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Prader-Willi Syndrome with Angelman Syndrome in the Offspring.

Donatella Greco1, Luigi Vetri1, Letizia Ragusa1

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Summary

This case report details a mother with Prader-Willi syndrome (PWS) who had a daughter with Angelman syndrome (AS). It highlights the importance of fertility assessment and sexual education for individuals with PWS.

Keywords:
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Area of Science:

  • Genetics
  • Reproductive Medicine

Background:

  • Prader-Willi syndrome (PWS) and Angelman syndrome (AS) are imprinting disorders affecting chromosome 15.
  • Fertility in women with PWS is often considered low, but cases of pregnancy have been reported.

Observation:

  • A 26-year-old woman with PWS experienced irregular menses but conceived without hormone therapy.
  • Her daughter was diagnosed with AS, while the mother carried a deletion in the 15q11.1-15q13 region on the paternal allele.

Findings:

  • Molecular genetic testing confirmed a ~5.7 Mb deletion in the 15q11.1-15q13 region in both mother and daughter, with differing parental origin.
  • This represents the second reported case of a mother with PWS giving birth to a child with AS.

Implications:

  • This case reaffirms the potential fertility in women with PWS.
  • Highlights the critical need for comprehensive socio-sexual education and fertility evaluations for individuals with PWS to support healthy sexual expression.