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Adult experiences in Beckwith-Wiedemann syndrome
William A Drust1, Alessandro Mussa2,3, Andrea Gazzin3
1Division of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Insights
Beckwith-Wiedemann syndrome (BWS) affects adults, with limited research on their needs. This study surveyed adult BWS patients, highlighting common clinical features and medical issues, and validating patient-reported data.
Area of Science:
- Genetics
- Endocrinology
- Developmental Biology
Background:
- Beckwith-Wiedemann syndrome (BWS) is a complex genetic overgrowth disorder.
- BWS is linked to epigenetic changes on chromosome 11p15.
- Key childhood BWS features include macroglossia, omphalocele, lateralized overgrowth, hyperinsulinism, and embryonal tumors.
Purpose of the Study:
- To describe the clinical features and medical needs of adult patients with Beckwith-Wiedemann syndrome.
- To assess the psychosocial implications of BWS in adults.
- To evaluate the reliability of patient-reported data in BWS research.
Main Methods:
- Descriptive summary of data from two independent adult BWS cohorts.
- A patient-based survey cohort with self-reported health information.
- A medical record-based assessment from an overgrowth registry.
Main Results:
- Identified common clinical features and medical issues in adult BWS populations.
- Highlighted similarities across two large, independent adult BWS cohorts.
- Revealed themes from open-ended survey questions for future qualitative research.
Conclusions:
- Adults with BWS experience distinct clinical challenges and medical issues.
- Patient-reported data is reliable for assessing BWS in adults.
- International collaboration is valuable for BWS research.
Abstract:
Beckwith-Wiedemann syndrome (BWS) is an overgrowth and epigenetic disorder caused by changes on chromosome 11p15. The primary features requiring management in childhood include macroglossia, omphalocele, lateralized overgrowth, hyperinsulinism, and embryonal tumors. Management guidelines have not been developed for adults with BWS and there have been few studies to assess the clinical needs of these patients. Furthermore, there have been few studies on the psychosocial implications of BWS in children or adults. Here, we present a descriptive summary of data gathered from two separate adult BWS cohorts. The first, a patient-based survey cohort, includes self-reported health information and recollections about BWS experiences, while the second provides results of a medical record-based assessment from patients in an overgrowth registry. Results highlight the clinical features and medical issues affecting two large independent cohorts of adults with BWS while noting similarities. Open-ended questions asked of the survey cohort yielded themes to guide future qualitative studies. Finally, the study demonstrated the reliability of patient-reported data and the utility of international partnerships in this context.
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