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Alternative Names:
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| Williams-Beuren syndrome |
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Symptoms:
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- mild-to-moderate mental retardation
- short stature relative to family
- feeding problems including colic, reflux, vomitting (due to low muscle tone and poor gag reflex)
- joint laxity which may progress to stiffness as patient gets older
- developmental delay
- initially delayed speech development may turn into relative loquacious speech later and relatively strong learning by hearing
- distractibility
- learning disorders, for example poor visual-spatial abilities
- blood vessel narrowing including: supravalvular aortic stenosis, pulmonic stenosis, and pulmonary artery stenosis
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pectus excavatum (sunken chest)
- clinodactyly (an inward bend of the small finger)
- personality traits include being overtly friendly, trusting strangers, fear of loud sounds or physical contact, and an affinity for music
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Signs and tests:
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- prominent lips with an open mouth
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flattened nasal bridge with small upturned nose
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epicanthal folds
- long philtrum (midline from upper lip margin to lower nose)
- unusual pattern in iris ("stellate" or star-like)
- partial absence of the teeth, defective tooth enamel, or small, widely-spaced teeth
- heart failure (depending on degree of heart defect)
- high blood calcium level, hypercalcemia, that may cause seizures and muscle rigidity
- hypertension (depending on degree of blood vessel narrowing)
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echocardiography with Doppler (may show blood vessel narrowing)
- periodic blood pressure check
- kidney ultrasound (some patients have renal defects)
- blood test for chromosome deletion that is called a FISH test (genetic defect found in 99% of patients with Williams syndrome)
- far sightedness
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