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Living with Chromosome 8q21.11 deletion syndrome

A small missing piece of chromosome 8 with intellectual disability, a round face, droopy eyelids, and nasal speech.

Understanding Chromosome 8q21.11 deletion syndrome

Chromosome 8q21.11 deletion syndrome (8q21.11 microdeletion syndrome) causes intellectual disability and distinct facial features.

Facial features include a round face, droopy eyelids, a short philtrum, a prominent Cupid's bow, and prominent low-set ears. People may also have nasal speech and mild finger and toe differences. GARD lists onset in the newborn period and infancy.

Signs & symptoms

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

  • Intellectual disability
  • Drooping upper eyelids (ptosis)
  • Crossed eyes (strabismus)
  • Downturned corners of the mouth
  • Downward-slanting eyelid openings
  • Cloudy cornea

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
Which genes are in my child's deletion?
How often should eyes be checked?
What speech therapy could help with nasal speech?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant

GARD says it is caused by a small missing piece (deletion) of chromosome 8 at q21.11. It is listed as autosomal dominant.

GeneticNeurological

Also known as: 8q21.11 microdeletion syndrome; chromosome 8q21.11 deletion syndrome, isolated cases; del(8)(q21.11); deletion 8q21.11; monosomy 8q21.11

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Chromosome 8q21.11 deletion syndromeGARD ID 17310 · 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 8q21.11 deletion syndrome.

Explore the Chromosome 8q21.11 deletion syndrome blog

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