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Living with X-linked acrogigantism due to Xq26 microduplication

A rare genetic condition with very fast growth in infancy and childhood caused by too much growth hormone.

Understanding X-linked acrogigantism due to Xq26 microduplication

X-linked acrogigantism is a condition of excessive growth caused by extra genetic material on the X chromosome.

Overgrowth usually begins in the first year of life in previously typical infants. It comes from too much growth hormone due to an enlarged pituitary gland or a usually benign pituitary tumor. Most cases are a single occurrence in a family.

Signs & symptoms

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

  • Tall stature
  • Too much growth hormone
  • Pituitary gland tumor or enlargement
  • Sleep apnea and snoring
  • Heavy sweating
  • Very large appetite

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 and hormone specialists.

  3. Consider genetic testing

    Changes in GPR101 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
Genetic specialists (geneticists); Hormone specialists (endocrinologists)
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 rare disease patient organizations for support
  • 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
Could genetic testing find the Xq26.3 change?
How will growth hormone and the pituitary be monitored?
Which specialists should be on my child's care team?

Quick facts

Symptoms usually startfrom Birth to Childhood
InheritanceX-Linked
GenesGPR101

It is caused by extra genetic material at Xq26.3 on the X chromosome, which involves the GPR101 gene. It is inherited in an X-linked way, but most cases occur only once in a family.

GeneticEndocrine

Also known as: chromosome xq26 microduplication syndrome; chromosome xq26.3 duplication syndrome; chromosome xq26.3 duplication syndrome, x-linked dominant; familial infantile gigantism due to dup(x)q(26); familial infantile gigantism due to xq26 microduplication; x-lag (x-linked acrogigantism) due to dup(x)q(26)

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · X-linked acrogigantism due to Xq26 microduplicationGARD ID 18433 · 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 X-linked acrogigantism due to Xq26 microduplication.

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