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Living with Distal Xq28 microduplication syndrome

An X-linked condition that mostly affects boys and men, with learning, behavior, and mood differences, frequent infections, and distinct facial features.

Understanding Distal Xq28 microduplication syndrome

Distal Xq28 microduplication syndrome is a rare X-linked condition caused by an extra piece of the X chromosome that affects learning and behavior.

In males, the condition involves intellectual disability, behavior and mental health challenges, obesity, repeated infections, allergic conditions, and distinct facial features. Females usually have no symptoms or only mild ones, such as mild learning difficulties and facial differences. Signs show up in the newborn and infant years.

Signs & symptoms

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

  • Delayed speech and language
  • Attention deficit hyperactivity disorder (ADHD)
  • Autistic behavior
  • Anxiety or depression
  • Aggressive behavior
  • Asthma and nosebleeds

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 and 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
Brain and nervous system specialists (neurologists); 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 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
Would genetic testing help my family, including female relatives?
Which specialist can help with behavior and mental health?
How can we address repeated infections or asthma?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceX-Linked

GARD describes this as an X-linked condition caused by changes in genes, specifically an extra copy (duplication) of a piece of the X chromosome. Males are usually more affected than females.

GeneticNeurological

Also known as: distal dup(x)q(28); distal trisomy xq28; int22h1/int22h2 mediated-xq28 microduplication syndrome; xq28 microduplication

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Distal Xq28 microduplication syndromeGARD ID 17350 · 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 Xq28 microduplication syndrome.

Explore the Distal Xq28 microduplication syndrome blog

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  • Eligibility is confirmed by the study team

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