PMID- 15768148 OWN - NLM STAT- MEDLINE DCOM- 20051215 LR - 20191109 IS - 0034-9887 (Print) IS - 0034-9887 (Linking) VI - 133 IP - 1 DP - 2005 Jan TI - [Clinical, genetic and molecular features in 45 patients with Prader-Willi syndrome]. PG - 33-41 AB - BACKGROUND: Prader-Willi syndrome (PWS) is a neurogenetic disease characterized by neonatal hypotonia, retarded mental and motor development, hypogonadism, hyperphagia, morbid obesity and dysmorphic facial features. It has an incidence of 1:12.000-15.000 newborns and is caused by abnormalities in genes located in 15q11q13. PWS is one of the most frequent genetic disorders and microdeletion syndromes. It is also the most common cause of obesity from genetic origin and it was the first disease in which imprinting and uniparental disomy were recognized as cause of genetic disorders. Seventy to seventy five percent of PWS cases are due to 15q11q13 deletions, 20-25% to uniparental disomy and 1% to mutations in the imprinting center. AIM: To analyze the clinical, genetic and molecular features of patients with PWS, seen at one institution. PATIENTS AND METHODS: Retrospective review of 45 patients (27 males) with PWS seen at the Genetics Outpatient Clinic at INTA. RESULTS: Twenty three (51.1%) patients had a deletion, 13 (28.9%) patients did not have a deletion. In nine patients, fluorescence in situ hybridization (FISH) study was not performed, therefore the presence of deletion was unknown. The clinical score was 8 points for patients younger than 3 years (n=11) and 11.5 points for patients older than 3 years (n=34); for patients aged 12 months or less, the clinical score was 7 points. Mean clinical score was 11 points for patients with deletion and 10 points for patients without deletion. CONCLUSIONS: Most patients with PWS have a deletion; the phenotype depends on age and the clinical score is useful for Chilean patients with PWS. FAU - Cortes M, Fanny AU - Cortes M F AD - Unidad de Genetica y Enfermedades Metabolicas, INTA, Universidad de Chile, Santiago, Chile. fcortes@inta.cl FAU - Alliende R, M Angelica AU - Alliende R MA FAU - Barrios R, Andres AU - Barrios R A FAU - Curotto L, Bianca AU - Curotto L B FAU - Santa Maria V, Lorena AU - Santa Maria V L FAU - Barraza O, Ximena AU - Barraza O X FAU - Troncoso A, Ledia AU - Troncoso A L FAU - Mellado S, Cecilia AU - Mellado S C FAU - Pardo V, Rosa AU - Pardo V R LA - spa PT - English Abstract PT - Journal Article TT - Caracterizacion clinico-genetico-molecular de 45 pacientes chilenos con Sindrome de Prader Willi. DEP - 20050310 PL - Chile TA - Rev Med Chil JT - Revista medica de Chile JID - 0404312 SB - IM MH - Adolescent MH - Adult MH - Child MH - Child, Preschool MH - Chile MH - Female MH - Gene Deletion MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - Methylation MH - Phenotype MH - Prader-Willi Syndrome/diagnosis/*genetics MH - Retrospective Studies EDAT- 2005/03/16 09:00 MHDA- 2005/12/16 09:00 CRDT- 2005/03/16 09:00 PHST- 2005/03/16 09:00 [pubmed] PHST- 2005/12/16 09:00 [medline] PHST- 2005/03/16 09:00 [entrez] AID - S0034-98872005000100005 [pii] AID - 10.4067/s0034-98872005000100005 [doi] PST - ppublish SO - Rev Med Chil. 2005 Jan;133(1):33-41. doi: 10.4067/s0034-98872005000100005. Epub 2005 Mar 10.