Recent psycholinguistic investigations have advanced our understanding of the acquired dyslexias. Developmental analogues have been described to some of these disorders. A new case of developmental phonological dyslexia is described here. A.H. is an intelligent 10-year-old boy with no neurological abnormality. Reading and spelling are below age level. A.H. is poorer at reading words than nonwords. The majority of his errors are paralexias: visual, derivations, or visuosemantic. Spelling-to-sound regularity does not affect the ability to read aloud. A.H.'s reading performance is significantly impaired when words are presented typed in reverse order, thereby prohibiting global strategies. Spelling of nonwords is no better than reading of nonwords. Only one-fifth of spelling errors are phonologically valid. A.H. has imperfect development of both the phonological route to reading and the phonological route to spelling.