Skip to content
knowrare
HealthSignal
Your condition community

Living with Trisomy 18p

A rare chromosome condition with an extra copy of the short arm of chromosome 18, which can affect learning and the face.

Understanding Trisomy 18p

Trisomy 18p is a rare chromosome condition in which cells have three copies of the short arm (p) of chromosome 18.

Severity depends on the size and place of the extra material. Reported features include intellectual disability, hand or foot differences, distinctive facial features, and epilepsy. A complete duplication of the p arm is rare. It can appear at a variety of ages.

Signs & symptoms

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

  • Mild intellectual disability
  • Attention deficit (ADHD)
  • Close-set or narrow-opening eyes
  • Narrow mouth and thin upper lip
  • Foot or finger differences
  • Undescended testes on both sides

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
Would chromosome testing of both parents help?
What does the size of the duplication mean for my child?
Which specialists should be on our care team?

Quick facts

Symptoms usually starta variety of ages

It is caused by an extra copy of the short arm of chromosome 18. It may occur by chance in a family or be inherited from a parent with the same duplication or a chromosome rearrangement, such as a balanced translocation.

Genetic

Also known as: duplication 18p; duplication of the short arm of chromosome 18; trisomy of the short arm of chromosome 18; trisomy type 18p

Patient organizations

Source: NIH GARD · Trisomy 18pGARD ID 5323 · 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 Trisomy 18p.

Explore the Trisomy 18p blog

Explore research for Trisomy 18p

Explore actively recruiting Trisomy 18p studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Trisomy 18p 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 Trisomy 18p 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 Trisomy 18p

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

HealthStoryfor Trisomy 18p

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 Trisomy 18p experiences more deeply and prepare for better conversations with your doctors and care team.

Start your Trisomy 18p journal

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