RT Journal Article SR Electronic T1 A supernumerary marker chromosome originating from two different regions of chromosome 18 JF Journal of Medical Genetics JO J Med Genet FD BMJ Publishing Group Ltd SP 121 OP 124 DO 10.1136/jmg.37.2.121 VO 37 IS 2 A1 Benno Röthlisberger A1 Krystyna Chrzanowska A1 Damina Balmer A1 Mariluce Riegel A1 Albert Schinzel YR 2000 UL http://jmg.bmj.com/content/37/2/121.abstract AB By random amplification of a microdissected chromosome using the degenerate oligonucleotide primed polymerase chain reaction (DOP-PCR) and forward painting (microFISH), we characterised an extra structurally abnormal chromosome (ESAC) or supernumerary marker chromosome in a mentally retarded girl with a pattern of dysmorphic features. It could be clearly shown that the small marker chromosome originates from two different regions of chromosome 18, 18p11.1→18q11.1 and 18q12.3→18q21.1 respectively. Maternal origin of the de novo ESAC and biparental origin of the normal homologues of chromosome 18 were shown by PCR of several highly polymorphic microsatellites. In this case, application of microFISH was a prerequisite for rapid and precise characterisation of an ESAC. A definite identification of this discontinuous supernumerary marker chromosome would not have been possible using FISH with centromere specific probes or multicolour FISH approaches.