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Low nasal bridge
Low nasal bridge


Williams syndrome

Alternative Names:
Williams-Beuren syndrome

Symptoms:
  • 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
  • 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


Signs and tests:
  • prominent lips with an open mouth
  • flattened nasal bridge with small upturned nose
  • 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)
  • 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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