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A neurodevelopmental disorder caused by a mutation in TCF gene, characterized by impaired intellectual development with speech difficulties and behavioral abnormalities, most commonly autism spectrum disorder (ASD), defects in attention, and/or hyperactivity.
Features include always present findings: Mild intellectual disability, Low muscle tone (hypotonia), Tall stature, and Accelerated skeletal maturation and others; and common findings: Seizure, Ataxia, Aggressive behavior, and Gynecomastia and others. 48 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 11 | Mild intellectual disability, Seizure, Ataxia |
TCF20 function has not been fully characterized.
Developmental delay with variable intellectual impairment and behavioral abnormalities is caused by mutations in the TCF20 gene on chromosome 22.
Genetic testing for TCF20 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for developmental delay with variable intellectual impairment and behavioral abnormalities has been reported in the published literature.
Phenotype severity distribution: 9 always present features, 8 common features.
No clinical trials have been registered for developmental delay with variable intellectual impairment and behavioral abnormalities.
195 publications have been identified in PubMed for developmental delay with variable intellectual impairment and behavioral abnormalities. Kisho has analyzed 49 by research type. Research spans Review / Meta-Analysis (37%), Basic Science / Preclinical (27%), and Case Report / Case Series (20%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 18 |
Data assembled from 6 of 12 sources · Last updated Sep 18, 2026, 12:02 AM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Head and neck |
4 |
Tented upper lip vermilion, Thin upper lip vermilion, Macrocephaly |
Digestive system | 2 | Constipation, Feeding difficulties |
Arms and legs | 2 | Tapered finger, Clinodactyly of the 5th finger |
Bones and joints | 2 | Accelerated skeletal maturation, Sideways curvature of the spine (scoliosis) |
Eyes | 1 | Strabismus |
Muscles | 1 | Low muscle tone (hypotonia) |
Growth and development | 1 | Tall stature |
Laboratory research | 13 | 27% |
Patient case studies | 10 | 20% |
Disease patterns and progression | 6 | 12% |
Other research | 1 | 2% |
Testing and diagnosis research | 1 | 2% |
Archer J (2026). [PMID: 40874586](https://pubmed.ncbi.nlm.nih.gov/40874586/). *Clin Genet*. [Basic Science / Preclinical]
Dukuze N (2026). [PMID: 42074547](https://pubmed.ncbi.nlm.nih.gov/42074547/). *Genes (Basel)*. [Case Report / Case Series]
Kayhan G (2026). [PMID: 41751633](https://pubmed.ncbi.nlm.nih.gov/41751633/). *Genes (Basel)*. [Basic Science / Preclinical]
Firn K (2026). [PMID: 40465813](https://pubmed.ncbi.nlm.nih.gov/40465813/). *Unknown Journal*. [Other]
Galassi Deforie V (2026). [PMID: 41860019](https://pubmed.ncbi.nlm.nih.gov/41860019/). *Genet Med*. [Basic Science / Preclinical]
Manav Yigit Z (2026). [PMID: 42125344](https://pubmed.ncbi.nlm.nih.gov/42125344/). *Mol Syndromol*. [Case Report / Case Series]
Muto V (2026). [PMID: 41507605](https://pubmed.ncbi.nlm.nih.gov/41507605/). *Eur J Hum Genet*. [Basic Science / Preclinical]
Abdel-Ghafar SF (2026). [PMID: 41025723](https://pubmed.ncbi.nlm.nih.gov/41025723/). *Clin Genet*. [Case Report / Case Series]
Shan T (2026). [PMID: 41609011](https://pubmed.ncbi.nlm.nih.gov/41609011/). *Am J Med Genet B Neuropsychiatr Genet*. [Basic Science / Preclinical]
Serra G (2025). [PMID: 39985057](https://pubmed.ncbi.nlm.nih.gov/39985057/). *Ital J Pediatr*. [Case Report / Case Series]