Document Detail


Prader-Willi-like phenotype in fragile X syndrome.
MedLine Citation:
PMID:  8062434     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 3-year-old boy was referred to the pediatric department because of unexplained extreme obesity. Height and occipitofrontal circumference were just above the 90th centile. Endocrine studies failed to show any significant abnormality. Motor and speech development were generally delayed. On clinical-cytogenetic-molecular grounds, Prader-Willi syndrome was excluded. Fragile X syndrome was diagnosed by the presence of the classical FMR-1 mutation and confirmed by cytogenetic studies, revealing 20% fragile X positive cells. We compare the clinical features in the present patient with the nine reported patients with fra(X) syndrome and extreme obesity. In pathogenesis, hypothalamic dysregulation is hypothesized. In differential diagnosis of Prader-Willi syndrome, fragile X has to be considered, especially when laboratory workup for Prader-Willi syndrome is negative. Clinical behavior can be of help.
Authors:
C Schrander-Stumpel; W J Gerver; H Meyer; J Engelen; H Mulder; J P Fryns
Related Documents :
15012664 - Sunct syndrome in association with persistent horner syndrome in a chinese patient.
1031414 - Sympathetic disorders in obstetrical paralysis of the newborn.
6226684 - Cryptococcal meningitis. an atypical presentation.
20410144 - Abnormal n400 word repetition effects in fragile x-associated tremor/ataxia syndrome.
2295384 - Psychosocial factors are associated with health care seeking rather than diagnosis in i...
19382034 - Hypereosinophilic syndrome in childhood: clinical and molecular features of two cases.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical genetics     Volume:  45     ISSN:  0009-9163     ISO Abbreviation:  Clin. Genet.     Publication Date:  1994 Apr 
Date Detail:
Created Date:  1994-09-21     Completed Date:  1994-09-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0253664     Medline TA:  Clin Genet     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  175-80     Citation Subset:  IM    
Affiliation:
Department of Clinical Genetics, Maastricht University Hospital, The Netherlands.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Body Weight / genetics
Child, Preschool
DNA / genetics
Diagnosis, Differential
Fragile X Syndrome / diagnosis,  genetics*,  physiopathology
Growth / genetics
Humans
Male
Phenotype
Prader-Willi Syndrome / diagnosis,  genetics*,  physiopathology
Chemical
Reg. No./Substance:
9007-49-2/DNA

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  No effect of insertion/deletion polymorphism at the ACE locus on normal blood pressure level or vari...
Next Document:  Clinical aspects of the MASA syndrome in a large family, including expressing females.