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Living with Chromosome 1q41-q42 deletion syndrome

A small missing piece of chromosome 1 with a wide range of effects, including feeding trouble, delayed speech, and intellectual disability.

Understanding Chromosome 1q41-q42 deletion syndrome

Chromosome 1q41-q42 deletion syndrome is a condition caused by a small, variable deletion on the long arm of chromosome 1.

People range from mildly to severely affected. Features may include poor feeding in infancy, developmental delay with delayed or absent speech, and moderate to severe intellectual disability. Others include low muscle tone, short stature, seizures, heart defects, brain differences, cleft palate, vision problems, and hearing loss. GARD lists onset in the newborn period and infancy.

Signs & symptoms

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

  • Behavior differences
  • Clubfoot
  • Deep-set eyes
  • Frontal bossing
  • Depressed nasal bridge
  • Broad nasal tip and full lips

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 Families for HoPE 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
Should the heart, brain, hearing, and vision be checked?
How can we help with feeding and speech?
Did genetic testing show which genes are missing?

Quick facts

Symptoms usually startNewborn and as an Infant

GARD says it is caused by a small missing piece (deletion) on the long arm of chromosome 1, usually spanning several genes.

Genetic

Also known as: 1q41-q42 microdeletion syndrome; 1q41q42 microdeletion syndrome; chromosome 1, monosomy 1q4; chromosome 1q41-q42 deletion syndrome, isolated cases; del(1)(q41q42); deletion 1q4

Patient organizations

Source: NIH GARD · Chromosome 1q41-q42 deletion syndromeGARD ID 3738 · 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 1q41-q42 deletion syndrome.

Explore the Chromosome 1q41-q42 deletion syndrome blog

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  • Eligibility is confirmed by the study team

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