Many families first notice 14q24.1q24.3 microdeletion syndrome when a baby has low muscle tone, feeding difficulties, or slower-than-expected growth, prompting extra check-ups in the first months of life. Doctors may also spot early clues such as developmental delays, distinctive facial features, or congenital differences on newborn exam or ultrasound, which can lead to genetic testing. For many, the “first signs of 14q24.1q24.3 microdeletion syndrome” come together as a pattern—delays in motor or speech milestones plus medical findings—that guides the team to confirm the diagnosis with a chromosomal microarray.