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Living with Intellectual disability, autosomal dominant 43

A genetic condition with moderate to severe developmental delay, low muscle tone, and unsteady walking (HIVEP2-related).

Understanding Intellectual disability, autosomal dominant 43

Intellectual disability, autosomal dominant 43 (HIVEP2-related intellectual disability) is a neurological disorder with moderate to severe developmental delay and intellectual disability.

Early signs include weak muscle tone and delayed skills such as sitting, standing, and walking. Many people keep having trouble walking, with a wide-based, unbalanced gait. Speech is delayed, and some people never learn to talk. Most have mild physical differences.

Signs & symptoms

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

  • Small head (microcephaly)
  • No speech
  • Acid reflux
  • Aggressive behavior
  • Weak muscle tone
  • Unsteady, wide-based walk

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
  • 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 for the HIVEP2 gene confirm the diagnosis?
What therapies help with walking and balance?
What ways can my child use to communicate?

Quick facts

InheritanceAutosomal Dominant

GARD says it is inherited in an autosomal dominant pattern, meaning one changed copy of the gene can be enough. The name points to the HIVEP2 gene.

Also known as: autosomal dominant intellectual disability 43; autosomal dominant non-syndromic intellectual disability caused by mutation in hivep2; hivep2 (human immunodeficiency virus type i enhancer binding protein 2) related intellectual disability; hivep2 autosomal dominant non-syndromic intellectual disability; hivep2-related intellectual disability; human immunodeficiency virus type i enhancer binding protein 2 related intellectual disability

Patient organizations

Source: NIH GARD · Intellectual disability, autosomal dominant 43GARD ID 13179 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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Perspectives from people navigating life with Intellectual disability, autosomal dominant 43.

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