Concerned about his small stature, Andrew Niles’ pediatrician at University of Iowa Children’s Hospital referred his parents, Kristin and Travis, to specialists for tests shortly before his first birthday. UI geneticists found that he was born with Chromosome 4 ring syndrome, where the ends of the chromosome are deleted and the two broken ends have rejoined to form a ring shape. Chromosome 4 ring syndrome can cause a range of physical problems. In Andrew’s case, it caused his small stature. Andrew was lucky. The test to determine his genetic disorder had only become available in 2007, the year he was born. In fact, their doctors could only find a record of one other child with the same defect. “The test can determine how much genetic material is missing, which can help the doctors plan future treatments,” says Kristin. His parents are grateful for the knowledge and support given them by their physicians, who include his pediatrician, as well as specialists in genetics, endocrinology, ophthalmology, and pediatric growth issues. “The doctors, nurses, and support staff have always been exceptional. They help us in any way they can while working hard on trying to figure out how to get Andrew to grow,” Kristin says. “We are incredibly appreciative of all that they have done.” Adds Travis, “I was a little concerned at first, but the doctors did an excellent job explaining everything and making you feel really welcome right when you walk in the door.” While Andrew has undergone

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