Prader-Willi syndrome (PWS) is group of symptoms caused by a rare genetic disorder. It can cause a variety of problems with growth and development. The severity can and specific symptoms are different for each person. A signature sign of PWS is an extreme urge to eat. This can lead to obesity and other health problems.
PWS is caused by a random genetic defect. The defect is most often caused by a gene from the father.
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Some physical features common in people with PWS include:
Other symptoms of PWS can change as the child ages.
As an infant the child may have:
As a toddler, symptoms may include:
As the child gets older, additional symptoms may include:
The doctor may suspect PWS based on your child's symptoms. Some symptoms are very general. They may be associated with other types of illness. As a result, the diagnosis may not be made until early childhood.
A genetic test can help to confirm the diagnosis. This test is done with a sample of blood.
PWS will require lifetime treatment. It is managed by the caregivers of children with PWS. Key areas of treatment include:
In the first year of life, children with PWS often have trouble eating enough food. Your doctor may recommend giving special formula through a tube. This will provide enough nutrition so your child can grow as expected. However, the appetite generally begins to grow out of control after the first year of life. Treatment then becomes focused on preventing obesity.
PWS affects the part of the brain that tells us that we are full. As a result, people with this syndrome will never feel full. Without this "shut off" signal, anyone can easily eat too much food. In addition, people with PWS have a slow metabolism. Both of these factors can lead to excessive weight gain and obesity. This weight gain increases the risk of heart disease, diabetes, and other serious health problems.
In this case, excess eating is not a will power problem. People with PWS can not be trained to manage their appetite. Instead, caretakers need to limit access to food. Any exposure to food needs to be supervised. Regular exercise should also be encouraged. This can help manage the weight and decrease risk of other obesity-related health problems.
Infants and young children are often happy and loving. Difficult behaviors tend to develop as children with PWS get older. Some steps that may help you manage these behaviors include:
Poor sleep can also affect a child's behavior. Your doctor may be able to recommend a plan to help your child sleep. People with PWS may also tire easily. Naps during the daytime may help.
Developmental issues may be treated in a variety of ways. Growth hormones can help with poor physical growth. Your child will also have a team of specialists to monitor your child's development.
Early intervention can help to address delays in physical skills, speech, and language. The program can also assist as your child moves through school.
Your child may also need specialist care for other symptoms associated with PWS. This may include an eye doctor, bone specialist, or dentist.
March of Dimes
Prader-Willi Syndrome Association
Foundation for Prader-Willi Research
The Hospital for SICK Kids
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Prader-Willi syndrome. Brain Foundation website. Available at: http://brainfoundation.org.au/a-z-of-disorders/48-prader-willi-syndrome . Accessed December 13, 2012.
Prader-Willi syndrome. Foundation for Prader-Willi Research website. Available at: http://fpwr.org/about-prader-willi-syndrome . Accessed December 13, 2012.
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5/17/2012 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : Siemensma EP, Tummers-de Lind van Wijngaarden RF, et al. Beneficial effects of growth hormone treatment on cognition in children with Prader-Willi syndrome: a randomized controlled trial and longitudinal study. J Clin Endocrinol Metab. 2012 Apr 16. [Epub ahead of print]
Last reviewed November 2012 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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