Williams Syndrome in a 4 years old infant

Authors

Abstract

We present the clinical case of a 4-year-old infant with no family history of genetic diseases. He was assisted in several consultations and was indicated for complementary studies for gastroesophageal reflux, congenital heart disease, strabismus, delayed psychomotor development, hyperactivity, inattention, language delay, and facial dysmorphisms. Due to these characteristics, he was referred to a Clinical Genetics specialist, where a comprehensive dysmorphological examination was performed. A genetic syndrome was suspected, which was confirmed by a molecular cytogenetic study using fluorescence hybridization. The results were positive, leading to a definitive diagnosis of Williams syndrome. This allowed for appropriate counseling for this family.

Downloads

Download data is not yet available.

Author Biography

Elayne Esther Santana Hernández, Sociedad científica de medicina familiar.Sociedad científica de Genética Humana.Centro provincial de Genética Holguín

Máster en Atención Integral al Niño.

Especialista de Primer y Segundo Grado en Medicina General Integral.

Especialista de Primer y Segundo Grado en Genética Clínica.

Investigador Agregado.

Profesor Auxiliar

References

1.Twite MD, Stenquist S, Ing RJ. Williams syndrome. Paediatr Anaesth. 2019 [citado 18/01/24];29(5):483-90. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30811742/

2.Collins RT 2nd. Cardiovascular disease in Williams syndrome. Curr Opin Pediatr. 2018[citado 18/01/24];30(5):609-15. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30045083/

3. Kozel BA, Barak B, Ae Kim Ch, B Mervis C, R Osborne L, Porter M, et al. Williams syndrome. Nat Rev Dis Primers. 2021[citado 30/01/24];7(1):43. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC9437774/

4.Thom RP, Pober BR, McDougle CJ. Psychopharmacology of Williams syndrome: safety, tolerability, and effectiveness. Expert Opin Drug Saf. 2021[citado 30/01/24];20(3):293-06. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33369485/

5.Royston R, Waite J, Howlin P. Williams syndrome: recent advances in our understanding of cognitive, social and psychological functioning. Curr Opin Psychiatry. 2019[citado 10/01/24];32(2):60-6. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30557270/

6. Stanley TL, Leong A, Pober BR. Growth, body composition, and endocrine issues in Williams syndrome. Curr Opin Endocrinol Diabetes Obes. 2021[citado 31/01/24];28(1):64-74. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC8130831/

7.Nassisi M, Mainetti C, Aretti A, Sperti A, Nicotra V, Rinaldi B, et al. Ocular features in Williams-Beuren syndrome: a review of the literature. Curr Opin Ophthalmol. 2023[citado 30/01/24];34(6):514-21. Disponible en: https://pubmed.ncbi.nlm.nih.gov/37589562/

8. Thom RP, Balaj K, Keary CJ, Pober BR, McDougle CJ. Functional neurological symptom disorder in Williams syndrome: Case Series and Review of Relevant Literature. J Acad Consult Liaison Psychiatry. 2022[citado 10/01/24];63(2):170-79. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34619410/

9.Yu E, Feinn R, Bona R, Brink B, Sindhar S, Kozel BA, Pober BR. Mild macrocytosis in Williams-Beuren syndrome. Eur J Med Genet. 2020[citado 30/01/24];63(3):103740. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31419598/

10.Thom RP. Psychiatric and behavioral manifestations of Williams syndrome. Curr Opin Psychiatry. 2024[citado 31/03/25];37(2):65-70. Disponible en: https://pubmed.ncbi.nlm.noh.gov

Published

2025-10-25

How to Cite

1.
Santana Hernández EE, Labrada García M, Rubio Rojas IE. Williams Syndrome in a 4 years old infant. MEDISAN [Internet]. 2025 Oct. 25 [cited 2026 Mar. 12];29:e4937. Available from: https://medisan.sld.cu/index.php/san/article/view/4937

Issue

Section

Case Reports