Letters to the editor
Population prevalence and estimated birth incidence and mortality rate for people with Prader-Willi syndrome in one UK Health Region
J E Whittingtona, A J Hollanda, T Webbb, J Butlera, D Clarkec, H Boerda Section
of Developmental Psychiatry, University of Cambridge, 18b Trumpington
Road, Cambridge CB2 2AH,
UK, b Department
of Genetics, University of Birmingham,
UK, c North
Warwickshire NHS Trust, Lea Castle Centre, Wolverley, Kidderminster,
UK, d North
Warwickshire NHS Trust, Janet Shaw Clinic, Marston Green, Birmingham,
UK
Correspondence to: Dr Whittington, jew1000@cus.cam.ac.uk
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Introduction |
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EDITOR
Prader-Willi syndrome (PWS) is a
genetically determined disorder in which the absence of expression of
one or more maternally imprinted gene(s) in the chromosomal region
15q11-13 results in a characteristic facial appearance, learning
disabilities (mental retardation), and severe overeating behaviour
owing to an abnormal satiety response to food intake, together with a
range of other behaviours. Initially, as reported by Prader
et al,1 PWS was conceived as a
syndrome of obesity, short growth, cryptorchidism, and mental
retardation following hypotonia in the neonatal period. As more and
more people with PWS were reported and research into the syndrome
began, behavioural characteristics and other clinical features were
added, culminating in the consensus diagnostic criteria.2 Concurrently, the genetics of the disorder were receiving attention. First was the discovery that for many there was a visible chromosomal deletion in the proximal part of the long arm of chromosome 15 (15q11-13). Reports
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