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Living with Paternal uniparental disomy of chromosome 20

A very rare chromosome pattern with high birth weight, early obesity, a relatively large head, and tall height.

Understanding Paternal uniparental disomy of chromosome 20

Paternal uniparental disomy of chromosome 20 is a very rare chromosome pattern in which both copies of chromosome 20 come from the father.

Main features are high birth weight or obesity beginning early in life, a relatively large head, and tall height. Most people were found during testing for a condition called pseudohypoparathyroidism type 1b. The extra paternal material is often only part of the long arm of chromosome 20.

Signs & symptoms

Symptoms vary from person to person. GARD describes these main features:

  • High birth weight
  • Obesity starting early in life
  • Relatively large head (macrocephaly)
  • Tall height

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
What growth and weight monitoring is recommended?
Should I be tested for pseudohypoparathyroidism type 1b?
Which specialists should be involved?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn

Both copies of chromosome 20, or parts of it, come from the father, which causes the condition.

Genetic

Also known as: paternal uniparental disomy of chromosome type 20; paternal upd(20); paternal upd20; paternal upd20 (uniparental disomy of chromosome 20); upd(20)pat

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Paternal uniparental disomy of chromosome 20GARD ID 19343 · 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 Paternal uniparental disomy of chromosome 20.

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