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Living with Xq27.3q28 duplication syndrome

A rare chromosome condition with short stature, low sex hormone activity, developmental delay and distinct facial features.

Understanding Xq27.3q28 duplication syndrome

Xq27.3q28 duplication syndrome is a rare condition caused by an extra piece of the X chromosome, with short stature, hypogonadism and developmental delay.

People have short stature, hypogonadism (reduced activity of the testes or ovaries), developmental delay and differences in facial features. Other listed features include low muscle tone, mild intellectual disability and growth delay before birth. Onset is in the newborn and infant years.

Signs & symptoms

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

  • Short stature
  • Global developmental delay
  • Mild intellectual disability
  • Low muscle tone (hypotonia)
  • Hypogonadism with small testes
  • Poor weight gain (failure to thrive)

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 Disorder Outreach
  • 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
What did the chromosome test show, and what does it mean for us?
Should a hormone specialist check growth and puberty?
What therapies can support development?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceX-Linked

GARD describes this as an extra copy (duplication) of part of the X chromosome. It is inherited in an X-linked way.

Genetic

Also known as: chromosome xq27.3-q28 duplication syndrome; chromosome xq27.3-q28 duplication syndrome, x-linked recessive; dup(x)(q27.3q28); trisomy xq27.3-q28; trisomy xq27.3q28; xq27.3-q28 microduplication syndrome

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Xq27.3q28 duplication syndromeGARD ID 17247 · 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 Xq27.3q28 duplication syndrome.

Explore the Xq27.3q28 duplication syndrome blog

Explore research for Xq27.3q28 duplication syndrome

Explore actively recruiting Xq27.3q28 duplication syndrome studies with HealthSpark.

HealthSpark

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  • Eligibility is confirmed by the study team

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