947 OP 950 DO 10.1136/jmg.30.11.947 VO 30 IS 11 A1 J C Dean A1 S Cross A1 K Jennings YR 1993 UL http://jmg.bmj.com/content/30/11/947.abstract AB We report two families with phenotypically different forms of Romano-Ward syndrome. In one family, only five of 18 affected subjects are symptomatic, whereas in the other the proportion is three out of five. The families show distinct ECG morphologies, in addition to QT prolongation. Previous reports have shown genetic linkage either to the HLA locus on chromosome 6 or the Harvey-ras oncogene on chromosome 11. No linkage was found to either locus in the families reported here. The implications of phenotypic and genotypic heterogeneity in Romano-Ward syndrome are discussed in relation to the neurogenic and intrinsic models of pathogenesis.