
Rett syndrome is a severe neurological disorder that is found almost exclusively in females. In Australia, it affects approximately one in 9,000 to 15,000 live female births, with a prevalence of around 1 in 10,000 to 15,000 females between the ages of 5 and 18 years. The Australian Rett Syndrome Database identified 349 verified cases of females born with Rett syndrome between 1976 and 2006, with a median age of diagnosis decreasing over time. It is estimated that there are about 200 girls in Australia who have been diagnosed with this condition, and possibly over 400 affected individuals nationally.
| Characteristics | Values |
|---|---|
| Prevalence of Rett syndrome in Australia | 1 in 9,000 to 15,000 female births |
| Number of females with Rett syndrome in Australia | 200-400 |
| Median age of diagnosis | 3.5 years |
| Cumulative risk of diagnosis by 32 years of age | 1/8,905 or 11.23 per 100,000 person-years |
| Cumulative risk of diagnosis by 5 years of age | 1/15,361 or 6.51 per 100,000 person-years |
| Prevalence of Rett syndrome in 5- to 18-year-olds | 0.88 per 10,000 females |
| Cumulative incidence in 5-year-olds | 0.39 per 10,000 in the 1980-1984 cohort |
| Cumulative incidence in 12-year-olds | 1.09 per 10,000 females |
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What You'll Learn
- The median age of diagnosis has decreased from 4.5 years to 3.5 years
- Genetic testing has led to earlier diagnoses
- There are about 200 girls in Australia diagnosed with Rett syndrome
- It's the second most common cause of severe intellectual disability in females
- The cumulative risk of diagnosis has almost doubled by 32 years of age

The median age of diagnosis has decreased from 4.5 years to 3.5 years
Rett syndrome is a severe neurological disorder that is found almost exclusively in females. The condition affects all body movement and can cause speech problems, difficulty walking, and loss of purposeful hand use. The worldwide incidence of Rett syndrome ranges from one in 10,000 to 23,000 live female births. In Australia, it is estimated that the disorder affects one in 9,000 live female births, with approximately 200 girls in the country diagnosed with the condition.
The Australian Rett Syndrome Database (ARSD) is a population-based database of Rett syndrome cases born since 1976. It was established in 1993 and has been used to track the trends in diagnosis and prevalence of the disorder in Australia. The database identified a total of 349 verified cases of Rett syndrome in females born between 1976 and 2006, who were diagnosed between 1982 and 2008.
The median age of diagnosis for Rett syndrome in Australia has decreased over time. Specifically, it decreased from 4.5 years if diagnosed before 2000 to 3.5 years if diagnosed after 1999. This decrease in the age of diagnosis is likely due to modifications in diagnostic criteria and the introduction of genetic testing. The availability of genetic testing has contributed to changing patterns and timing of Rett syndrome diagnosis in Australia.
The earlier age of diagnosis is beneficial for families, as it may result in less stress and emotional strain compared to those with delayed diagnoses. Additionally, the active case ascertainment through the ARSD and the recognition of atypical cases relative to classical Rett syndrome have improved the identification of previously undiagnosed individuals born since 1976. However, there may still be some lag time in diagnosis, as indicated by the low birth prevalence in girls born after 2003.
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Genetic testing has led to earlier diagnoses
Rett syndrome (RTT) is a rare genetic neurological disorder that affects the way the brain develops, causing a progressive inability to use muscles for eye and body movements and language. It is found almost exclusively in females, with a prevalence of approximately 1 in 10,000 to 1 in 15,000 females between the ages of 5 and 18 years. There are about 200 girls in Australia who have been diagnosed with this condition.
Genetic testing has become an important tool in the early diagnosis of Rett syndrome. The introduction of genetic testing has likely contributed to earlier diagnoses of Rett syndrome in Australia. The median age of diagnosis has decreased from 4.5 years before 2000 to 3.5 years after 1999. This decrease in the age of diagnosis may result in families experiencing less stress and emotional strain compared to those with delayed diagnoses.
Genetic testing typically involves evaluating a blood sample to identify whether an individual has one of the known mutations associated with Rett syndrome. The most common mutation occurs in the MECP2 gene, located on the X chromosome. However, it is important to note that not all individuals with a MECP2 gene mutation will develop Rett syndrome, as the disorder is complex and involves a combination of genetic and environmental factors.
In addition to genetic testing, the diagnosis of Rett syndrome also involves a thorough clinical evaluation of symptoms and developmental history. Individuals with Rett syndrome typically develop normally until approximately 6 to 18 months of age, after which they cease to acquire new skills and gradually lose previously acquired abilities. This period of developmental regression is a key indicator that guides clinicians toward further evaluation and diagnostic considerations.
The availability of genetic testing has improved diagnostic accuracy and helped families understand the specific genetic mutations affecting their child. It enables access to targeted resources and care options, including early exposure to toys and music, age-appropriate activities, and a supportive school environment. While there is currently no cure for Rett syndrome, treatments and therapies can address symptoms and provide support to improve movement, communication, and social participation.
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There are about 200 girls in Australia diagnosed with Rett syndrome
Rett syndrome is a severe neurological disorder that is found almost exclusively in females. The prevalence of Rett syndrome is approximately 1 in 10,000 to 1 in 15,000 females between the ages of 5 and 18 years, with about 200 girls in Australia diagnosed with the condition. The worldwide incidence of Rett syndrome ranges from one in 10,000 to 23,000 live female births.
The Australian Rett Syndrome Database (ARSD), established in 1993, has identified a total of 349 verified cases of females with Rett syndrome born between 1976 and 2006 and diagnosed between 1982 and 2008. The median age of diagnosis has decreased over time, from 4.5 years before 2000 to 3.5 years after 1999. The cumulative risk of diagnosis has also increased, doubling by 32 years of age compared to 5 years of age.
Rett syndrome is characterised by a period of normal development in infants and children until around 6 to 18 months of age, after which they cease to acquire new skills and lose previously acquired abilities, such as hand control and the ability to vocalise sounds or words. The degree of symptoms can vary widely among individuals. The disorder is caused by a mutation of the MECP2 gene, which is found on the X chromosome. However, less than one per cent of recorded cases are inherited, with most cases being sporadic.
The introduction of genetic testing has likely affected the pattern and timing of Rett syndrome diagnoses in Australia. The availability of genetic testing has contributed to the changing trends in diagnosis, with the cumulative incidence of Rett syndrome being 1.09 per 10,000 females by 12 years of age. While many women with Rett syndrome live well into middle age and beyond, the rare and relatively recent identification of the disorder means that little is known about long-term life expectancy and expectations.
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It's the second most common cause of severe intellectual disability in females
Rett syndrome (RTT) is a severe neurological disorder that is found almost exclusively in females. The prevalence of Rett syndrome in Australia is estimated to be approximately 1 in 10,000 to 1 in 15,000 females between the ages of 5 and 18 years, with about 200 diagnosed cases in the country. An Australian epidemiological study suggested a higher prevalence, with a ratio of one in 8,500 females in Australia being diagnosed with RTT by the age of 15 years. This makes Rett syndrome the second most common cause of severe intellectual disability in females, after Down syndrome.
The Australian Rett Syndrome Database (ARSD), established in 1993, has identified 349 verified cases of Rett syndrome in females born between 1976 and 2006, with diagnoses made between 1982 and 2008. The median age of diagnosis has decreased over time, from 4.5 years before 2000 to 3.5 years after 1999. The availability of genetic testing and modifications to diagnostic criteria have likely influenced the pattern and timing of Rett syndrome diagnoses in Australia.
Rett syndrome is characterised by a period of normal development in infants and children until approximately 6 to 18 months of age, after which they cease to acquire new skills and lose previously acquired abilities. This includes conscious control of the hands and the ability to vocalise sounds or words, leading to speech problems and difficulty with hand movements. The degree of symptoms can vary among individuals with Rett syndrome, and many women with the disorder live well into middle age.
The disorder is caused by a mutation of the MECP2 gene, which is found on the X chromosome. Most cases of Rett syndrome are sporadic, with the mutation occurring randomly, and less than one per cent of recorded cases are inherited. The worldwide incidence of Rett syndrome ranges from one in 10,000 to 23,000 live female births, and it has been recognised worldwide since 1983.
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The cumulative risk of diagnosis has almost doubled by 32 years of age
Rett syndrome (RTT) is a severe progressive neurological disorder that is found almost exclusively in females. The prevalence of Rett syndrome in Australia is estimated to be between 1 in 9,000 and 1 in 15,000 females between the ages of 5 and 18 years, with approximately 200 girls in Australia diagnosed with the condition.
The Australian Rett Syndrome Database (ARSD), established in 1993, has been instrumental in tracking the trends in diagnosis and prevalence of Rett syndrome in Australia. According to the database, the median age of Rett syndrome diagnosis has decreased over time. For individuals born before 2000, the median age of diagnosis was 4.5 years, while for those born after 1999, it decreased to 3.5 years. This decrease in the age of diagnosis is likely due to the active case ascertainment through the ARSD and the introduction of genetic testing, which has led to the identification of previously undiagnosed individuals.
The cumulative risk of diagnosis for Rett syndrome has almost doubled by 32 years of age. Specifically, the cumulative risk at 32 years was 1/8,905 or 11.23 per 100,000 person-years, compared to 1/15,361 or 6.51 per 100,000 person-years at 5 years of age. This indicates that the risk of receiving a diagnosis of Rett syndrome increases with age, with a higher cumulative risk by the time an individual reaches their early thirties.
The earlier age of diagnosis achieved through the use of genetic testing and the ARSD can have significant benefits for individuals and their families. A timely diagnosis can lead to earlier access to therapies and support services, potentially improving long-term outcomes and quality of life. Additionally, families may experience less stress and emotional strain when a diagnosis is made at an earlier age, allowing them to better understand and manage the condition.
While the cumulative risk of diagnosis increases with age, it is important to note that Rett syndrome is a rare disorder, and the overall prevalence is low. The improved diagnostic criteria and genetic testing have contributed to a better understanding of the disorder and its impact on individuals and families in Australia.
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Frequently asked questions
It is estimated that Rett syndrome affects 1 in 9,000 to 1 in 15,000 female births in Australia. As of 2009, there were 349 verified female cases in the country.
The prevalence of Rett syndrome in Australia is estimated to be 0.88 per 10,000 females aged 5 to 18 years old. The cumulative incidence was 1.09 per 10,000 females by 12 years of age.
The worldwide incidence of Rett syndrome ranges from 1 in 10,000 to 1 in 23,000 live female births.











































