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Living with Intellectual disability, X-linked, syndromic 33

A rare X-linked syndrome (TAF1-related) with developmental delay, intellectual disability, hearing loss, and distinct facial features.

Understanding Intellectual disability, X-linked, syndromic 33

Intellectual disability, X-linked, syndromic 33 is a rare syndrome with global developmental delay, intellectual disability, slow growth, and hearing impairment.

Other features include distinct facial features, low muscle tone, loose joints, and variable neurological features. Eye, skin, bone, muscle, digestive, and heart differences have also been described. It begins during pregnancy or in the newborn period.

Signs & symptoms

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

  • Delayed movement skills
  • Intellectual disability
  • Autistic behavior
  • Repeated middle ear infections
  • Crossed eyes (strabismus)
  • Differences in facial shape

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. Consider genetic testing

    Changes in TAF1 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)
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 for the TAF1 gene confirm the diagnosis?
How often should hearing and eyes be checked?
Which therapies help with motor and language skills?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceX-Linked
GenesTAF1

Changes in the TAF1 gene cause this condition. It is inherited in an X-linked pattern, meaning the gene is on the X chromosome.

GeneticNeurological

Also known as: intellectual developmental disorder, x-linked syndromic 33, x-linked recessive; intellectual developmental disorder, x-linked, syndromic 33; intellectual disability, x-linked, syndromic type 33; mrxs33; taf1 x-linked syndromic intellectual disability; x-linked intellectual disability-global development delay-facial dysmorphism-sacral caudal remnant syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Intellectual disability, X-linked, syndromic 33GARD ID 24731 · 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 Intellectual disability, X-linked, syndromic 33.

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  • Eligibility is confirmed by the study team

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