Prader-Willi Syndrome: Pathogenesis and clinical findings
• Maternal uniparental disomy: inheriting 2 copies of maternal chromosome 15
• Deletion of critical region on 15q11.2-13 gene on paternal chromosome
->Loss of parental copy of 15q11.2-13 ->Disruption of hypothalamus
=>Prader-Willi Syndrome
Signs/Symptoms/Complications:
• Gonadal hypoplasia, microphallus & delayed puberty -> Infertility
• Decr Bone mineral density and osteoporosis -> Incr Skeletal fractures
• Short stature
• Poor suckling -> Neonatal and infantile failure to thrive
• Obesity -> Type 2 diabetes, atherosclerosis, sleep apnea, cor pulmonale
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