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Published on: September 30, 2020
[Care continuity for patients with Prader-Willi syndrome during transition from childhood to adulthood]
1Department of Pediatrics, Hokkaido University Graduate School of Medicine.
Insights
Prader-Willi syndrome (PWS) is a genetic disorder with lifelong symptoms including hyperphagia and obesity. Early diagnosis and a lifelong multidisciplinary approach are crucial for managing PWS and improving patient quality of life.
Area of Science:
- Genetics
- Pediatrics
- Endocrinology
Context:
- Prader-Willi syndrome (PWS) is a complex genetic disorder affecting multiple body systems.
- Key features include neonatal hypotonia, hyperphagia leading to obesity, intellectual disability, and behavioral issues.
Purpose:
- To highlight the importance of early diagnosis and lifelong multidisciplinary management for Prader-Willi syndrome.
- To emphasize the evolving nature of PWS clinical features and the need for consistent management strategies.
Summary:
- PWS diagnosis is possible in the neonatal period via genetic testing.
- Core symptoms like hyperphagia, obesity, and psychiatric problems persist throughout life.
- An integrated, multidisciplinary approach from infancy is essential for optimal lifelong care.
Impact:
- Facilitates early intervention and management strategies for Prader-Willi syndrome.
- Improves the lifelong quality of life for individuals with PWS.
- Ensures seamless transition from pediatric to adult care through shared information and consistent policies.
Abstract:
Prader-Willi syndrome(PWS) is a complex multisystem genetic disorder, of which characteristic phenotypes include neonatal hypotonia, hyperphagia resulting in obesity, mental retardation, hypogonadism, and behavioral and psychiatric problems. The diagnosis can be obtained as early as during neonatal period thanks to development of genetic testing. Clinical features of PWS will change depending on age, although core phenotypes of hyperphagia, obesity and psychiatric issues stay for lifetime. Therefore, integrated multidisciplinary approach starting from neonatal period is mandatory to ensure optimal management to improve lifelong quality of life. For successful transition from childhood to adulthood, multidisciplinary team need to share clinical information, and should keep the same policy about food, environment and psychiatric issues.
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