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Prader-Willi Syndrome

Shivajirao Patil, FAAFP, BC-ADM, MPH, MD and Aparna Thombare, MPH, MD Reviewed 05/2023
 


BASICS

DESCRIPTION

Prader-Willi syndrome (PWS) is a genetic syndrome characterized by: 
  • Severe hypotonia and poor feeding in early infancy followed by hyperphagia and obesity (unless eating is strictly ...

DIAGNOSIS

HISTORY

  • Decreased fetal movement and SGA prevalent in PWS pregnancies. Breech positioning may be noted, and 3rd trimester ultrasound may show flexed wrists and dorsi-extended feet with flexed...

TREATMENT

GENERAL MEASURES

Behavior modification is the mainstay of treatment with the goal to increase independence and reduce morbidity. 
  • Restricted access to food and maintaining daily routines

  • Diet a...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Screen infants for strabismus.

  • Use of specialized growth charts for routine monitoring of height, weight, and BMI

  • Screen for T2DM if BMI is >95...

REFERENCES

1
Cassidy  SB, Schwartz  S, Miller  JL, et al. Prader-Willi syndrome. Genet Med.  2012;14(1):10–26. [View Abstract on OvidMedline]
2
...

CODES

ICD10

Q87.1 Congenital malform syndromes predom assoc w short stature 

SNOMED

89392001 Prader-Willi syndrome (disorder) 

CLINICAL PEARLS

  • PWS is a rare genetic disorder caused by mutations on the paternal chromosome 15.

  • Characterized by hypotonia in early infancy followed by hyperphagia and behavior problems beginning in ...

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