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Living with X-linked intellectual disability-short stature-overweight syndrome

A rare X-linked condition with learning difficulty, speech delay, short stature, and weight gain.

Understanding X-linked intellectual disability-short stature-overweight syndrome

This X-linked syndrome has borderline to severe intellectual disability, speech delay, short stature, and a higher body mass index.

Truncal obesity has been reported in older males. Nervous system features vary and can include low muscle tone, tremors, trouble walking, behavior problems, and seizures. Less common features are a small head and small genitals. It can begin at a variety of ages.

Signs & symptoms

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

  • Mild to moderate intellectual disability
  • Delayed speech and language
  • Short stature
  • Overweight
  • Low muscle tone (hypotonia)
  • Tremor

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 bone and joint specialists, brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in THOC2 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
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); 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 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 THOC2 genetic testing help our family?
What therapies can support speech and development?
How can weight and growth be monitored?

Quick facts

Symptoms usually starta variety of ages
InheritanceX-Linked
GenesTHOC2

This condition is caused by changes in the THOC2 gene and follows X-linked inheritance.

GeneticNeurological

Also known as: intellectual developmental disorder, x-linked 12; intellectual developmental disorder, x-linked 12, x-linked recessive; intellectual developmental disorder, x-linked, syndromic, kumar type; intellectual disability, x-linked type 12; mrxsk

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · X-linked intellectual disability-short stature-overweight syndromeGARD ID 17800 · 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 intellectual disability-short stature-overweight syndrome.

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Explore actively recruiting X-linked intellectual disability-short stature-overweight syndrome studies with HealthSpark.

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  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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