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Living with Deletion 5q35

A group of conditions caused by a missing piece at the end of chromosome 5, sometimes including Sotos syndrome.

Understanding Deletion 5q35

Deletion 5q35 refers to different conditions caused by a missing piece at the end of the long arm of chromosome 5.

A deletion in 5q35.2 that includes the NSD1 gene causes Sotos syndrome, with excessive growth in childhood, a large head, distinct facial features, and learning difficulty. Very rare deletions in 5q35.3 are linked to swelling before birth, low muscle tone, short stature, and minor heart differences. GARD lists onset during pregnancy or in the newborn period.

Signs & symptoms

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

  • Heart differences
  • Poor weight gain in infancy
  • Slow growth in childhood
  • Larger head size (macrocephaly)
  • Low muscle tone (hypotonia)
  • Delayed motor skills

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.

  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)
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
Which genes are in the missing piece of my child's chromosome?
Does my child have Sotos syndrome?
Which specialists should check the heart and growth?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn

It is caused by a deletion, a missing piece of chromosome 5 at 5q35. In some people the deletion includes the NSD1 gene, which causes Sotos syndrome.

Genetic

Also known as: del (5)(q35); del (5)(qter); deletion type 5q35; distal 5q deletion; monosomy 5q35; telomeric deletion 5q

Patient organizations

Source: NIH GARD · Deletion 5q35GARD ID 18730 · 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 Deletion 5q35.

Explore the Deletion 5q35 blog

Explore research for Deletion 5q35

Explore actively recruiting Deletion 5q35 studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Deletion 5q35 with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • 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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