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Ring chromosome 22 is a rare condition caused by having an abnormal chromosome 22 that forms a ring. In this chromosome abnormality,a segment on the short (p) arm and a segment on the long (q) arm of 22 are missing. The amount of material lost varies from person to person. The remaining ends of chromosome 22 have joined together to make a ring shape. Chromosome 22 is an acrocentric chromosome, meaning that the centromere is near one end, creating a very small short (p) arm that does not contain genes that are relevant to development. Thus, only the lost genes on the long (q) arm matter. Knowing the breakpoint in the long arm is likely more helpful. Most cases are sporadic (happen by chance) and occur in people with no history of the condition in their family.
Features include common findings: Azoospermia, Microcephaly, Dolichocephaly, and Long face and others; and sometimes findings: Agenesis of corpus callosum, Absent septum pellucidum, and Pleural effusion.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 7 | Inappropriate behavior, Autistic behavior, Delayed speech and language development |
Phenotype severity distribution: 30 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for ring chromosome 22.
6 publications have been identified in PubMed for ring chromosome 22. Research spans Case Report / Case Series (60%), Review / Meta-Analysis (20%), and Epidemiology / Natural History (20%).
Chen CP (2025). [PMID: 40049821](https://pubmed.ncbi.nlm.nih.gov/40049821/). *Taiwan J Obstet Gynecol*. [Case Report / Case Series]
Puente Torres MA (2025). [PMID: 41111688](https://pubmed.ncbi.nlm.nih.gov/41111688/). *Cureus*. [Case Report / Case Series]
Paprocka J (2024). [PMID: 38837855](https://pubmed.ncbi.nlm.nih.gov/38837855/). *Epilepsia Open*. [Review / Meta-Analysis]
Asta L (2024). [PMID: 39363263](https://pubmed.ncbi.nlm.nih.gov/39363263/). *J Neurodev Disord*. [Epidemiology / Natural History]
Montanari A (2024). [PMID: 39639321](https://pubmed.ncbi.nlm.nih.gov/39639321/). *Mol Cytogenet*. [Case Report / Case Series]
Data assembled from 4 of 12 sources · Last updated Sep 19, 2026, 6:53 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Arms and legs |
3 |
Large hands, 2-3 toe syndactyly, Toenail dysplasia |
Head and neck | 2 | Microcephaly, Long face |
Skin | 1 | Lymphedema |
Muscles | 1 | Generalized hypotonia |
Growth and development | 1 | Growth delay |
Lungs and breathing | 1 | Pleural effusion |