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Living with Chromosome 1q21.1 deletion syndrome

A small missing piece of chromosome 1 that raises the chance of delayed development and learning differences, though some people have no signs.

Understanding Chromosome 1q21.1 deletion syndrome

Chromosome 1q21.1 deletion syndrome is a chromosome change in which a small piece of chromosome 1 is deleted in each cell.

It raises the risk of delayed development, intellectual disability, physical differences, and neurological and psychiatric problems. About 75 percent of children have delayed development, mostly in motor skills. Learning problems are usually mild. Facial features are subtle. Some people with the deletion have no associated features. GARD lists onset in the newborn period and infancy.

Signs & symptoms

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

  • Global developmental delay
  • Intellectual disability, usually mild
  • Small head size (microcephaly)
  • Prominent forehead
  • Large, rounded nose tip
  • High, arched palate

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 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
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 Simons Searchlight and other patient organizations
  • 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
Did the deletion come from a parent, and should relatives be tested?
How can we support motor skills and learning?
Should the heart or other organs be checked?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant

GARD says it is caused by a small missing piece (deletion) of chromosome 1 at q21.1. It is listed as autosomal dominant.

Genetic

Also known as: 1q21.1 contiguous gene deletion; 1q21.1 deletion; 1q21.1 microdeletion; 1q21.1 microdeletion syndrome; 1q21.1 recurrent microdeletion; 1q21.1 recurrent microdeletion (susceptibility locus for neurodevelopmental disorders)

Patient organizations

Source: NIH GARD · Chromosome 1q21.1 deletion syndromeGARD ID 10813 · 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 Chromosome 1q21.1 deletion syndrome.

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