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Living with Chromosome Xp21 deletion syndrome

A missing piece of the X chromosome that usually affects males and can involve adrenal glands, muscles, and learning.

Understanding Chromosome Xp21 deletion syndrome

Chromosome Xp21 deletion syndrome is a rare chromosome change that usually affects males.

It can include complex glycerol kinase deficiency, congenital adrenal hypoplasia (underdeveloped adrenal glands), intellectual disability, and Duchenne muscular dystrophy. The features depend on the size of the deletion and the number and type of genes involved. GARD lists onset in the newborn period and infancy.

Signs & symptoms

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

  • Adrenal insufficiency
  • Global developmental delay
  • Slow growth
  • Decreased muscle mass
  • Crossed eyes (strabismus)
  • Confusion

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 and hormone 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); Hormone specialists (endocrinologists)
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 the deletion, and what do they mean for my son?
How should adrenal function be monitored?
Should muscles and heart be checked for muscular dystrophy?

Quick facts

Symptoms usually startNewborn and as an Infant

GARD says it is caused by a missing piece (deletion) on the X chromosome at p21. The features depend on the deletion size and the genes involved.

GeneticEndocrineInherited Metabolic

Also known as: complex gkd; complex gkd (complex glycerol kinase deficiency); complex glycerol kinase deficiency; del(x)(p21); glycerol kinase deficiency-contiguous gene syndrome; monosomy xp21

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Chromosome Xp21 deletion syndromeGARD ID 17246 · 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 Xp21 deletion syndrome.

Explore the Chromosome Xp21 deletion syndrome blog

Explore research for Chromosome Xp21 deletion syndrome

Explore actively recruiting Chromosome Xp21 deletion syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Chromosome Xp21 deletion syndrome with HealthSpark. Share your city to explore research near you.

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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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