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Prader-Willi and Klinefelter syndrome: a coincidence or not?
Pradeep C Vasudevan1, Oliver W J Quarrell
1Department of Clinical Genetics, University, Hospitals of Leicester NHS Trust Leicester royal Infirmary, Leicester, Leicestershire Department of Clinical Genetics, Sheffield Children's Hospital, Sheffield, South Yorkshire, UK.
Abstract:
Prader-Willi syndrome is a complex multisystem disorder characterized by neonatal hypotonia, developmental delay, short stature, obesity, behaviour problems, hypothalamic hypogonadism and characteristic appearance. A number of sex chromosome abnormalities have been reported in children with Prader-Willi syndrome. We report on an infant with a 47, XXY karyotype and Prader-Willi syndrome diagnosed at 2 months of age. He is possibly the youngest to be reported with both Prader-Willi syndrome and Klinefelter syndrome. We have shown that the extra X chromosome causing Klinefelter syndrome is paternal in origin and Prader-Willi syndrome is due to maternal heterodisomy indicating that these two events occurred coincidentally.
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