A FEMALE PATIENT WITH PRADER-WILLI SYNDROME DIAGNOSED IN EARLY INFANCY
The patient was a girl delivered by cesarean section at 36 weeks of gestation. Polyhydramnios was detected in the fetal period, and she had severe muscular hypotonia, a weak cry, and akinesia immediately after delivery. She was treated with non-invasive positive-pressure ventilation, although oxygen...
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Published in | Journal of The Showa University Society Vol. 80; no. 6; pp. 557 - 562 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | Japanese |
Published |
The Showa University Society
2020
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Subjects | |
Online Access | Get full text |
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Summary: | The patient was a girl delivered by cesarean section at 36 weeks of gestation. Polyhydramnios was detected in the fetal period, and she had severe muscular hypotonia, a weak cry, and akinesia immediately after delivery. She was treated with non-invasive positive-pressure ventilation, although oxygen was not required. She had feeding problems owing to the absence of a swallowing reflex. Hence, she required tube feeding. She was a floppy infant, and her symptoms suggested a neuromuscular disease initially. Although she required mechanical ventilation and tube feeding for a long time, her hypotonia improved in a time-dependent manner, and it was a clue for suspecting Prader-Willi syndrome (PWS). In the genetic examination, DNA methylation testing was useful for diagnosis in our patient. Considering the improvement of hypotonia in a time-dependent manner, a final diagnosis of PWS in early infancy was made. |
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ISSN: | 2187-719X 2188-529X |
DOI: | 10.14930/jshowaunivsoc.80.557 |