Williams syndrome is a rare genetic disorder that can lead to problems with development.
Causes, incidence, and risk factors
Williams syndrome is a rare condition caused by missing genes. Parents may not have any family history of the condition. However, a person with Williams syndrome has a 50% chance of passing the disorder on to each of his or her children. The cause usually occurs randomly.
Williams syndrome occurs in about 1 in 8,000 births.
One of the 25 missing genes is the gene that produces elastin, a protein that allows blood vessels and other tissues in the body to stretch. It is likely that having only one copy of this gene results in the narrowing of blood vessels seen in this condition.
Delayed speech that may later turn into strong speaking ability and strong learning by hearing
There is no cure for Williams syndrome. Avoid taking extra calcium and vitamin D. Treat high levels of blood calcium, if present. Blood vessel narrowing can be a significant health problem and is treated based on its severity.
Physical therapy is helpful to patients with joint stiffness. Developmental and speech therapy can also help these children (for example, verbal strengths can help make up for other weaknesses). Other treatments are based on a patient's symptoms.
It can help to have treatment coordinated by a geneticist who is experienced with Williams syndrome.
About 75% of those with Williams syndrome have some mental retardation.
Most patients will not live as long as normal, due to complications.
Most patients require full-time caregivers and often live in supervised group homes.
Calcium deposits in the kidney and other kidney problems
Death (in rare cases from anesthesia)
Heart failure due to narrowed blood vessels
Pain in the abdomen
Calling your health care provider
Many of the symptoms and signs of Williams syndrome may not be obvious at birth. Call your health care provider if your child has features similar to those of Williams syndrome. Seek genetic counseling if you have a family history of Williams syndrome.
There is no known way to prevent the genetic problem that causes Williams syndrome. Prenatal testing is available for couples with a family history of Williams syndrome who wish to conceive.
Chad Haldeman-Englert, MD, Wake Forest School of Medicine, Department of Pediatrics, Section on Medical Genetics, Winston-Salem, NC. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.