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Living with Chromosome Xq28 duplication syndrome

A rare genetic condition from an extra piece of the X chromosome, with intellectual disability and behavior differences, more severe in males.

Understanding Chromosome Xq28 duplication syndrome

Chromosome Xq28 duplication syndrome is a rare genetic condition with intellectual disability, neurobehavioral differences, and distinct facial features.

Cognitive impairment is typically more severe in males, and most males have moderate to severe intellectual disability. Males may also have repeated sinus and lung infections and allergies. Females may have milder symptoms or none. Most people inherit the duplication from their mother, who is often symptom-free, though new duplications have been found.

Signs & symptoms

GARD doesn't list specific symptoms for this condition, but the summary describes these features:

  • Intellectual disability
  • Behavior and neurodevelopmental differences
  • Distinct facial features
  • Repeated sinus and lung infections (males)
  • Allergies (males)

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

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

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

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
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 Simons Searchlight 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 the mother, and should female relatives be tested?
How can we manage the repeated infections and allergies?
What supports can help with learning and behavior?

Quick facts

InheritanceX-Linked

GARD says it is caused by an extra copy of a region of the X chromosome and is inherited in an X-linked pattern. Most people inherit it from a mother who often has no symptoms, and some cases are new.

Also known as: xq28 duplication syndrome, int22h1/int22h2-mediated; xq28 recurrent microduplication syndrome

Patient organizations

Source: NIH GARD · Chromosome Xq28 duplication syndromeGARD ID 15266 · 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 Xq28 duplication syndrome.

Explore the Chromosome Xq28 duplication syndrome blog

Explore research for Chromosome Xq28 duplication syndrome

Explore actively recruiting Chromosome Xq28 duplication syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Chromosome Xq28 duplication syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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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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