Prader-Willi syndrome | kleine-levin syndrome and prader-willi syndrome

SkiptomaincontentThankyouforvisitingnature.com.YouareusingabrowserversionwithlimitedsupportforCSS.Toobtainthebestexperience,werecommendyouuseamoreuptodatebrowser(orturnoffcompatibilitymodeinInternetExplorer).Inthemeantime,toensurecontinuedsupport,wearedisplayingthesitewithoutstylesandJavaScript.AdvertisementnaturegeneticsinmedicinegenetestreviewarticlePrader-WillisyndromeDownloadPDFAbstractPrader-Willisyndromeischaracterizedbysevereinfantilehypotoniawithpoorsuckandfailuretothrive;hypogonadismcausinggenitalhypoplasiaandpubertalinsufficiency;characteristicfacialfeatures;early-childhoodonsetobesityandhyperphagia;developmentaldelay/mildintellectualdisability;shortstature;andadistinctivebehavioralphenotype.Sleepabnormalitiesandscoliosisarecommon.Growthhormoneinsufficiencyisfrequent,andreplacementtherapyprovidesimprovementingrowth,bodycomposition,andphysicalattributes.Managementisotherwiselargelysupportive.Consensusclinicaldiagnosticcriteriaexist,butdiagnosisshouldbeconfirmedthroughgenetictesting.Prader-Willisyndromeisduetoabsenceofpaternallyexpressedimprintedgenesat15q11.2-q13throughpaternaldeletionofthisregion(65–75%ofindividuals),maternaluniparentaldisomy15(20–30%),oranimprintingdefect(1–3%).Parent-specificDNAmethylationanalysiswilldetect>99%ofindividuals.However,additionalgeneticstudiesarenecessarytoidentifythemolecularclass.Therearemultipleimprintedgenesinthisregion,thelossofwhichcontributetothecompletephenotypeofPrader-Willisyndrome.However,absenceofasmallnucleolarorganizingRNAgene,SNORD116,seemstoreproducemanyoftheclinicalfeatures.Siblingrecurrenceriskistypically<1%,buthigherrisksmaypertainincertaincases.Prenataldiagnosisisavailable.GenetMed2012:14(1):10–26.DownloadPDFOverviewPrader-Willisyndrome(PWS)isamultisystemdisorderwithanestimatedprevalenceinseveralstudiedpopulationsof1/10,000–1/30,000.Itischaracterizedbyseverehypotoniawithpoorsuckandfeedingdifficultiesinearlyinfancy,followedinlaterinfancyorearlychildhoodbyexcessiveeatingandgradualdevelopmentofmorbidobesityu


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