Prader-Willi Syndrome: Difference between revisions

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== What Is Prader-Willi Syndrome? ==
== What Is Prader-Willi Syndrome? ==
Prader-Willi syndrome (PWS) is a rare genetic disorder that is caused due to abnormal functioning of specific genes on chromosome 15.The condition is named after Swiss physicians Andrea Prader and Heinrich Willi and Alexis Labhart who described it in detail in 1950s. It is also called as Prader-Labhart-Willi, or Prader-Willi-Fanconi syndrome.
It is characterized by small hands and feet, abnormal growth and body composition (small stature, early-onset childhood obesity), hypotonia (weak muscles) at birth, hypogonadism, insatiable hunger, extreme obesity, and intellectual disability.


== Prevalence and Etiology ==
== Prevalence and Etiology ==
===== Prevalence: =====
PWS affects an estimated 1 in 15,000 - 30,000 people<ref name=":0">Cassidy SB, Driscoll DJ. Prader-Willi syndrome. Eur J Hum Genet. 2009;17(1):3-13. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2985966/ doi: 10.1038/ejhg.2008.165]</ref>. The prevalence rates differ among studies across countries, mainly due to using different methods for case identification. There is no strong evidence for increased risk in specific countries or gene pools. Both sexes appear to be affected equally<ref name=":0" />.
===== Etiology: =====
People normally inherit one copy of each chromosome from each parent. Some of these genes are turned on (active) only on the copy that is inherited from a person's father (the paternal copy) which is called as genomic imprinting.
PWS is caused due to abnormality in the expression of genes on Chromosome 15 specifically on the long arm of chromosome 15q11-q13. This abnormality can be caused due to<ref>Genetics Home Reference. Prader-Willi Syndrome.https://ghr.nlm.nih.gov/condition/prader-willi-syndrome</ref>:
# deletion of the genes on the paternal copy
# the genes on the maternal copy are turned off (inactive)
# has two copies of chromosome 15 inherited from the mother instead of one copy from each parent (maternal uniparental disomy)
# chromosomal rearrangement called a translocation,
# by a mutation or other defect (Imprinting center defects)


== Pathological Process ==
== Pathological Process ==

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What Is Prader-Willi Syndrome?[edit | edit source]

Prader-Willi syndrome (PWS) is a rare genetic disorder that is caused due to abnormal functioning of specific genes on chromosome 15.The condition is named after Swiss physicians Andrea Prader and Heinrich Willi and Alexis Labhart who described it in detail in 1950s. It is also called as Prader-Labhart-Willi, or Prader-Willi-Fanconi syndrome.

It is characterized by small hands and feet, abnormal growth and body composition (small stature, early-onset childhood obesity), hypotonia (weak muscles) at birth, hypogonadism, insatiable hunger, extreme obesity, and intellectual disability.

Prevalence and Etiology[edit | edit source]

Prevalence:[edit | edit source]

PWS affects an estimated 1 in 15,000 - 30,000 people[1]. The prevalence rates differ among studies across countries, mainly due to using different methods for case identification. There is no strong evidence for increased risk in specific countries or gene pools. Both sexes appear to be affected equally[1].

Etiology:[edit | edit source]

People normally inherit one copy of each chromosome from each parent. Some of these genes are turned on (active) only on the copy that is inherited from a person's father (the paternal copy) which is called as genomic imprinting.

PWS is caused due to abnormality in the expression of genes on Chromosome 15 specifically on the long arm of chromosome 15q11-q13. This abnormality can be caused due to[2]:

  1. deletion of the genes on the paternal copy
  2. the genes on the maternal copy are turned off (inactive)
  3. has two copies of chromosome 15 inherited from the mother instead of one copy from each parent (maternal uniparental disomy)
  4. chromosomal rearrangement called a translocation,
  5. by a mutation or other defect (Imprinting center defects)

Pathological Process[edit | edit source]

Clinical Features[edit | edit source]

Diagnosis[edit | edit source]

Differential Diagnosis[edit | edit source]

Treatment[edit | edit source]

Physiotherapy Treatment[edit | edit source]

Resources[edit | edit source]

  • bulleted list
  • x

or

  1. numbered list
  2. x

References[edit | edit source]

  1. 1.0 1.1 Cassidy SB, Driscoll DJ. Prader-Willi syndrome. Eur J Hum Genet. 2009;17(1):3-13. doi: 10.1038/ejhg.2008.165
  2. Genetics Home Reference. Prader-Willi Syndrome.https://ghr.nlm.nih.gov/condition/prader-willi-syndrome