Skip to content
knowrare
HealthSignal
Your condition community

Living with Phelan-McDermid syndrome

A genetic condition from a missing piece of chromosome 22 with developmental delay, low muscle tone, and little or no speech.

Understanding Phelan-McDermid syndrome

Phelan-McDermid syndrome (22q13.3 deletion syndrome) is a genetic condition caused by loss of a small piece of chromosome 22.

Features vary widely. They include developmental delay, intellectual disability, low muscle tone, and absent or delayed speech. Some people have autism spectrum traits. Many have a reduced ability to sweat, which can increase the risk of overheating, and a lower sensitivity to pain. Seizures and loss of skills can occur less often.

Signs & symptoms

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

  • Delayed or absent speech
  • Low muscle tone (hypotonia)
  • Autistic behavior
  • Reduced sweating
  • Less sensitivity to pain
  • Trouble sleeping and feeding

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 skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in SHANK3 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); Skin, hair, and nail specialists (dermatologists)
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 Phelan-McDermid Syndrome Foundation and other patient organizations
  • 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
Which therapies can help with speech and communication?
How can we prevent overheating?
Should we have a plan for seizures or loss of skills?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesSHANK3

Changes in the SHANK3 gene cause this condition, usually from the loss of a small piece of chromosome 22. GARD lists it as autosomal dominant.

GeneticNeurologicalSkin

Also known as: 22q13.3 deletion; 22q13.3 deletion syndrome; monosomy 22q13; monosomy 22q13.3; phelan mcdermid syndrome; phmds

Patient organizations

Source: NIH GARD · Phelan-McDermid syndromeGARD ID 10130 · 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 Phelan-McDermid syndrome.

Explore the Phelan-McDermid syndrome blog

Explore research for Phelan-McDermid syndrome

Explore actively recruiting Phelan-McDermid syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Phelan-McDermid syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

Powered by HealthSpark, our AI chat helper

I can help you find recruiting Phelan-McDermid syndrome studies. Enter a ZIP code, address or city below and I'll look within 50 miles.

Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

Get Signals for Phelan-McDermid syndrome

Stay in the loop with community stories and updates from medical researchers.

HealthStoryfor Phelan-McDermid syndrome

Create a living journal that talks back

HealthStory evolves private journaling with a living AI journal that talks back and asks thoughtful questions, helping you capture your Phelan-McDermid syndrome experiences more deeply and prepare for better conversations with your doctors and care team.

Start your journal

Your journal is private. Sharing your story publicly is a separate choice, made with Share your story above.