Last updated August 28, 2026

Newly diagnosed

Welcome to your family by fate.

If your child or someone you love has just been diagnosed with Kleefstra syndrome, please know this: you are not alone. You have found a community that understands how overwhelming this moment feels, a foundation started by parents who have been exactly here, and a clear set of next steps. Take a deep breath. We will walk this together.

The McDonald family smiling together on the steps of the Tennessee State Capitol
The McDonald family · Family by Fate

Before anything else

Three things to know today

What it is

Kleefstra syndrome is a rare genetic condition caused by a missing or changed copy of the EHMT1 gene. It commonly involves intellectual disability, low muscle tone, delayed speech, and distinctive features. It ranges from mild to severe, and every child is their own person.

There is a roadmap

A 2026 international clinical guideline spells out exactly what to check and when, a dedicated Kleefstra clinic at Boston Children’s Hospital sees families from everywhere, and Kleefstra syndrome has its own diagnosis code, Q87.86. You do not have to invent the plan.

There is hope

IDefine funds gene therapy, RNA, and drug-repurposing research aimed at treating Kleefstra syndrome itself. More than 1,100 people with KS are on the Kleefstra world map. Research moves because families like yours join in.

Diagnosis codeQ87.86

Kleefstra syndrome has its own ICD-10 code. Make sure your doctors use it.

Since October 1, 2024, Kleefstra syndrome has had a dedicated diagnosis code in the United States, after IDefine families made the case to the CDC. It sounds like paperwork, but it is how insurers recognize the diagnosis, how researchers count how many people have KS, and how future clinical trials find families. Ask every provider to put Q87.86 in your child’s chart. Print the wallet card and keep one in your bag.

This month

Ten first steps, five for your child and five for you

You do not have to do all of these this week. Do them in order, at your pace, and ask us about any of them.

For your child’s care

Setting up the best care

  1. Get the full genetic report and ask for genetic counseling. Note whether it is a deletion or a variant within EHMT1, and whether it was confirmed de novo.
  2. Give your pediatrician the clinical guideline and the ICD-10 code, Q87.86. Most doctors have never seen a Kleefstra patient; the guideline tells them exactly what to check, and the code gets the diagnosis properly on the record. Read or download the guideline · Print the wallet card
  3. Book the baseline evaluations: heart (echocardiogram and ECG), hearing, vision, and speech-language, plus sleep, growth, and behavior reviews. Neurology if seizures or lost skills are a concern.
  4. Request early intervention (under 3) or a school evaluation (3+). Waitlists are long. Get in line now, in writing.
  5. Sign up for Citizen Health and meet Ari. It is free for Kleefstra families. Through IDefine’s partnership, Ari gathers your child’s records from every provider and portal in minutes, explains them in plain language, preps you for appointments, and drafts school and insurance letters. Then ask about the Kleefstra Syndrome Clinic. Get started with Citizen Health · Prepare for a clinic visit

For you, with IDefine

Finding your people

  1. Tell us you’re here. A parent from IDefine will reach out one-on-one. unlock@idefine.org
  2. Add your pin to the map and join the private caregiver group. Read for a while; post when you’re ready. Kleefstra World Map · Caregiver group on Facebook
  3. Be counted. Say yes to research sharing in Citizen Health, and register with Simons Searchlight and RARE-X. Your child’s data is the foundation every future treatment is built on. How to register
  4. Stay in the loop. Sign up for the newsletter and follow IDefine on social media. Plan to join us at the annual Family Conference. Newsletter sign-up · News & events
  5. When you’re ready: volunteer or fundraise. A birthday campaign, a company match, a few hours of your skills. Families fund the research. Ways to get involved

The first 6–12 months

Your first year at a glance

The full month-by-month guide is below as a download. Here is the shape of it: what to do now, and what can wait.

Days 1–30Breathe, gather, connect. Get the paperwork and the people in place.
  • Get a copy of the full genetic lab report; ask for genetic counseling.
  • Email unlock@idefine.org so a parent can reach out.
  • Add your pin to the Kleefstra World Map; join the private caregiver group.
  • Sign up for Citizen Health (free) and let Ari gather the records; a paper binder works too.
  • Hand your pediatrician the guideline summary and the ICD-10 code, Q87.86.
  • Request an early-intervention or school-district evaluation, in writing.
  • Choose one trusted person to carry the news for you this month.
Months 1–3Baseline evaluations. Book the first-year checks the guideline recommends.
  • Heart: echocardiogram and ECG (cardiac MRI where available).
  • Hearing: audiology assessment, then yearly until age six.
  • Vision: ophthalmology referral; watch for strabismus and far-sightedness.
  • Speech and language: formal assessment now, then at least yearly until age twelve.
  • Sleep, growth, and constipation reviewed at every visit; start a sleep diary.
  • Behavior and mental-health baseline review, repeated yearly.
  • Neurology if there is any concern about seizures or lost skills.
  • Contact the Kleefstra Syndrome Clinic at Boston Children’s Hospital about a visit.
Months 3–6Therapies, school, insurance. Build the everyday support system.
  • Start physical, occupational, and speech-language therapy; ask early about AAC.
  • Finalize the IFSP or IEP; bring the guideline and your one-page summary.
  • Apply for Medicaid waivers and ask about respite care (start at kidswaivers.org).
  • Register with Citizen Health, Simons Searchlight, and RARE-X.
  • Sign up for the IDefine newsletter; find your regional Facebook group.
Months 6–12Research, community, and a rhythm you can sustain.
  • Come to the Family Conference and Scientific Summit.
  • Put the yearly checks on the calendar: hearing, speech, behavior, growth, sleep.
  • Consider the Natural History Study or the Unravel Biosciences nasal-swab program.
  • Mark September 17, Kleefstra Syndrome Awareness Day.
  • Start your first campaign, if it feels right. No minimum, no pressure.
  • Update your binder and medical summary; check in on yourself and your partner.
By the end of the first year, most families have a care team that knows Kleefstra syndrome, a school plan, a research profile, and a group chat full of people who get it. That is the goal. Not perfection; a system.

Research you can join

Be counted. It is the most powerful first step.

Treatments for rare conditions get built on data. Every family that registers makes Kleefstra syndrome more visible to researchers, regulators, and companies deciding where to invest.

Citizen Health & Ari

IDefine’s records partner, free for Kleefstra families. Ari gathers and organizes your child’s medical records and, with your permission, shares de-identified data with Kleefstra researchers. Getting organized and being counted in one step.

Get started, free

Simons Searchlight

A long-running international registry for genetic neurodevelopmental conditions with an EHMT1 community. Surveys, an optional blood sample, and updates on findings.

Join the EHMT1 community

RARE-X

A family-owned data platform where you complete structured surveys about your child’s health and development that researchers can access.

Register with RARE-X

What IDefine is funding right now

IDefine believes intellectual disability disorders are treatable. These are the active programs and how families take part. All research updates

ProgramWhat it isHow families participate
Natural History StudyBoston Children’s HospitalA three-year longitudinal study gathering standardized data on how Kleefstra syndrome presents and changes over time.Enroll through the Kleefstra Syndrome Clinic.
Gene therapyUT SouthwesternA two-year program led by Steven Gray, PhD, evaluating EHMT1 gene replacement using next-generation delivery to the central nervous system.Follow updates; registry data supports trial readiness.
RNA upregulationUniversity of ChicagoTargeted activators that “turn up” the remaining working copy of EHMT1, from the Bryan Dickinson lab.Follow the CSO Corner and newsletter.
“mRNA boosters”Johns HopkinsA multi-foundation collaboration led by Jeff Coller, PhD, testing an RNA platform that boosts gene expression in haploinsufficiency disorders using patient-derived cell models.Follow updates.
Drug repurposingUnravel BiosciencesAn AI-driven collaboration building “Living Molecular Twins” from patient RNA to screen tens of thousands of existing medicines.Families anywhere can contribute a non-invasive nasal-swab RNA sample.
Neural organoidsUC San DiegoDr. Angels Almenar-Queralt’s lab grows brain-like cell models from IDefine-developed stem-cell lines to understand KS and screen treatments.Follow updates; IDefine’s cell lines are shared with researchers.

Your IDefine community

Connect, volunteer, and fuel the research

IDefine is run by families. Every program above exists because a parent made a phone call, hosted an event, or gave what they could. When you are ready, and only then, here is how to join in.

Connect

One-on-one with a parent, the private caregiver groups (including regional groups and an “All Grown Up” group), the world map, and the annual Family Conference and Scientific Summit.

Caregiver community

Volunteer

IDefine has no large staff; it has parents with skills. Writing, social media, fundraising, events, data, translation, representing IDefine at a conference: whatever you are good at, there is a place for it.

Tell us what you’re good at

Fundraise

Start a campaign for a birthday or a diagnosis anniversary, host or join an event, or ask your employer about matching gifts. IDefine provides the page, the materials, and the support.

Start a campaign

Advocate & give

September 17 is Kleefstra Syndrome Awareness Day. Share your story, ask your state for a proclamation, and give directly, including stock, crypto, and donor-advised funds.

Donate now
Families gathered at the IDefine Kleefstra Syndrome Family Conference
Kleefstra Syndrome Family Conference
The Landstrom family on a day out
The Landstrom family · Family by Fate