We read with interest the article by Rogers et a1 (Am J Med Genet 11: 143-146, 1982) on monozygotic (MZ) twins discordant for trisomy 21. The twins are presumed to be MZ on the basis of placentation, identical blood groups, HLA haplotypes, and serum proteins.We have studied a similar set of twins [Gilgenkrantz et al, 1981a,b]. They were diarnniotic monochorial and their blood groups were identical. One was a normal child and the other had Down Syndrome (DS). Mixoploidy was found in peripheral blood in both of them. We could have concluded monozygoty twins if they had been of the same sex, but the normal child was a boy and the DS child was a girl. In skin fibroblast culture the chromosome constitution conformed to the phenotype 46,XY in the normal boy and 47,XX, +21 in the DS girl.So, we concluded on dizygoty with blood chimerism due to placental vascular anastomoses. We could prove this because the a-1 antitrypsin phenotypes (a serum enzyme of hepatic origin) were different in our twins.Although HLA typing was performed on cultured skin fibroblasts in the case of Rogers et al, we still wonder if their twins could be DZ twins with predominant blood chimera rather MZ twins discordant for trisomy 21.