PMID- 37436242 OWN - NLM STAT- MEDLINE DCOM- 20230714 LR - 20230718 IS - 1984-0462 (Electronic) IS - 0103-0582 (Print) IS - 0103-0582 (Linking) VI - 42 DP - 2023 TI - Fluorescence in situ hybridization (FISH) as an irreplaceable diagnostic tool for Williams-Beuren syndrome in developing countries: a literature review. PG - e2022125 LID - S0103-05822023000200503 [pii] LID - 10.1590/1984-0462/2023/41/2022125 [doi] LID - e2022125 AB - OBJECTIVE: The aim of this study was to sum up and characterize all Williams-Beuren syndrome cases diagnosed by fluorescence in situ hybridization (FISH) since its implementation, as well as to discuss FISH as a cost-effective methodology in developing countries. DATA SOURCE: From January 1986 to January 2022, articles were selected using the databases in PubMed (Medline) and SciELO. The following terms were used: Williams syndrome and In Situ Hybridization, Fluorescence. Inclusion criteria included Williams-Beuren syndrome cases diagnosed by FISH with a stratified phenotype of each patient. Only studies written in English, Spanish, and Portuguese were included. Studies with overlapping syndromes or genetic conditions were excluded. DATA SYNTHESIS: After screening, 64 articles were included. A total of 205 individuals with Williams-Beuren syndrome diagnosed by FISH were included and further analyzed. Cardiovascular malformations were the most frequent finding (85.4%). Supravalvular aortic stenosis (62.4%) and pulmonary stenosis (30.7%) were the main cardiac alterations described. CONCLUSIONS: Our literature review reinforces that cardiac features may be the key to early diagnosis in Williams-Beuren syndrome patients. In addition, FISH may be the best diagnostic tool for developing nations that have limited access to new technologic resources. FAU - Carlotto, Bianca Soares AU - Carlotto BS AUID- ORCID: 0000-0002-3029-9598 AD - Universidade Federal de Ciencias da Saude de Porto Alegre, Porto Alegre, RS, Brazil. FAU - Deconte, Desiree AU - Deconte D AUID- ORCID: 0000-0002-6869-9167 AD - Universidade Federal de Ciencias da Saude de Porto Alegre, Porto Alegre, RS, Brazil. FAU - Diniz, Bruna Lixinski AU - Diniz BL AUID- ORCID: 0000-0003-1448-0298 AD - Universidade Federal de Ciencias da Saude de Porto Alegre, Porto Alegre, RS, Brazil. FAU - Silva, Priscila Ramires da AU - Silva PRD AUID- ORCID: 0000-0002-1712-7046 AD - Universidade Federal de Ciencias da Saude de Porto Alegre, Porto Alegre, RS, Brazil. FAU - Zen, Paulo Ricardo Gazzola AU - Zen PRG AUID- ORCID: 0000-0002-7628-4877 AD - Universidade Federal de Ciencias da Saude de Porto Alegre, Porto Alegre, RS, Brazil. AD - Irmandade da Santa Casa de Misericordia de Porto Alegre, Porto Alegre, RS, Brazil. FAU - Silva, Andre Anjos da AU - Silva AAD AUID- ORCID: 0000-0003-3714-3171 AD - Universidade do Vale do Rio dos Sinos, Sao Leopoldo, RS, Brazil. LA - eng PT - Journal Article PT - Review DEP - 20230710 PL - Brazil TA - Rev Paul Pediatr JT - Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo JID - 9109353 SB - IM MH - Humans MH - *Williams Syndrome/diagnosis/genetics MH - Developing Countries MH - In Situ Hybridization, Fluorescence MH - Phenotype PMC - PMC10332443 COIS- Conflict of interests The authors declare there is no conflict of interest. EDAT- 2023/07/12 13:07 MHDA- 2023/07/14 13:08 PMCR- 2023/07/10 CRDT- 2023/07/12 10:24 PHST- 2022/07/04 00:00 [received] PHST- 2022/11/14 00:00 [accepted] PHST- 2023/07/14 13:08 [medline] PHST- 2023/07/12 13:07 [pubmed] PHST- 2023/07/12 10:24 [entrez] PHST- 2023/07/10 00:00 [pmc-release] AID - S0103-05822023000200503 [pii] AID - 10.1590/1984-0462/2023/41/2022125 [doi] PST - epublish SO - Rev Paul Pediatr. 2023 Jul 10;42:e2022125. doi: 10.1590/1984-0462/2023/41/2022125. eCollection 2023.