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Living with Chromosome 22q11.2 deletion syndrome, distal

A rare condition from a missing piece of chromosome 22 that affects growth, speech and learning, and sometimes the heart.

Understanding Chromosome 22q11.2 deletion syndrome, distal

Chromosome 22q11.2 deletion syndrome, distal is a rare condition from a partial deletion on chromosome 22 outside the DiGeorge critical region.

Features include early birth, slow growth before and after birth, developmental delay (especially speech), mild intellectual disability, varied heart defects, and minor skeletal differences. About half of people have facial differences. For some very distal deletions that include the SMARCB1 gene, there is a risk of rhabdoid tumors. Most deletions occur new in the person (de novo). GARD lists onset during pregnancy and at birth.

Signs & symptoms

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

  • Global developmental delay
  • Small head size (microcephaly)
  • Absent fingernails or toenails
  • Deep-set eyes and highly arched eyebrows
  • Flat feet
  • Differences in the earlobes

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 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
Does my child's deletion include the SMARCB1 gene, and what follow-up does that mean?
Should the heart be checked?
What therapies can support speech and development?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant

GARD says it results from a partial deletion on the long arm of chromosome 22 outside the DiGeorge critical region. Most deletions are de novo, meaning new in the person.

Genetic

Also known as: 22q11.2 distal deletion syndrome; distal 22q11.2 microdeletion syndrome; distal del(22)(q11.2); distal monosomy 22q11.2

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Chromosome 22q11.2 deletion syndrome, distalGARD ID 17245 · 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 22q11.2 deletion syndrome, distal.

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