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Living with Chromosome Xp11.23-p11.22 duplication syndrome

An extra piece of the X chromosome seen in males and females, linked to delayed speech, learning difficulty, and early puberty.

Understanding Chromosome Xp11.23-p11.22 duplication syndrome

Chromosome Xp11.23-p11.22 duplication syndrome is a recently identified recurring duplication on the X chromosome, found in males and females.

It can be inherited in families or occur as a new change. GARD lists onset in the newborn period and infancy. Listed features include delayed speech, intellectual disability, and early puberty.

Signs & symptoms

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

  • Delayed speech and language
  • Intellectual disability
  • Early puberty
  • Nasal or hoarse voice
  • Flat or high-arched feet
  • Fused toes

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, genetic specialists and seizure and epilepsy specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: Epilepsy 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 Chromosome Disorder Outreach 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 duplication come from a parent, and should relatives be tested?
How should early puberty be monitored?
What therapies can help with speech and learning?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceX-Linked

GARD says it is caused by an extra copy (duplication) of a piece of the X chromosome at p11.23-p11.22. It can be inherited in families or occur as a new change.

GeneticNeurological

Also known as: chromosome xp11.23-p11.22 duplication syndrome, x-linked dominant; dup(x)(p11.22p11.23); microduplication xp11.22-p11.23 syndrome; microduplication xp11.22p11.23 syndrome; trisomy xp11.22-p11.23; trisomy xp11.22p11.23

Patient organizations

Source: NIH GARD · Chromosome Xp11.23-p11.22 duplication syndromeGARD ID 12766 · 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 Xp11.23-p11.22 duplication syndrome.

Explore the Chromosome Xp11.23-p11.22 duplication syndrome blog

Explore research for Chromosome Xp11.23-p11.22 duplication syndrome

Explore actively recruiting Chromosome Xp11.23-p11.22 duplication syndrome studies with HealthSpark.

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