champ1-associated intellectual disability syndrome champ1-associated intellectual disability syndrome champ1-associated intellectual disability syndrome, also known as autosomal dominant intellectual disability type 40, is a rare genetic disorder characterized by intellectual disabilities, developmental delays, facial dysmorphisms, and other anomalies. champ1-associated intellectual disability syndromeother namesautosomal dominant intellectual disability 40specialtymedical genetics, pediatricssymptomsdevelopmental delays, intellectual disability, and other multi-systemic symptomsusual onsetbirthdurationlifelongcausesgenetic mutation in champ1preventionnoneprognosiswith treatment, medium to good; without treatment, medium to poorfrequencyrare; only 36 cases have been describeddeaths- signs and symptoms individuals with the disorder often show the following signs and symptoms: intellectual disabilities speech delays epicanthic fold drooping of the lower lip feeding difficulties hypotonia of the face ataxia hyperopia high palate widespread developmental delays gastroesophageal reflux widespread hypotonia decreased sense of pain joint hypermobility long face constantly open mouth prognathism (pointy chin) high occurrence of respiratory tract infections short philtrum stereotypy tented upper lip vermilion upslanted palpebral fissures strabismus autism/autistic-like behaviour causes as its name suggests, the condition is caused by mutations in the champ1 gene, in chromosome 13q34. these mutations are most often missense or nonsense mutations. they are usually sporadic, meaning the condition is not inherited from the parents. however, if people with the disorder were to reproduce, they would have a 1 in 2 chance of giving their children a copy of the gene, because the disorder is autosomal dominant, which means that only one copy of a mutated gene (whether inherited or from a spontaneous error in cell division) is needed to pass it on to a child. epidemiology according to omim, only 36 cases have been described in medical literature.