Nationwide questionnaire data of 229 Williams-Beuren syndrome patients using WhatsApp tool

ABSTRACT Background: Williams-Beuren syndrome is a multisystemic disorder caused by a microdeletion of the 7q11.23 region. Although familial cases with autosomal dominant inheritance have been reported, the vast majority are sporadic. Objective: To investigate the main complaints and clinical find...

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Main Authors: Lucas Vieira Lacerda Pires, Rogério Lemos Ribeiro, Adriana Modesto de Sousa, Bianca Domit Werner Linnenkamp, Sue Ellen Pontes, Maria Cristina Triguero Veloz Teixeira, Debora Maria Befi-Lopes, Rachel Sayuri Honjo, Debora Romeo Bertola, Chong Ae Kim
Format: Article
Language:English
Published: Thieme Revinter Publicações 2021-11-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021001100950&tlng=en
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author Lucas Vieira Lacerda Pires
Rogério Lemos Ribeiro
Adriana Modesto de Sousa
Bianca Domit Werner Linnenkamp
Sue Ellen Pontes
Maria Cristina Triguero Veloz Teixeira
Debora Maria Befi-Lopes
Rachel Sayuri Honjo
Debora Romeo Bertola
Chong Ae Kim
author_facet Lucas Vieira Lacerda Pires
Rogério Lemos Ribeiro
Adriana Modesto de Sousa
Bianca Domit Werner Linnenkamp
Sue Ellen Pontes
Maria Cristina Triguero Veloz Teixeira
Debora Maria Befi-Lopes
Rachel Sayuri Honjo
Debora Romeo Bertola
Chong Ae Kim
author_sort Lucas Vieira Lacerda Pires
collection DOAJ
description ABSTRACT Background: Williams-Beuren syndrome is a multisystemic disorder caused by a microdeletion of the 7q11.23 region. Although familial cases with autosomal dominant inheritance have been reported, the vast majority are sporadic. Objective: To investigate the main complaints and clinical findings of patients with Williams-Beuren syndrome. Methods: A total of 757 parents of patients registered in the Brazilian Association of Williams-Beuren Syndrome (ABSW) received a questionnaire via WhatsApp from March to July 2017. Results: In total, 229 parents answered the survey. Age of diagnosis ranged from 2 days to 34 years (median: 3 years). The main clinical findings reported by the parents were abdominal colic (83.3%), failure to thrive (71.5%), feeding difficulty in the first year (68.9%), otitis (56.6%), urinary tract infections (31.9%), precocious puberty (27.1%) and scoliosis (15.9%). Cardiac defects were present in 66% of patients, and the most frequent defect was supravalvular aortic stenosis (36%). Arterial hypertension was reported in 23%. Hypercalcemia was reported in 10.5% of patients, mainly during the first year of life. Hyperacusis and hypersociability were common complaints (both present in 89%). Other behavioral and neuropsychiatric symptoms reported by the parents included attention deficit (89%), anger crises (83%), excessive fear (66%), depression (64%), anxiety (67%) and hypersexuality (33%). The most common complaints were hypersensitivity to sounds, talkative personality, emotional dependence and learning difficulties. In 98.3%, the parents denied family history. Conclusions: Williams-Beuren syndrome requires close follow-up with different medical specialties due to their variable clinical comorbidities, including language and school learning difficulties, behavioral and psychiatric problems.
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spelling doaj-art-fe3e8f58bf504c5eb436ebb8f960833d2025-08-20T02:04:40ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272021-11-01791195095610.1590/0004-282x-anp-2020-0450Nationwide questionnaire data of 229 Williams-Beuren syndrome patients using WhatsApp toolLucas Vieira Lacerda Pireshttps://orcid.org/0000-0001-8649-976XRogério Lemos Ribeirohttps://orcid.org/0000-0002-6750-8293Adriana Modesto de Sousahttps://orcid.org/0000-0002-4694-7000Bianca Domit Werner Linnenkamphttps://orcid.org/0000-0001-9889-293XSue Ellen Ponteshttps://orcid.org/0000-0003-4867-3987Maria Cristina Triguero Veloz Teixeirahttps://orcid.org/0000-0002-6096-8414Debora Maria Befi-Lopeshttps://orcid.org/0000-0002-8654-832XRachel Sayuri Honjohttps://orcid.org/0000-0002-9223-7341Debora Romeo Bertolahttps://orcid.org/0000-0002-4701-6777Chong Ae Kimhttps://orcid.org/0000-0002-1754-1300ABSTRACT Background: Williams-Beuren syndrome is a multisystemic disorder caused by a microdeletion of the 7q11.23 region. Although familial cases with autosomal dominant inheritance have been reported, the vast majority are sporadic. Objective: To investigate the main complaints and clinical findings of patients with Williams-Beuren syndrome. Methods: A total of 757 parents of patients registered in the Brazilian Association of Williams-Beuren Syndrome (ABSW) received a questionnaire via WhatsApp from March to July 2017. Results: In total, 229 parents answered the survey. Age of diagnosis ranged from 2 days to 34 years (median: 3 years). The main clinical findings reported by the parents were abdominal colic (83.3%), failure to thrive (71.5%), feeding difficulty in the first year (68.9%), otitis (56.6%), urinary tract infections (31.9%), precocious puberty (27.1%) and scoliosis (15.9%). Cardiac defects were present in 66% of patients, and the most frequent defect was supravalvular aortic stenosis (36%). Arterial hypertension was reported in 23%. Hypercalcemia was reported in 10.5% of patients, mainly during the first year of life. Hyperacusis and hypersociability were common complaints (both present in 89%). Other behavioral and neuropsychiatric symptoms reported by the parents included attention deficit (89%), anger crises (83%), excessive fear (66%), depression (64%), anxiety (67%) and hypersexuality (33%). The most common complaints were hypersensitivity to sounds, talkative personality, emotional dependence and learning difficulties. In 98.3%, the parents denied family history. Conclusions: Williams-Beuren syndrome requires close follow-up with different medical specialties due to their variable clinical comorbidities, including language and school learning difficulties, behavioral and psychiatric problems.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021001100950&tlng=enWilliams SyndromeMedical, GeneticsBehaviorMental DisordersPhenotype
spellingShingle Lucas Vieira Lacerda Pires
Rogério Lemos Ribeiro
Adriana Modesto de Sousa
Bianca Domit Werner Linnenkamp
Sue Ellen Pontes
Maria Cristina Triguero Veloz Teixeira
Debora Maria Befi-Lopes
Rachel Sayuri Honjo
Debora Romeo Bertola
Chong Ae Kim
Nationwide questionnaire data of 229 Williams-Beuren syndrome patients using WhatsApp tool
Arquivos de Neuro-Psiquiatria
Williams Syndrome
Medical, Genetics
Behavior
Mental Disorders
Phenotype
title Nationwide questionnaire data of 229 Williams-Beuren syndrome patients using WhatsApp tool
title_full Nationwide questionnaire data of 229 Williams-Beuren syndrome patients using WhatsApp tool
title_fullStr Nationwide questionnaire data of 229 Williams-Beuren syndrome patients using WhatsApp tool
title_full_unstemmed Nationwide questionnaire data of 229 Williams-Beuren syndrome patients using WhatsApp tool
title_short Nationwide questionnaire data of 229 Williams-Beuren syndrome patients using WhatsApp tool
title_sort nationwide questionnaire data of 229 williams beuren syndrome patients using whatsapp tool
topic Williams Syndrome
Medical, Genetics
Behavior
Mental Disorders
Phenotype
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021001100950&tlng=en
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