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Living with 20p13 microdeletion syndrome

A rare chromosome condition that can bring developmental delay, mild to moderate learning challenges, and seizures.

Understanding 20p13 microdeletion syndrome

20p13 microdeletion syndrome is a rare chromosome condition caused by a missing piece of chromosome 20.

People with this condition have developmental delay, mild to moderate intellectual disability, and epilepsy. Other reported features include a high palate, late permanent teeth, small fingernails, curved pinky fingers, and short fingers. GARD lists onset as the newborn and infant period.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Intellectual disability
  • Seizures
  • Delayed speech and language
  • Motor delay
  • Not gaining weight as expected in infancy
  • Small nails

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Chromosome Disorder Outreach
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Should my child see a neurologist for seizures?
What therapies can help with speech and motor delay?
Can testing show whether the deletion was inherited?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant

GARD says changes in genes (also called variants) cause this condition. The summary describes it as a chromosome deletion, and it is listed as autosomal dominant.

GeneticNeurological

Also known as: 20p subtelomeric deletion syndrome; del(20)(p13); monosomy 20p13

Patient organizations

Broader rare-disease groups

Source: NIH GARD · 20p13 microdeletion syndromeGARD ID 21360 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with 20p13 microdeletion syndrome.

Explore the 20p13 microdeletion syndrome blog

Explore research for 20p13 microdeletion syndrome

Explore actively recruiting 20p13 microdeletion syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for 20p13 microdeletion syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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