About Williams Syndrome
Williams syndrome (WS) is caused by a microdeletion at chromosome 7q11.23 encompassing approximately 26 genes, with the elastin (ELN) gene deletion being the most clinically significant. Deletion of elastin leads to connective tissue abnormalities causing vascular pathology including supravalvular aortic stenosis. Clinically characterized by distinctive "elfin" facial features including broad forehead, short nose with anteverted nares, full lips and cheeks, widely spaced teeth, and long philtrum.
Intellectual disability ranges from mild (IQ 50-85) to moderate (IQ <50) with characteristic neuropsychological profile including visuospatial dysfunction with preserved verbal and musical abilities. Developmental delays in motor and cognitive milestones are nearly universal. Short stature (approximately 10-15 cm below expected) is present in ~80%.
The behavioral phenotype is distinctive with marked social drive and social disinhibition, strong verbal skills, musical abilities, and characteristic overfriendliness even with strangers. Hypercalcemia and hypercalciuria occur in approximately 15% of infants (typically between 6-12 weeks of age). Cardiac involvement including supravalvular aortic stenosis, peripheral pulmonary stenosis, and mitral valve abnormalities is a major source of morbidity and mortality.
Common Symptoms of Williams Syndrome
Recognizing the signs of Williams Syndrome early can lead to faster diagnosis and better outcomes. Symptoms may vary in severity from person to person. If you or a loved one are experiencing any of the following, consider speaking with a specialist.
- Distinctive 'elfin' facial features
- Supravalvular aortic stenosis and other cardiac defects
- Hypercalcemia and hypercalciuria in infancy
- Intellectual disability (mild to moderate)
- Developmental delays
- Distinctive behavioral profile with social disinhibition and strong verbal skills
- Short stature
Who Williams Syndrome Affects
WS results from a microdeletion at 7q11.23 that occurs de novo (new mutation) in approximately 95-99% of cases, with only 1-5% inherited from an affected parent. The condition affects males and females equally. The deletion occurs across all ethnic groups and geographic populations with similar prevalence (~1 in 7,500-10,000).
The microdeletion is not usually inherited because affected individuals, while of reproductive age, often face reproductive challenges due to developmental delay and learning disability; transmission to offspring occurs in only approximately 2-4% of cases when affected individuals do reproduce.
When inherited, affected offspring have a 50% chance of being carriers due to autosomal dominant inheritance. Advanced paternal age slightly increases risk of de novo deletions, as with other chromosomal rearrangements. Recurrence risk for unaffected parents is <1% (risk of germline mosaicism is very low).
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Genetic Testing
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Trusted Williams Syndrome Resources
Reputable organizations and medical references for learning more about Williams Syndrome, including disease registries, foundation resources, and clinical guidelines.