SummaryA female infant with distal 18q trisomy, confirmed by G-and Q-banding was reported. Her karyotype was 46,XX,-6,+der(6), t(6;18) (18qter---~18q21 :: 6p24 or 25--*6pter)pat. She had the following clinical stigmata: hypertelorism, coloboma, bulbous nose with shallow nasal bridge, high arched palate, small chin, folds of redundant nuchal skin, hemangioma and limited abduction of the hip joints.