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Living with Chromosome 2q32-q33 deletion syndrome

A rare genetic condition present at birth with intellectual disability, behavior differences, a small head, and often a cleft palate.

Understanding Chromosome 2q32-q33 deletion syndrome

Chromosome 2q32-q33 deletion syndrome (2q32q33 microdeletion syndrome) is a rare genetic condition caused by a missing piece of a chromosome.

People have moderate to severe intellectual disability and behavior issues. They may be shorter than usual with a smaller head (microcephaly), unusual nails, and less hair growth. A cleft palate and distinct facial features may also occur.

Signs & symptoms

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

  • Delayed speech and language
  • Cleft palate
  • Low facial muscle tone
  • Broad forehead and broad nasal tip
  • Crowded teeth
  • Bowing of the shin bones

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, ear, nose, and throat specialists, genetic specialists and gum, teeth and mouth specialists.

  3. Consider genetic testing

    Changes in SATB2 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists); Gum, teeth and mouth specialists (odontologists)
Expert care
Expert lists: World Craniofacial Foundation
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 SATB2 Gene Foundation 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
Does my child's deletion include the SATB2 gene?
What help is available for speech and feeding?
Should breathing during sleep be checked?

Quick facts

InheritanceAutosomal Dominant
GenesSATB2

GARD says it is caused by a missing piece (deletion) of chromosome 2 at q32-q33. The SATB2 gene is listed, and it is autosomal dominant.

GeneticNeurological

Also known as: 2q32-q33 microdeletion syndrome; 2q32q33 microdeletion syndrome; 2q33.1 deletion syndrome; del(2)(q32); del(2)(q32q33); glass

Patient organizations

Source: NIH GARD · Chromosome 2q32-q33 deletion syndromeGARD ID 13206 · 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 2q32-q33 deletion syndrome.

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