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Neurological & Neuromuscular

Prader-Willi Syndrome

Also called PWS, Prader-Labhart-Willi Syndrome

Prader-Willi Syndrome results from loss of function of paternal genes on chromosome 15, either through deletion, maternal uniparental disomy, or imprinting defects. In infancy, affected individuals typically present with poor muscle tone, weak cry, and feeding difficulties that may require specialized feeding techniques.

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About Prader-Willi Syndrome

Prader-Willi Syndrome results from loss of function of paternal genes on chromosome 15, either through deletion, maternal uniparental disomy, or imprinting defects. In infancy, affected individuals typically present with poor muscle tone, weak cry, and feeding difficulties that may require specialized feeding techniques. Between ages 1 and 6, a dramatic change occurs, with development of hyperphagia—an insatiable appetite and obsession with food. Without strict environmental controls and dietary management, rapid weight gain and severe obesity develop. Individuals with PWS often have distinctive facial features including a narrow forehead, almond-shaped eyes, and downturned mouth. Behavioral and psychiatric issues, including obsessive-compulsive behaviors and anxiety, frequently occur. Growth hormone therapy is often used to address short stature and poor muscle development.

Common Symptoms

  • Poor muscle tone (hypotonia) in infancy
  • Weak cry and poor feeding in newborns
  • Excessive hunger and rapid weight gain in childhood
  • Short stature and slow growth
  • Underdeveloped sexual organs and incomplete sexual development
  • Intellectual disability and learning challenges

Who It Affects

Prader-Willi Syndrome affects males and females equally and occurs across all ethnic and racial groups. It is present from birth, though the most recognizable symptoms typically emerge between ages 1 and 6 years. Most cases result from spontaneous genetic changes rather than inheritance from parents.

Getting Involved in Clinical Trials

Active research in Prader-Willi Syndrome focuses on gene therapy approaches, targeted treatments for hyperphagia, and metabolic interventions. Clinical trials are investigating oxytocin therapy, gene replacement strategies, and pharmacological approaches to appetite regulation. Growth hormone therapy remains a cornerstone treatment, and newer trials explore its optimization alongside other interventions. Families should contact their endocrinologist or the Prader-Willi Syndrome Association to learn about trial opportunities and genetic counseling.

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