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Prader-Willi syndrome

Prader-Willi syndrome is a disease that is present from birth (congenital). It affects many parts of the body. People with this condition feel hungry all the time and become obese. They also have poor muscle tone, reduced mental ability, and underdeveloped sex organs.

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Causes

Prader-Willi syndrome is caused by a missing gene on chromosome 15. Normally, parents each pass down a copy of this chromosome. The defect can occur in a couple of ways:

These genetic changes occur randomly. People who have this syndrome usually do not have a family history of the condition.

Symptoms

Signs of Prader-Willi syndrome may be seen at birth.

Other symptoms may include:

Children have an intense craving for food. They will do almost anything to get food, including hording. This can result in rapid weight gain and morbid obesity. Morbid obesity may lead to:

Exams and Tests

Genetic testing is available to test children for Prader-Willi syndrome.

As the child grows older, lab tests may show signs of morbid obesity, such as:

Children with this syndrome may not respond to luteinizing hormone releasing factor. This is a sign that their sex organs are not producing hormones. There also may be signs of right-sided heart failure and knee and hip problems.

Treatment

Obesity is the greatest threat to health. Limiting calories will control weight gain. It is also important to control a child's environment to prevent access to food. The child's family, neighbors, and school must work together, because the child will try to get food wherever possible. Exercise can help a child with Prader-Willi syndrome gain muscle.

Growth hormone is used to treat Prader-Willi syndrome. It can help:

Taking growth hormone therapy may lead to sleep apnea. A child who takes hormone therapy needs to be monitored for sleep apnea.

Low levels of sex hormones may be corrected at puberty with hormone replacement.

Mental health and behavioral counseling are also important. This can help with common problems such as skin picking and compulsive behaviors. Sometimes, medicine may be needed.

Support Groups

The following organizations can provide resources and support:

Outlook (Prognosis)

The child will need the right education for their IQ level. The child will also need speech, physical, and occupational therapy as early as possible. Controlling weight will allow for a much more comfortable and healthy life.

Possible Complications

Complications of Prader-Willi can include:

When to Contact a Medical Professional

Call your health care provider if your child has symptoms of this condition. The disorder is frequently suspected at birth.

Related Information

Hypotonia
Hypogonadism
Chromosome
Blue discoloration of the skin

References

Cooke DW, Divall SA, Radovick S. Normal and aberrant growth in children. In: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Williams Textbook of Endocrinology. 13th ed. Philadelphia, PA: Elsevier; 2016:chap 24.

Escobar O, Viswanathan P, Witchel SF. Pediatric endocrinology. In: Zitelli, BJ, McIntire SC, Nowalk AJ, eds. Zitelli and Davis' Atlas of Pediatric Diagnosis. 7th ed. Philadelphia, PA: Elsevier; 2018:chap 9.

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Review Date: 5/20/2018  

Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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