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15q13.3 microdeletion (microdel15q13.3) syndrome is characterized by a wide spectrum of neurodevelopmental disorders with no or subtle dysmorphic features.
Features include common findings: Moderate intellectual disability, Abnormality of the palpebral fissures, Atypical behavior, and Abnormal facial shape and others; and sometimes findings: Mild intellectual disability, Strabismus, Brachydactyly, and Seizure and others.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 9 | Mild intellectual disability, Moderate intellectual disability, Seizure |
No consensus clinical diagnostic criteria for the 15q13.3 recurrent deletion have been published. Individuals with the 15q13.3 recurrent deletion may have a wide range of clinical manifestations. The deletion itself may not lead to a clinically recognizable syndrome and a subset of persons with the recurrent deletion have no obvious clinical findings, implying that penetrance for the deletion is incomplete.
The 15q13.3 recurrent deletion should be considered in individuals with the following clinical findings and family history.
No approved treatments are currently available for chromosome 15q13.3 microdeletion syndrome. The disease remains an area of unmet medical need.
No clinical practice guidelines for the 15q13.3 recurrent deletion have been published. Evaluations Following Initial Diagnosis To establish the extent of disease and needs in an individual diagnosed with the 15q13.3 recurrent deletion, the evaluations summarized (if not performed as part of the evaluation that led to diagnosis) are recommended. Table 3. Recommended Evaluations Following Initial Diagnosis in Individuals with the 15q13.3 Recurrent Deletion
To monitor existing manifestations, the individual's response to supportive care, and the emergence of new manifestations, the evaluations in are recommended. Table 5. Recommended Surveillance for Individuals with the 15q13.3 Recurrent Deletion
1 clinical trial registered, 1 recruiting. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
7 publications have been identified in PubMed for chromosome 15q13.3 microdeletion syndrome. Research spans Review / Meta-Analysis (29%), Basic Science / Preclinical (29%), and Diagnostic / Biomarker (14%).
Rees KA (2025). [PMID: 40300236](https://pubmed.ncbi.nlm.nih.gov/40300236/). *Cytokine*. [Basic Science / Preclinical]
Colijn MA (2025). [PMID: 40145886](https://pubmed.ncbi.nlm.nih.gov/40145886/). *Psychiatric genetics*. [Review / Meta-Analysis]
Chen CP (2025). [PMID: 40049827](https://pubmed.ncbi.nlm.nih.gov/40049827/). *Taiwanese journal of obstetrics & gynecology*. [Case Report / Case Series]
Luo X (2025). [PMID: 41123664](https://pubmed.ncbi.nlm.nih.gov/41123664/). *Archives of gynecology and obstetrics*. [Diagnostic / Biomarker]
Ullah A (2025). [PMID: 40880366](https://pubmed.ncbi.nlm.nih.gov/40880366/). *PloS one*. [Basic Science / Preclinical]
Data assembled from 7 of 12 sources · Last updated Sep 18, 2026, 7:28 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Head and neck |
3 |
Abnormal facial shape, Microcephaly, Macrocephaly |
Eyes | 1 | Strabismus |
Muscles | 1 | Low muscle tone (hypotonia) |
Arms and legs | 1 | Clinodactyly of the 5th finger |
Growth and development | 1 | Short stature |
More than 200 individuals with an approximately 2.0-Mb heterozygous recurrent deletion at 15q13.3 have been reported . The following description of the phenotypic features associated with this condition is based on these reports. Note: To date, no clinically significant differences have been reported between individuals with deletions BP3-BP5 or BP3-BP4 compared to those with BP4-BP5. However, this chapter focuses specifically on those with the BP4-BP5 deletion , as this recurrent deletion accounts for about 94% of deletions in this recurrent deletion region . Table 2. 15q13.3 Recurrent Deletion: Frequency of Select Features
Feature | % of Persons w/Feature1 | Comment |
|---|---|---|
Developmental delay/ intellectual disability | ~59% | Accounting for ascertainment2 |
Behavioral findings | ~35%3 | — |
Seizures/epilepsy | ~30% | — |
Minor dysmorphic facial features | ~16% | No specific areas of the face are consistently dysmorphic no recognizable facial features have been reported . |
Hypotonia | ~14% | — |
Schizophrenia | ~11% | — |
Autism spectrum disorder | ~10% | — |
Mood disorders | ~10% | — |
ADHD | ~7% | AHDH = attention-deficit/hyperactivity disorder Derived from 125 known affected individuals specifically with BP4-BP5 deletions . Percentages are also adjusted to correct for ascertainment bias. Data from affected individuals reported by are included in the report. |
Source: GeneReviews — "15q13.3 Recurrent Deletion"
Intellectual disability
Speech delay
Seizures
Autism
Schizophrenia
Behavioral findings including poor attention span, hyperactivity, mood disorder, and aggressive and/or impulsive behavior
Source: GeneReviews — "15q13.3 Recurrent Deletion"
The differential diagnosis of the 15q13.3 recurrent deletion comprises an extensive and broad spectrum of disorders and includes any cause of intellectual disability/ developmental delay, schizophrenia, autism spectrum disorders, and epilepsy without additional distinguishing clinical features. All chromosome anomalies and genes known to be associated with intellectual disability (see OMIM Autosomal Dominant, Autosomal Recessive, Nonsyndromic X-Linked, and Syndromic X-Linked Intellectual Developmental Disorder Phenotypic Series) should be included in the differential diagnosis of the 15q13.3 recurrent deletion.
Source: GeneReviews — "15q13.3 Recurrent Deletion"
Biomarker and diagnostic research for chromosome 15q13.3 microdeletion syndrome has been reported in the published literature.
System/Concern | Evaluation | Comment |
|---|---|---|
Development | Developmental assessment | To incl adaptive, cognitive, speech/language eval; Eval for early intervention/ special education Psychiatric/ |
Behavioral | Neuropsychiatric eval | For persons age 12 mos: screening for behavior concerns incl ADHD /or findings suggestive of ASD, schizophrenia, mood disorders |
Neurologic | Neurologic eval | Consider EEG brain MRI if seizures are a concern. |
Cardiovascular | Consider echocardiogram. | If there are concerning clinical signs /or symptoms |
Eyes | Ophthalmologic eval | To assess vision strabismus |
Hearing | Audiologic eval | Assess for hearing loss in those w/recurrent ear infections. |
Genitourinary | Consider baseline renal ultrasound.1 | To assess for renal anomalies hydronephrosis Genetic |
counseling | By genetics professionals2 | To inform affected persons their families re nature, MOI, implications of 15q13.3 recurrent deletion to facilitate medical personal decision making Family support resources |
Treatment of Manifestations in Individuals with 15q13.3 Recurrent Deletion Manifestation/Concern | Treatment | Considerations/Other Developmental delay/ |
Intellectual disability | See . | — |
Psychiatric disorders | Standard treatment per psychologist/psychiatrist | — |
Epilepsy | Standardized treatment w/ASM by experienced neurologist | Use of valproate has been successful in some affected persons.1; Oxcarbazepine led to clinical worsening in 1 affected person.1; Ketogenic diet cannabidiol have been tried in 1 person each, w/no efficacy.1; Education of parents/caregivers2 |
Congenital heart defects | Standard treatment per cardiologist | — |
Eyes | Standard treatment per ophthalmologist | Refractive errors, strabismus |
Hearing | Grommets in recurrent glue ear middle ear infections | — |
Renal anomalies/Hydronephrosis3 | Standard treatment per urologist /or nephrologist | Family/Community |
Source: GeneReviews — "15q13.3 Recurrent Deletion"
About 11% of individuals with the 15q13.3 recurrent deletion develop schizophrenia. The use of cannabis has been reported as a risk factor for development of schizophrenia. Although no studies have been performed on the possible additional risk of the use of cannabis by persons with the 15q13.3 recurrent deletion, discouraging the use of cannabis may be considered. It is unclear if oxcarbazepine should be avoided. In at least one affected individual with seizures, oxcarbazepine led to clinical worsening . However, this is only a single case.
Source: GeneReviews — "15q13.3 Recurrent Deletion"
1 trial found
Evaluation |
|---|
Frequency |
|---|
Development | Monitor developmental progress educational needs. | At each visit Psychiatric/ Behavioral |
involvement | Ophthalmologic eval | Per treating ophthalmologist(s) |
Hearing | Audiologic eval | Annually in infancy childhood or as clinically indicated Family/ |
Community | Assess family need for social work support, care coordination, or follow-up genetic counseling if new questions arise (e.g., family planning). | At each visit ADHD = attention-deficit/hyperactivity disorder; ASD = autism spectrum disorder |
Source: GeneReviews — "15q13.3 Recurrent Deletion"
Phenotype severity distribution: 7 common features.
Estimated prevalence: 1-9 in 100,000 (Uncommon).
Biswal SR (2024). [PMID: 39001960](https://pubmed.ncbi.nlm.nih.gov/39001960/). *Molecular biology reports*. [Review / Meta-Analysis]
Paprocka J (2024). [PMID: 38837855](https://pubmed.ncbi.nlm.nih.gov/38837855/). *Epilepsia open*. [Epidemiology / Natural History]