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Ring chromosome 21 syndrome is an autosomal anomaly characterized by variable clinical features, most commonly including growth retardation, developmental delay, intellectual disability, epilepsy, microcephaly, short stature, dysmorphic features, hypogammaglobulinemia, thrombocytopenia and unspecific skeletal anomalies (hemivertebrae, clinodactyly, syndactyly). In rare cases, it has been described in phenotypically normal individuals.
Features include very common findings: Abnormal facial shape; and common findings: Intellectual disability, Seizure, Global developmental delay, and Amenorrhea and others. 30 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 9 | Intellectual disability, Seizure, Global developmental delay |
Phenotype severity distribution: 1 very common feature, 7 common features.
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for ring chromosome 21.
9 publications have been identified in PubMed for ring chromosome 21. Research spans Case Report / Case Series (44%), Basic Science / Preclinical (22%), and Review / Meta-Analysis (11%).
Chailapakul P (2026). [PMID: 42028973](https://pubmed.ncbi.nlm.nih.gov/42028973/). *Mutagenesis*. [Basic Science / Preclinical]
Maharjan KK (2025). [PMID: 41268009](https://pubmed.ncbi.nlm.nih.gov/41268009/). *Med J Armed Forces India*. [Epidemiology / Natural History]
Joy P (2025). [PMID: 41510431](https://pubmed.ncbi.nlm.nih.gov/41510431/). *Cureus*. [Case Report / Case Series]
Dang D (2025). [PMID: 39727192](https://pubmed.ncbi.nlm.nih.gov/39727192/). *Nucleic Acids Res*. [Basic Science / Preclinical]
Guzmán-Santiago TA (2025). [PMID: 40267370](https://pubmed.ncbi.nlm.nih.gov/40267370/). *Rev Med Inst Mex Seguro Soc*. [Case Report / Case Series]
Data assembled from 4 of 12 sources · Last updated Sep 20, 2026, 4:34 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Hormones
3 |
Amenorrhea, Infertility, Diabetes insipidus |
Head and neck | 2 | Abnormal facial shape, Microcephaly |
Bones and joints | 2 | Sideways curvature of the spine (scoliosis), Fused thoracic vertebrae |
Skin | 1 | Cutaneous photosensitivity |
Heart and blood vessels | 1 | Abnormal heart morphology |
Growth and development | 1 | Short stature |
Arms and legs | 1 | Small hand |
Mitsuno K (2025). [PMID: 39891728](https://pubmed.ncbi.nlm.nih.gov/39891728/). *Cancer Immunol Immunother*. [Gene Therapy / Novel Therapeutics]
Murry JB (2025). [PMID: 40725393](https://pubmed.ncbi.nlm.nih.gov/40725393/). *Genes (Basel)*. [Case Report / Case Series]
Gil JV (2025). [PMID: 39796213](https://pubmed.ncbi.nlm.nih.gov/39796213/). *Int J Mol Sci*. [Review / Meta-Analysis]