Disease Information

Summary

10q26 deletion syndrome is a condition that results from the loss (deletion) of a small piece of chromosome 10 in each cell. The deletion occurs on the long (q) arm of the chromosome at a position designated 10q26. The signs and symptoms of 10q26 deletion syndrome vary widely, even among affected members of the same family. Among the more common features associated with this chromosomal change are distinctive facial features, mild to moderate intellectual disability, growth problems, and developmental delay. People with 10q26 deletion syndrome often have delayed development of speech and of motor skills such as sitting, crawling, and walking. Some have limited speech throughout life. Affected individuals may experience seizures, attention-deficit/hyperactivity disorder (ADHD), poor impulse control (impulsivity), or exhibit autistic behaviors that affect communication and social interaction. A range of facial features is seen in people with 10q26 deletion syndrome, but not all affected individuals have these features. Facial features of people with 10q26 deletion syndrome may include a prominent or beaked nose, a broad nasal bridge, a small jaw (micrognathia), malformed ears that are low set, a thin upper lip, and an unusually small head size (microcephaly). Many affected individuals have widely spaced eyes (hypertelorism) that do not look in the same direction (strabismus). Some people with this condition have a short neck with extra folds of skin (webbed neck). Less common signs and symptoms can occur in 10q26 deletion syndrome. Skeletal problems include a spine that curves to the side (scoliosis), limited movement in the elbows or other joints, or curved fifth fingers and toes (clinodactyly). Slow growth before and after birth can also occur in affected individuals. Males with this condition may have genital abnormalities, such as a small penis (micropenis), undescended testes (cryptorchidism), or the urethra opening on the underside of the penis (hypospadias). Some people with 10q26 deletion syndrome have kidney abnormalities, heart defects, breathing problems, recurrent infections, or hearing or vision problems.

About Distal 10q deletion syndrome

Many rare diseases have limited information. Currently, GARD aims to provide the following information for this disease:

  • Symptoms:May start to appear during Pregnancy and as a Newborn.
  • Cause:This disease is caused by changes to the number or structure of a person’s chromosomes.
  • Organizations:Contact a GARD Information Specialist to help search for patient organizations dedicated to this rare disease.
  • Categories:Genetic diseases(Genetic diseases affect the DNA, or genetic instructions, which directs how tissues, organs, and body systems function.)Birth defects(Birth defects are structural changes present at birth that can affect almost any part of the body, including how the body looks, works, or both.)

Resource(s) for Medical Professionals and Scientists on This Disease:

Resource(s) for Medical Professionals and Scientists on This Disease:

About Distal 10q deletion syndrome

Many rare diseases have limited information. Currently, GARD aims to provide the following information for this disease:

  • Symptoms:May start to appear during Pregnancy and as a Newborn.
  • Cause:This disease is caused by changes to the number or structure of a person’s chromosomes.
  • Organizations:Contact a GARD Information Specialist to help search for patient organizations dedicated to this rare disease.
  • Categories:Genetic diseases(Genetic diseases affect the DNA, or genetic instructions, which directs how tissues, organs, and body systems function.)Birth defects(Birth defects are structural changes present at birth that can affect almost any part of the body, including how the body looks, works, or both.)

Causes

What Causes This Disease?

Genetic Mutations

Genetic Mutations

Chromosomal Changes


Can diseases be passed down from parent to child?

Autosomal Dominant

Autosomal Dominant

When Do Symptoms of Distal 10q deletion syndrome Begin?

Symptoms of this disease may start to appear during Pregnancy and as a Newborn.

The age symptoms may begin to appear differs between diseases. Symptoms may begin in a single age range, or during several age ranges. The symptoms of some diseases may begin at any age. Knowing when symptoms may have appeared can help medical providers find the correct diagnosis.
  1. Prenatal Selected
    Before Birth
  2. Newborn Selected
    Birth-4 weeks
  3. Infant
    1-23 months
  4. Child
    2-11 years
  5. Adolescent
    12-18 years
  6. Adult
    19-65 years
  7. Older Adult
    65+ years
Symptoms may start to appear during Pregnancy and as a Newborn.

Symptoms

You may have one or more symptoms, and they may be mild or severe. Having some or all of these symptoms does not mean you have this disease. Only a health care provider can diagnose you.

Common

Many people have these, but not everyone.

  • Abnormal facial shape
  • Abnormality of the outer ear
  • Behavioral abnormality (Atypical behavior)
  • Cross-eyed (Strabismus)
  • Decreased muscle tone in infant (Floppy infant)
  • Delayed speech and language development
  • Enlarged cisterna magna
  • Enuresis
  • Faltering weight (Failure to thrive)
  • Global developmental delay
  • Growth delay as children (Postnatal growth retardation)
  • Intellectual disability
  • Overactive lower leg reflex (Lower limb hyperreflexia)
  • Permanent curving of the finger (Clinodactyly)
  • Poor speech
  • Recurrent infections
  • Specific learning disability
  • Thin upper lip (Thin upper lip vermilion)
  • Wide nasal bridge

Uncommon

Some people have these, but most people do not.

  • Abnormal morphology of the vestibule of the inner ear
  • Abnormality of the genitourinary system
  • Abnormally close eyes (Hypotelorism)
  • Abnormally small skull (Microcephaly)
  • Absent anus (Anal atresia)
  • Acute kidney injury
  • Aggressive behavior
  • An opening in the wall separating the top two chambers of the heart (Atrial septal defect)
  • Anxiety
  • Astigmatism
  • Ataxia
  • Attention deficit (Attention deficit hyperactivity disorder)
  • Broad forehead
  • Bulging eye (Proptosis)
  • Cavum septum pellucidum
  • Cleft palate
  • Clonus
  • Close sighted (Myopia)
  • Cochlear malformation
  • Congenital sensorineural hearing impairment
  • Craniosynostosis
  • Difficulty sleeping (Sleep disturbance)
  • Downward slanting of the opening between the eyelids (Downslanted palpebral fissures)
  • Excessive inward curvature of lower spine (Lumbar hyperlordosis)
  • Eye folds (Epicanthus)
  • Facial asymmetry
  • Facial diplegia
  • Feeding difficulties
  • Flat feet (Pes planus)
  • Frontal bossing
  • Functional abnormality of the bladder
  • Funnel chest (Pectus excavatum)
  • Gap between 1st and 2nd toes (Sandal gap)
  • High palate
  • Hip dislocation
  • Hip dysplasia
  • Horseshoe kidney
  • Inferior cerebellar vermis hypoplasia
  • Involuntary muscle stiffness, contraction, or spasm (Spasticity)
  • Lateral ventricle dilatation
  • Little lower jaw (Micrognathia)
  • Low-set ears
  • Narrow forehead
  • Oculomotor apraxia
  • Patent ductus arteriosus
  • Permanent curving of the pinkie finger (Clinodactyly of the 5th finger)
  • Pes valgus
  • Poor fine motor coordination
  • Premature birth
  • Prominent ear (Protruding ear)
  • Prominent fingertip pads
  • Prominent metopic ridge
  • Prominent nasal bridge
  • Prominent nose
  • Seizure
  • Short and broad skull (Brachycephaly)
  • Short fingers or toes (Brachydactyly)
  • Short long bone of foot (Short metatarsal)
  • Short nose
  • Short stature
  • Single transverse palmar crease
  • Small cerebellum (Cerebellar hypoplasia)
  • Smooth philtrum
  • Spina bifida occulta
  • Tapered finger
  • Triangular face
  • Underdeveloped toenails (Hypoplastic toenails)
  • Unsteady walk (Unsteady gait)
  • Upward slanting of the opening between the eyelids (Upslanted palpebral fissure)
  • Vesicoureteral reflux
  • Webbed skin of 2nd-3rd toes (2-3 toe cutaneous syndactyly)
  • Widow's peak
  • Winged shoulder blade (Scapular winging)

Navigating Health Care Decisions

On average, it can take more than six years to receive an accurate diagnosis. Many primary care providers (PCPs) may not be familiar with rare diseases, and patients often need to visit multiple specialists or seek second opinions to get answers.

If a diagnosis remains unclear, visiting a multidisciplinary care center or university hospital may help. These centers bring together teams of specialists who can work together to evaluate symptoms and coordinate a diagnosis. This team-based approach is also helpful after a diagnosis, when managing care for rare diseases.

Because only about 5% of rare diseases have FDA-approved treatments, finding the right healthcare team to manage your symptoms and overall health is essential. People living with rare diseases often face challenges such as delayed diagnosis, limited treatment options, and difficulty accessing knowledgeable providers. Building a care team that understands your needs can make a significant difference in your quality of life.

Your Health Care Team

Why is building the right health care team important?

Building the right health care team is key to the diagnosis, treatment, and management of your long-term health journey living with a rare disease. Start by choosing a primary care provider (PCP). Your PCP will be your main point of contact and help coordinate care with other medical professionals. Your PCP may order tests or refer you to specialists. To find a PCP near you, use the Medicare provider search tool and enter your location and “Primary Care Provider.”

Seeing multiple specialists is important for people with rare diseases because these conditions often affect many parts of the body and require care from doctors with different expertise. Most primary care providers may not be familiar with rare diseases, so involving specialists can lead to a more accurate diagnosis and better care. A coordinated team approach ensures that all symptoms are addressed and that care is well-managed. It can also connect patients with the latest research or treatment options.

A PCP that specializes in the care of children is called a pediatrician. Use this tool by the American Academy of Pediatrics to find a pediatrician in your area by inputting your location.

These specialists may help in the diagnosis, management, and treatment of Distal 10q deletion syndrome:

Multidisciplinary Care Centers

Is It Time to Get a Second Opinion or Specialized Evaluation?

If you've visited your PCP, met with specialists, and undergone the recommended tests, but are still searching for a diagnosis, it may be time to visit an academic medical center or, for pediatric patients, a children's hospital. Academic medical centers and children's hospitals, often called multidisciplinary care centers, typically bring together specialists from different fields to work together on complex cases like rare diseases.

Multidisciplinary care centers may offer more coordinated care and be involved in clinical research, which may help reduce the time to diagnosis and provide access to emerging diagnostic tools. Specialists at these centers may have a deeper understanding of rare diseases and serve as a resource when you'd like a second opinion, particularly when test results or treatment plans are not delivering expected results.

Find hospitals that may partner with medical schools and programs in your area. 

Children’s hospitals and large teaching hospitals may also offer dedicated specialists and programs for pediatric patients with undiagnosed or rare diseases. These programs bring pediatric experts together in one place and may provide more coordinated care for your child.

Search for children's or university hospitals in your area.


Rare Disease Experts

How can you find a rare disease expert?

If a diagnosis, care management, or treatment plan remains unclear despite extensive efforts by your PCP and specialists, it may be time to find a rare disease expert for your disease, if available. A rare disease expert is a medical provider that has knowledge or training on specific rare disease(s), but there may only be a few experts in your state, region, or country. Rare disease experts may work at large research or teaching hospitals, sometimes called centers of excellence. Centers of Excellence commit to sharing knowledge and best practices that can lead to improved care and treatment for individuals living with a rare disease. 

You can also contact a GARD Information Specialist for help finding experts, centers of excellence, or clinics that focus on your disease.

Find Your Community

How can patient organizations help?

Patient organizations can help patients and families connect. They build public awareness of the disease and are a driving force behind research to improve patients' lives. They may offer online and in-person resources to help people live well with their disease. Many collaborate with medical experts and researchers.

Services of patient organizations differ, but may include:

  • Ways to connect to others and share personal stories
  • Easy-to-read information
  • Up-to-date treatment and research information
  • Patient registries
  • Lists of specialists or specialty centers
  • Financial aid and travel resources


Please note: GARD provides organizations for informational purposes only and not as an endorsement of their services. Contact a GARD Information Specialist for more information on organizations that may be dedicated to this disease. Please contact an organization directly if you have questions about the information or resources it provides.


View GARD's criteria for including patient organizations, which can be found under the FAQs on our About GARD page. Request an update or to have your organization added to GARD. 

Patient Organizations

5 Organizations

People With

Chromosome disorders

Country

United States

People With

Rare Diseases

Helpful Links
Country

United States

People With

Rare Diseases

Helpful Links
Country

United States

People With

Rare Diseases

Country

United States

People With

Rare Diseases

Country

United States

OrganizationPeople WithHelpful LinksCountry
Chromosome Disorder OutreachChromosome disordersUnited States
Global GenesRare DiseasesResearch RegistryUnited States
National Organization for Rare DisordersRare DiseasesList of ExpertsUnited States
Genetic AllianceRare DiseasesUnited States
RARE FoundationRare DiseasesUnited States

Participate in Research

Clinical studies are a part of clinical research and play an important role in medical advances for rare diseases. Through clinical studies, researchers may ultimately uncover better ways to treat, prevent, diagnose, and understand human diseases.

What Are Clinical Studies?

Clinical studies are medical research involving people as participants. There are two main types of clinical studies:

  1. Clinical trials determine if a new test or treatment for a disease is effective and safe by comparing groups receiving different tests/treatments.
  2. Observational studies involve recording changes over time among a specific group of people in their natural settings.

Learn more about clinical trials from this National Institutes of Health webpage.

Why Participate in Clinical Studies?

People participate in clinical trials for many reasons. People with a disease may participate to receive the newest possible treatment and additional care from clinical study staff as well as to help others living with the same or a similar disease. Healthy volunteers may participate to help others and to contribute to moving science forward.

To find the right clinical study we recommend you consult your doctors, other trusted medical professionals, and patient organizations. Additionally, you can use ClinicalTrials.gov to search for clinical studies by disease, terms, or location.

What if There Are No Available Clinical Studies?

Why may you want to consider joining the All of Us Research Program?

ClinicalTrials.gov, an affiliate of NIH, provides current information on clinical research studies in the United States and abroad. Talk to a trusted doctor before choosing to participate in any clinical study. We recommend checking this site often and searching for studies with related terms/synonyms to improve results.
Search ClinicalTrials.gov for this disease.

GARDGenetic and Rare Diseases
Information Center
Contact a GARD Information Specialist if you need help finding more information on this rare disease or available clinical studies. Please note that GARD cannot enroll individuals in clinical studies.
Contact GARD
Please allow 2 to 10 business days for us to respond.

Sources & References

Last Updated: September 2026