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Living with Distal trisomy 18q

A rare chromosome condition with low muscle tone, delays in development, seizures, and distinct facial and finger features.

Understanding Distal trisomy 18q

Distal trisomy 18q is a rare condition caused by an extra piece of the long arm of chromosome 18.

The condition varies from person to person. Features can include low muscle tone, delays in movement, intellectual disability that can be mild or severe, and seizures. There may be differences in the brain, joined fingers or toes, a curved fifth finger, crossed eyes, and a short neck. Signs begin during pregnancy or in the newborn period.

Signs & symptoms

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

  • Delays in overall development
  • Cognitive (thinking and learning) impairment
  • Differences in heart or blood vessels
  • Small lower jaw (micrognathia)
  • Long, slender fingers (arachnodactyly)
  • Fingers that stay bent (camptodactyly)

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 Chromosome 18 Registry & Research Society 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
How should seizures be watched for?
What brain and heart tests does my child need?
How often should eyes and teeth be checked?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn

GARD says changes in a person's genes cause this condition. The summary describes it as an extra copy of part of the long arm of chromosome 18.

Genetic

Also known as: distal duplication 18q; distal trisomy type 18q; telomeric duplication 18q; trisomy 18qter

Patient organizations

Source: NIH GARD · Distal trisomy 18qGARD ID 18742 · 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 Distal trisomy 18q.

Explore the Distal trisomy 18q blog

Explore research for Distal trisomy 18q

Explore actively recruiting Distal trisomy 18q studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Distal trisomy 18q 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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