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Living with 20q11.2 microdeletion syndrome

A rare genetic condition that can bring developmental delay, low muscle tone, feeding trouble, and hand and foot differences.

Understanding 20q11.2 microdeletion syndrome

20q11.2 microdeletion syndrome is a rare genetic condition with intellectual disability and a missing piece of chromosome 20.

It includes delayed development, low muscle tone (hypotonia), feeding difficulties, and not gaining weight as expected. Hands and feet can look different, and facial features can be distinct. Slower growth before birth and differences in the digestive system, heart, and eyes have been reported. GARD lists onset as during pregnancy and as a newborn.

Signs & symptoms

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

  • Global developmental delay
  • Low muscle tone (hypotonia)
  • Slow growth before birth
  • Hearing impairment
  • Curved or bent fingers or toes
  • Behavior differences

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
Who can help with my child's feeding and weight gain?
Should my child have hearing and eye exams?
Should my child's heart and digestive system be checked?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn

GARD says changes in genes (also called variants) cause this condition. The summary describes it as a missing piece (microdeletion) of chromosome 20.

GeneticNeurological

Also known as: del(20)(q11.2); monosomy 20q11

Patient organizations

Broader rare-disease groups

Source: NIH GARD · 20q11.2 microdeletion syndromeGARD ID 21859 · 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 20q11.2 microdeletion syndrome.

Explore the 20q11.2 microdeletion syndrome blog

Explore research for 20q11.2 microdeletion syndrome

Explore actively recruiting 20q11.2 microdeletion syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for 20q11.2 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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