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Living with Ring chromosome 18

A rare chromosome change with developmental delay, short height, and a wide range of other features depending on missing genes.

Understanding Ring chromosome 18

Ring chromosome 18 is a rare chromosome change in which the ends of chromosome 18 join to form a ring.

Genetic material can be lost from either arm, causing various signs. Some people have normal cells too (mosaicism) and may have milder symptoms. Features can include ear and hearing differences, hand and foot differences, genital differences in males, developmental delay, learning difficulties, and short stature. It can be noticed during pregnancy, at birth, or in infancy.

Signs & symptoms

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

  • Global developmental delay
  • Intellectual disability
  • Short stature
  • Small head size (microcephaly)
  • Hearing and ear differences
  • Increased risk of juvenile arthritis

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 18 Registry & Research Society 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
Was this inherited, and should parents be tested?
Does mosaicism mean milder effects?
Should hearing and the brain be checked?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant

It usually happens by chance when egg or sperm cells form or soon after. Occasionally it is inherited from a parent, usually the mother, and chromosome testing of parents can help.

Genetic

Also known as: chromosome 18 ring; ring 18; ring chromosome 18 syndrome; ring chromosome type 18

Patient organizations

Source: NIH GARD · Ring chromosome 18GARD ID 6077 · 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 Ring chromosome 18.

Explore the Ring chromosome 18 blog

Explore research for Ring chromosome 18

Explore actively recruiting Ring chromosome 18 studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Ring chromosome 18 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

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

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