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Published on: September 19, 2019
Statural growth in Williams-Beuren syndrome
R Pankau1, C J Partsch, A Gosch
1Children's Hospital, University of Kiel, Federal Republic of Germany.
Insights
Children with Williams-Beuren syndrome experience significant growth delays and shorter adult stature, despite normal skeletal development and earlier puberty. This impacts their final height compared to genetic potential.
Area of Science:
- Pediatric Endocrinology
- Genetics
- Human Growth and Development
Background:
- Williams-Beuren syndrome is a genetic disorder affecting multiple aspects of development.
- Growth patterns in individuals with Williams-Beuren syndrome require detailed analysis.
Purpose of the Study:
- To analyze the spontaneous growth patterns in a cohort of patients with Williams-Beuren syndrome.
- To compare growth parameters with normal population standards and genetic height potential.
Main Methods:
- A mixed longitudinal and cross-sectional study design was employed.
- Growth parameters including birth length, growth velocity, pubertal timing, and adult height were analyzed.
- Data from 165 patients (75 girls, 90 boys) were collected and statistically analyzed.
Main Results:
- Intrauterine growth retardation was observed in 35% of girls and 22% of boys.
- Poor growth persisted through early childhood, with mean growth following the 3rd percentile until ages 9 (girls) and 11 (boys).
- Pubertal growth spurt and menarche occurred 1-2 years earlier than normal. Mean adult height was significantly below the 3rd percentile for both sexes, with a notable deficit compared to target height.
Conclusions:
- Patients with Williams-Beuren syndrome exhibit characteristic growth deficiencies, resulting in reduced adult height.
- Despite early puberty and normal skeletal progression, final height is substantially impacted.
- Growth monitoring and potential interventions should consider these specific patterns in Williams-Beuren syndrome.
Abstract:
The spontaneous growth of 165 patients (75 girls and 90 boys) with Williams-Beuren syndrome was analysed in a mixed longitudinal and cross-sectional manner. Mean (+/- 1 SD) length at birth was 48.2 +/- 2.6 cm in girls (n = 52) and 49.0 +/- 3.0 cm in boys (n = 65). Intrauterine growth retardation (length below -2 SD of the normal population) was present in 35% of the girls and 22% of the boys. Poor growth was noted during the first 2 years of life. Until age 9 years in girls and 11 years in boys, mean growth followed the 3rd percentile. A pubertal growth spurt with normal growth rate was seen at age 10 years in girls and 13 years in boys, i.e. 1 to 2 years earlier than normal. Menarche also occurred earlier than normal at a mean age of 11.6 +/- 1.5 years (n = 28). Mean adult height was 153.9 +/- 6.9 cm in girls (n = 17) and 168.2 +/- 6.9 cm in boys (n = 27), approximately corresponding to the 3rd percentile in both sexes and correlating with the genetic height potential (target height). The mean deficit of adult height compared to target height was 10.2 cm in girls and 9.1 cm in boys. Skeletal development progressed at an approximately normal rate in both sexes.
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