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Living with Growth delay due to insulin-like growth factor I resistance

A rare genetic condition in which the body doesn't respond to a growth signal (IGF-I), causing slow growth before and after birth.

Understanding Growth delay due to insulin-like growth factor I resistance

Growth delay due to IGF-I resistance is a condition with slow growth before and after birth and high IGF-I levels in the blood.

Growth delay varies, and people can also have varying degrees of intellectual disability, a small head, and distinct features such as a broad nasal bridge and tip, thin upper lip, short fingers, curved fingers, and a sunken chest. It usually starts in the newborn period or infancy.

Signs & symptoms

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

  • Slow growth
  • Small head size (microcephaly)
  • Intellectual disability
  • Delayed motor skills
  • Delayed bone maturation
  • Sunken chest (pectus excavatum)

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, genetic specialists and hormone specialists.

  3. Consider genetic testing

    Changes in IGF1R are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); 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 rare disease patient organizations for support
  • 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
Can genetic testing confirm a change in the IGF1R gene?
How should growth and development be tracked?
Is growth hormone treatment an option, given IGF-I resistance?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant, Autosomal Recessive
GenesIGF1R

Changes in the IGF1R gene cause this condition. GARD lists both autosomal dominant and autosomal recessive inheritance.

GeneticNeurologicalEndocrine

Also known as: growth delay due to insulin-like growth factor 1 resistance; igf-1 (insulin-like growth factor 1) resistance; igf-1 resistance; igf-i resistance; insulin-like growth factor i resistance; insulin-like growth factor i, resistance to

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Growth delay due to insulin-like growth factor I resistanceGARD ID 10609 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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