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Living with Maternal uniparental disomy of chromosome 20

A very rare change in which both copies of chromosome 20 come from the mother, mainly linked to slow growth.

Understanding Maternal uniparental disomy of chromosome 20

Maternal uniparental disomy of chromosome 20 is a very rare chromosome change in which both copies of chromosome 20 come from the mother.

The main feature is slow growth before and after birth. A small head, minor differences in appearance, and delays in development have sometimes been reported. It is most often found through a pregnancy with mosaic trisomy 20. It starts in pregnancy and the newborn period.

Signs & symptoms

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

  • Slow growth before and after birth
  • Short stature
  • Feeding difficulties in infancy
  • Developmental delay
  • Low muscle tone
  • Low growth hormone level

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 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
Should growth hormone levels be checked?
Which specialists should follow growth and development?
What does this mean for future pregnancies?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn

Both copies of chromosome 20 come from the mother. GARD says it is most often found through a pregnancy with mosaic trisomy 20.

Genetic

Also known as: maternal uniparental disomy of chromosome type 20; maternal upd(20); maternal upd20 (uniparental disomy of chromosome 20); mulchandani-bhoj-conlin syndrome; uniparental disomy, maternal, chromosome 20; upd(20)mat

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Maternal uniparental disomy of chromosome 20GARD ID 16849 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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