Home Medicine Prader-Willi syndrome: a case report with atypical developmental features
Article
Licensed
Unlicensed Requires Authentication

Prader-Willi syndrome: a case report with atypical developmental features

  • Letícia E. Sewaybricker , Guilherme Guaragna-Filho EMAIL logo , Georgette B. Paula , Juliana G.R. Andrade , Bruna J. Tincani , Lília D’Souza-Li , Sofia H.V. Lemos-Marini , Andréa T. Maciel-Guerra and Gil Guerra-Júnior
Published/Copyright: May 23, 2014

Abstract

Objective: To describe the case of a male Prader-Willi syndrome (PWS) patient with atypical development features.

Description: We report the case of a male adolescent with confirmed diagnosis of PWS which presents atypical phenotype. The patient progressed with spontaneous and complete pubertal development, stature in the normal range, and weight control without any pharmacological treatment, except metformin.

Comments: PWS is an imprinting paternally inherited disorder of 15q11–13 characterized by hypotonia in infant age, hyperphagia, varied degrees of mental retardation, behavior problems, hypogonadism, short stature, and other less common findings.


Corresponding author: Guilherme Guaragna-Filho, Oscar Pedroso Horta Avenue, 270, Apartment 02, Cidade Universitária, Barão Geraldo – Campinas, SP 13083-510, Brazil, Phone: +55 19 982513102, E-mail:

References

1. Cassidy SB, Schwartz S, Miller JL, Driscoll DJ. Prader-Willi syndrome. Genet Med 2012;14:10–26.10.1038/gim.0b013e31822bead0Search in Google Scholar PubMed

2. Goldstone AP, Holland AJ, Hauffa BP, Hokken-Koelega AC, Tauber M; speakers contributors at the Second Expert Meeting of the Comprehensive Care of Patients with PWS. Recommendations for the diagnosis and management of Prader-Willi Syndrome. J Clin Endocrinol Metab 2008;93:4183–97.10.1210/jc.2008-0649Search in Google Scholar PubMed

3. Holm VA, Cassidy SB, Butler MG, Hanchett JM, Greenswag LR, et al. Prader-Willi syndrome: consensus diagnostic criteria. Pediatrics 1993;91:398–402.10.1542/peds.91.2.398Search in Google Scholar

4. Gunay-Aygun M, Schwartz S, Heeger S, O’Riordan MA, Cassidy SB. The changing purpose of Prader-Willi syndrome clinical diagnostic criteria and proposed revised criteria. Pediatrics 2001;108:E92.10.1542/peds.108.5.e92Search in Google Scholar PubMed

5. De Onis M. WHO child growth standards: length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age. Geneva: World Health Organization. Department of Nutrition for Health and Development, 2006.Search in Google Scholar

6. Kuczmarski RJ, Ogden CL, Guo SS, Grummer-Strawn LM, Flegal KM, Mei Z, et al. CDC growth charts: United States. Advance data from vital and health statistics. Hyattsville, Maryland: National Center for Health Statistics; 2000.Search in Google Scholar

7. Greulich WW, Pyle SI. Radiographic atlas of skeletal development of the hand and wrist, 2nd ed. Stanford: Stanford University Press, 1959:256.10.1097/00000441-195909000-00030Search in Google Scholar

8. Marshall WA, Tanner JM. Variations in pattern of pubertal changes in boys. Arch Dis Child 1970;45:13–23.10.1136/adc.45.239.13Search in Google Scholar PubMed PubMed Central

9. Geloneze B, Vasques AC, Stabe CF, Pareja JC, Rosado LE, et al. HOMA1-IR and HOMA2-IR indexes identifying insulin resistance and metabolic syndrome: Brazilian Metabolic Study Group (BRAMS). Arq Bras Endocrinol Metabol 2009;53:281–7.10.1590/S0004-27302009000200020Search in Google Scholar PubMed

10. Figueiredo VL, Mattos VL, Pasquali L, Freire AP. Psychometric properties of WISC- III items. Psicol Estud 2008;13:585–92.10.1590/S1413-73722008000300020Search in Google Scholar

11. Gabrich PN, Vasconcelos JS, Damiao R, Silva EA. Penile anthropometry in Brazilian children and adolescents. J Pediatr (Rio J) 2007;83:441–6.10.1590/S0021-75572007000600008Search in Google Scholar

12. Butler MG. Prader-Willi syndrome: obesity due to genomic imprinting. Curr Genomics 2011;12:204–15.10.2174/138920211795677877Search in Google Scholar PubMed PubMed Central

13. Kim SJ, Miller JL, Kuipers PJ, German JR, Beaudet AL, et al. Unique and atypical deletions in Prader-Willi syndrome reveal distinct phenotypes. Eur J Hum Genet 2012;20:282–90.10.1038/ejhg.2011.187Search in Google Scholar PubMed PubMed Central

14. Crinò A, Schiaffini R, Ciampalini P, Spera S, Beccaria L, et al. Hypogonadism and pubertal development in Prader-Willi syndrome. Eur J Pediatr 2003;162:327–33.10.1007/s00431-002-1132-4Search in Google Scholar PubMed

15. Fillion M, Deal CL, Van Vliet G. Normal minipuberty of infancy in boys with Prader-Willi syndrome. J Pediatr 2006;149:874–6.10.1016/j.jpeds.2006.08.077Search in Google Scholar PubMed

16. Hirsch HJ, Eldar-Geva T, Benarroch F, Rubinstein O, Gross-Tsur V. Primary testicular dysfunction is a major contributor to abnormal pubertal development in males with Prader-Willi syndrome. J Clin Endocrinol Metab 2009;94:2262–8.10.1210/jc.2008-2760Search in Google Scholar PubMed

17. Radicioni AF, Di Giorgio G, Grugni G, Cuttini M, Losacco V, et al. Multiple forms of hypogonadism of central, peripheral or combined origin in males with Prader-Willi syndrome. Clin Endocrinol (Oxf) 2012;76:72–7.10.1111/j.1365-2265.2011.04161.xSearch in Google Scholar PubMed

18. Vogels A, Moerman P, Frijns JP, Bogaert GA. Testicular histology in boys with Prader-Willi syndrome: fertile or infertile? J Urol 2008;180:1800–4.10.1016/j.juro.2008.03.113Search in Google Scholar PubMed

19. Siemensma EP, de Lind van Wijngaarden RF, Otten BJ, de Jong FH, Hokken-Koelega AC. Testicular failure in boys with Prader-Willi syndrome: longitudinal studies of reproductive hormones. J Clin Endocrinol Metab 2012;97:E452–9.10.1210/jc.2011-1954Search in Google Scholar PubMed

20. Butler MG, Meaney FJ. Standards for selected anthropometric measurements in Prader-Willi syndrome. Pediatrics 1991;88:853–60.Search in Google Scholar

21. Miller JL. Approach to the child with Prader-Willi syndrome. J Clin Endocrinol Metab 2012;97:3837–44.10.1210/jc.2012-2543Search in Google Scholar PubMed PubMed Central

22. Ma Y, Wu T, Liu Y, Wang Q, Song J, et al. Nutritional and metabolic findings in patients with Prader-Willi syndrome diagnosed in early infancy. J Pediatr Endocrinol Metab 2012;25:1103–9.10.1515/jpem-2012-0167Search in Google Scholar PubMed

23. Chen C, Visootsak J, Dills S, Graham JM. Prader-Willi syndrome: an update and review for the primary pediatrician. Clin Pediatr 2007;46:580–91.10.1177/0009922807299314Search in Google Scholar PubMed

24. Bonfig W, Dokoupil K, Schmidt H. A special, strict, fat-reduced, and carbohydrate-modified diet leads to marked weight reduction even in overweight adolescents with Prader-Willi syndrome (PWS). Sci World J 2009;9:934–9.10.1100/tsw.2009.105Search in Google Scholar PubMed PubMed Central

25. Miller JL, Lynn CH, Shuster J, Driscoll DJ. A reduced-energy intake, well-balanced diet improves weight control in children with Prader-Willi syndrome. J Hum Nutr Diet 2013;26:2–9.10.1111/j.1365-277X.2012.01275.xSearch in Google Scholar PubMed PubMed Central

26. Miller JL, Linville TD, Dykens EM. Effects of metformin in children and adolescents with Prader-Willi syndrome and early-onset morbid obesity: a pilot study. J Pediatr Endocrinol Metab 2014;27:23–9.10.1515/jpem-2013-0116Search in Google Scholar PubMed PubMed Central

27. McCandless SE; Committee on Genetics. Clinical report – health supervision for children with Prader-Willi syndrome. Pediatrics 2011;127:195–204.10.1542/peds.2010-2820Search in Google Scholar PubMed

Received: 2013-12-28
Accepted: 2014-3-31
Published Online: 2014-5-23
Published in Print: 2014-9-20

©2014 by De Gruyter

Articles in the same Issue

  1. Frontmatter
  2. Review article
  3. Towards an optimization of the management of endocrine complications of thalassemia
  4. Original articles
  5. The natural course of Hashimoto’s thyroiditis in children and adolescents
  6. Muscle strength and body composition during the transition phase in patients treated with recombinant GH to final height
  7. Benign vaginal bleeding in 24 prepubertal patients: clinical, biochemical and imaging features
  8. Evaluation of epicardial adipose tissue, carotid intima-media thickness and ventricular functions in obese children and adolescents
  9. Counseling patients with succinate dehydrogenase subunit defects: genetics, preventive guidelines, and dealing with uncertainty
  10. Pubertal development profile in patients with Turner syndrome
  11. A novel CASR mutation associated with neonatal severe hyperparathyroidism transmitted as an autosomal recessive disorder
  12. Serum insulin-like growth factor-binding protein-3 level correlated with glycemic control and lipid profiles in children and adolescents with type 1 diabetes
  13. Adult human liver mesenchymal progenitor cells express phenylalanine hydroxylase
  14. Clinical applicability of rapid detection of SRY and DYS14 genes in patients with disorders of sex development using an indigenously developed 5′ exonuclease based assay
  15. Hereditary 1,25-dihydroxyvitamin D-resistant rickets with alopecia in four Egyptian families: report of three novel mutations in the vitamin D receptor gene
  16. Permanent neonatal diabetes mellitus in Jordan
  17. The effect of adenotonsilectomy on ghrelin, leptin, IGF-1 levels and growth parameters in children with adenotonsillar hypertrophy
  18. The role of anti-Mullerian and inhibin B hormones in the evaluation of 46,XY disorders of sex development
  19. The evaluation of thyroid carcinoma in childhood and concomitance of autoimmune thyroid disorders
  20. Lipid patterns in treated growth hormone deficient children vs. short stature controls
  21. Assessment of aortic morphology and compliance in children and adolescents with Ullrich-Turner syndrome (UTS) using magnetic resonance imaging (MRI)
  22. Management of central diabetes insipidus with oral desmopressin lyophilisate in infants
  23. Maternal factors and complications of preterm birth associated with neonatal thyroid stimulating hormone
  24. Patient reports
  25. A rare case of pituitary infarction leading to spontaneous tumour resolution and CSF-sella syndrome in an 11-year-old girl and a review of the paediatric literature
  26. Rare case of homozygous epimerase deficiency and heterozygous of duarte 2 variant
  27. Persistent congenital hyperinsulinism in two patients with Beckwith-Wiedemann syndrome due to mosaic uniparental disomy 11p
  28. Growth hormone treatment in a patient with Hurler-Scheie syndrome
  29. Neonatal diagnosis of a patient with hypoparathyroidism, sensorineural deafness and renal dysplasia (HDR) syndrome associated with cerebral infarction
  30. Early-onset diabetes mellitus and neurodevelopmental retardation: the first Greek case of Wolcott-Rallison syndrome
  31. Type III Bartter-like syndrome in an infant boy with Gitelman syndrome and autosomal dominant familial neurohypophyseal diabetes insipidus
  32. Cushing’s syndrome: hidden risk in usage of topical corticosteroids
  33. Prader-Willi syndrome: a case report with atypical developmental features
  34. Berardinelli-Seip congenital lipodystrophy: an autosomal recessive disorder with rare association of duodenocolonic polyps
  35. Ectopic Cushing syndrome secondary to metastatic medullary thyroid cancer in a child with multiple endocrine neoplasia syndrome type 2B: clues to early diagnosis of the paraneoplastic syndromes
  36. Ovarian hyperstimulation syndrome treated by medroxyprogesterone acetate
  37. Symptomatic cerebral infarction in a child with severe diabetic ketoacidosis
  38. A rare case of familial Cushing’s syndrome with a common presentation of weight gain due to a mutation of the PRKAR1A gene causing isolated primary pigmented nodular adrenocortical disease
  39. Multiple autoimmunity, type 1 diabetes (T1DM), autoimmune thyroiditis and thyroid cancer: is there an association? A case report and literature review
  40. Cholestasis and protein-losing enteropathy secondary to hyperthyroidism in a 6-year-old girl
  41. Short communication
  42. An essential splice site mutation (c.317+1G>A) in the TSHR gene leads to severe thyroid dysgenesis
  43. Letter to the Editor
  44. Pubertal gynecomastia: what about the remaining 10%?
Downloaded on 12.1.2026 from https://www.degruyterbrill.com/document/doi/10.1515/jpem-2013-0500/html
Scroll to top button