Table 1.
Characteristics | Patient 1 | Patient 2 |
---|---|---|
Demographics |
|
|
Sex |
M |
M |
Age (yr; mo) |
17;6 |
19;2 |
Age autistic disorder reported by a professional (yr; mo) |
0;11 |
2;11 |
Age at referral to an autism center (yr; mo) |
3;6 |
5;9 |
Age at WBS diagnosis (yr; mo) |
17;6 |
19;2 |
Clinical genetic examination and physical features |
|
|
Birth height |
45 cm |
48 cm |
Birth weight |
1,680 g |
3,080 g |
Birth head circumference |
30 cm |
33.5 cm |
Current height |
160 cm |
161 cm |
Current weight |
44.2 kg |
47 kg |
Current head circumference |
50 cm |
53 cm |
Heart defectb |
Mild PS |
None |
Infantile hypercalcemia |
No |
No |
Kidney abnormalities |
None |
None |
Developmental anomalies |
Bilateral inguinal hernia and ectopic testis |
Bilateral inguinal hernia and cutaneous cysts |
Facial dysmorphism |
Typical WBS features |
Typical WBS features |
Walkingc |
Unstable |
Unstable |
Neurological examination | Unremarkable | Brisk reflexes |
aPS pulmonary stenosis, WBS Williams-Beuren syndrome. bFor patient 1, a heart murmur was detected at 3 weeks old, and the diagnosis of mild PS was made by cardiologists; for patient 2, a systolic heart murmur was detected at 1 year old, but there was no heart defect. cPatient 1 had an abnormal gait, needed assistance to maintain balance when standing upright and required hand-holding when walking uphill or downhill; patient 2 also had balance disturbances and an abnormal gait (head forward and bent back like his father and brother).