Williams syndrome

Williams syndrome
Other namesWilliams–Beuren syndrome (WBS)
An adult with Williams syndrome making Heart Hands
An adult male with Williams syndrome.
SpecialtyMedical genetics, pediatrics
SymptomsFacial changes including underdeveloped chin structure, intellectual disability, overly friendly nature, short height[1]
ComplicationsHeart problems, periods of high blood calcium[1][2]
DurationLifelong[1]
CausesGenetic[1]
Differential diagnosisNoonan syndrome, fetal alcohol syndrome, DiGeorge syndrome[1]
TreatmentVarious types of therapy[1]
PrognosisShorter life expectancy[3]
Frequency1 in 7,500 to 1 in 20,000[4]

Williams syndrome (WS), also Williams–Beuren syndrome (WBS), is a genetic disorder that affects many parts of the body.[2] Facial features frequently include a broad forehead, underdeveloped chin, short nose, and full cheeks.[2] Mild to moderate intellectual disability is observed, particularly challenges with visual spatial tasks such as drawing. Verbal skills are relatively unaffected.[2] Many people have an outgoing personality, an openness to engaging with other people, and a happy disposition.[2][4] Medical issues with teeth, heart problems (especially supravalvular aortic stenosis), and periods of high blood calcium are common.[1][2]

Williams syndrome is caused by a genetic abnormality, specifically a deletion of about 27 genes from the long arm of one of the two chromosome 7s.[2][4] Typically, this occurs as a random event during the formation of the egg or sperm from which a person develops.[2] In a small number of cases, it is inherited from an affected parent in an autosomal dominant manner.[2] The different characteristic features have been linked to the loss of specific genes.[2] The diagnosis is typically suspected based on symptoms and confirmed by genetic testing.[1]

Interventions include special education programs and various types of therapy.[1] Surgery may be done to correct heart problems.[1] Dietary changes or medications may be required for high blood calcium.[1] The syndrome was first described in 1961 by New Zealander John C. P. Williams.[5][6] Williams syndrome affects between one in 20,000 and one in 7,500 people at birth.[4] Life expectancy is less than that of the general population, mostly due to the increased rates of heart disease.[3]

  1. ^ a b c d e f g h i j k Morris, CA; Pagon, RA; Adam, MP; Ardinger, HH; Wallace, SE; Amemiya, A; Bean, LJH; Bird, TD; Ledbetter, N; Mefford, HC; Smith, RJH; Stephens, K (2013). "Williams Syndrome". GeneReviews. PMID 20301427.
  2. ^ a b c d e f g h i j Reference, Genetics Home (December 2014). "Williams syndrome". Genetics Home Reference. Archived from the original on 20 January 2017. Retrieved 22 January 2017.Public Domain This article incorporates text from this source, which is in the public domain.
  3. ^ a b Riccio, Cynthia A.; Sullivan, Jeremy R.; Cohen, Morris J. (2010). Neuropsychological Assessment and Intervention for Childhood and Adolescent Disorders. John Wiley & Sons. p. 400. ISBN 978-0-470-57033-3.
  4. ^ a b c d Martens, Marilee A.; Wilson, Sarah J.; Reutens, David C. (2008). "Research Review: Williams syndrome: A critical review of the cognitive, behavioral, and neuroanatomical phenotype". Journal of Child Psychology and Psychiatry. 49 (6): 576–608. doi:10.1111/j.1469-7610.2008.01887.x. PMID 18489677.
  5. ^ Lenhoff, Howard M.; Teele, Rita L.; Clarkson, Patricia M.; Berdon, Walter E. (2010). "John C. P. Williams of Williams-Beuren syndrome". Pediatric Radiology. 41 (2): 267–9. doi:10.1007/s00247-010-1909-y. PMID 21107555. S2CID 206933052.
  6. ^ Dobbs, David (2007-07-08). "The Gregarious Brain". New York Times. Archived from the original on 2008-12-11. Retrieved 2007-09-25.