Skip to main content
Log in

Statural growth in Williams-Beuren syndrome

  • Medical Genetics
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

The spontaneous growth of 165 patients (75 girls and 90 boys) with Williams-Beuren syndrome was analysed in a mixed longitudinal and cross-sectional manner. Mean (±1 SD) length at birth was 48.2±2.6 cm in girls (n=52) and 49.0±3.0 cm in boys (n=65). Intrauterine growth retardation (length below −2 SD of the normal population) was present in 35% of the girls and 22% of the boys. Poor growth was noted during the first 2 years of life. Until age 9 years in girls and 11 years in boys, mean growth followed the 3rd percentile. A pubertal growth spurt with normal growth rate was seen at age 10 years in girls and 13 years in boys, i.e. 1 to 2 years earlier than normal. Menarche also occurred earlier than normal at a mean age of 11.6±1.5 years (n=28). Mean adult height was 153.9±6.9 cm in girls (n=17) and 168.2±6.9 cm in boys (n=27), approximately corresponding to the 3rd percentile in both sexes and correlating with the genetic height potential (target height). The mean deficit of adult height compared to target height was 10.2 cm in girls and 9.1 cm in boys. Skeletal development progressed at an approximately normal rate in both sexes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Abbreviations

WBS:

Williams-Beuren syndrome

References

  1. Brandt I (1980) Perzentilenkurven für das Längenwachstum. Bei Früh- und Reifgeborenen in den ersten fünf Lebensjahren. Der Kinderarzt 11:43–51

    Google Scholar 

  2. Brandt I (1986) Growth dynamics of low-birth-weight infants with emphasis on the perinatal period. In: Falkner F, Tanner JM (eds) Human growth. A comprehensive treatise, 2nd edn, Vol 1. Plenum Press, New York, pp 415–475

    Google Scholar 

  3. Brandt I, Reinken L (1988) Die Wachstumsgeschwindigkeit gesunder Kinder in den ersten 16 Lebensjahren: Longitudinale Entwicklungsstudie Bonn-Dortmund. Klin Pädiatr 200:451–456

    Google Scholar 

  4. Gorlin RJ, Cohen MM, Levin LS (1990) Syndromes of the head and neck. Oxford University Press, Oxford, pp 143–148

    Google Scholar 

  5. Greulich WW, Pyle SI (1966) Radiographic atlas of skeletal development of the hand and wrist. Stanford University Press, Stanford

    Google Scholar 

  6. Grimm T, Wesselhoeft H (1980) Zur Genetik des Williams-Beuren-Syndroms und der isolierten Form der supravalvulären Aortenstenose (Untersuchungen von 128 Familien). Z Kardiol 69: 168–172

    Google Scholar 

  7. Jones KL, Smith DW (1975) The Williams elfin facies syndrome. J Pediatr 86: 718–723

    Google Scholar 

  8. Largo RH, Prader A (1983) Pubertal development in Swiss boys. Helv Paediatr Acta 38: 211–228

    Google Scholar 

  9. Largo RH, Prader A (1983) Pubertal development in Swiss girls. Helv Paediatr Acta 38: 229–243

    Google Scholar 

  10. Martin NDT, Snodgrass GJAJ, Cohen RD (1984) Idiopathic infantile hypercalcemia — a continuing enigma. Arch Dis Child 59: 605–613

    Google Scholar 

  11. McKusick VA (1990) Mendelian inheritance in man. Catalogs of autosomal dominant, autosomal recessive, and X-linked phenotpyes, 9th edn. The Johns Hopkins University Press, Baltimore, pp 781–797

    Google Scholar 

  12. Molinari L, Largo RH, Prader A (1980) Analysis of the growth spurt at age seven (mid-growth spurt). Helv Paeditr Acta 35: 325–334

    Google Scholar 

  13. Morris CA, Demsey SA, Leonard CO, Dilts C, Blackburn BL (1988) Natural history of Williams syndrome: physical characteristics. J Pediatr 113: 318–326

    Google Scholar 

  14. Morris CA, Leonard CO, Dilts C, Demsey SA (1990) Adults with Williams syndrome. Am J Med Genet [Suppl 6]: 192–207

    Google Scholar 

  15. Pagon RA, Bennett FC, LaVeck B, Stewart KB, Johnson J (1987) Williams syndrome: Features in late childhood and adolescence. Pediatrics 80: 85–91

    Google Scholar 

  16. Preus M (1984) The Williams syndrome: objective definition and diagnosis. Clin Genet 25: 422–428

    Google Scholar 

  17. Ranke MB (1989) Disease-specific growth charts — do we need them? Acta Paediatr Scand [Suppl] 356: 17–25

    Google Scholar 

  18. Ranke MB, Pflüger H, Rosendahl W, Enders H, Bierich JR, Majewski F (1983) Turner syndrome: spontaneous growth in 150 cases and review of the literature. Eur J Pediatr 141: 81–88

    Google Scholar 

  19. Reinken L, Stolley H, Droese W, Oost G van (1980) Longitudinale Körperentwicklung gesunder Kinder. II. Größe, Gewicht, Hautfettfalten von Kindern im Alter von 1.5 bis 16 Jahren. Klin Pädiatr 192: 25–33

    Google Scholar 

  20. Tanner JM, Goldstein H, Whitehouse RH (1970) Standards for children's height at ages 2 to 9 years, allowing for height of parents. Arch Dis Child 45: 755–762

    Google Scholar 

  21. Udwin O (1990) A survey of adults with Williams syndrome and idiopathic infantile hypercalcaemia. Dev Med Child Neurol 32: 129–141

    Google Scholar 

  22. White RA, Preus M, Watters GV, Fraser FC (1977) Familial occurrence of the Williams syndrome. J Pediatr 91: 614–616

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pankau, R., Partsch, C.J., Gosch, A. et al. Statural growth in Williams-Beuren syndrome. Eur J Pediatr 151, 751–755 (1992). https://doi.org/10.1007/BF01959084

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01959084

Key words

Navigation