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ORPHA:739Disease
Also called Prader-Labhart-Willi syndrome
What it is
A rare genetic, neurodevelopmental syndrome characterized by hypothalamic-pituitary dysfunction with severe hypotonia and feeding deficits during the neonatal period followed by an excessive weight gain period with hyperphagia with a risk of severe obesity during childhood and adulthood, learning difficulties, deficits of social skills and behavioral problems or severe psychiatric problems.
Key facts
- Prevalence
- 1-9 / 100 000 (Europe)
- Age of onset
- Antenatal, Neonatal
- Inheritance
- Autosomal dominant, Not applicable
- Classified as
- Disease
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Very common80–99%
10Common30–79%
54- Abdominal obesity
- Abnormal facial shape
- Abnormality of the dentition
- Abnormal rapid eye movement sleep
- Accelerated skeletal maturation
- Attention deficit hyperactivity disorder
- Atypical behavior
- Brain imaging abnormality
- Central sleep apnea
- Clitoral hypoplasia
- Decreased circulating gonadotropin level
- Decreased fetal movement
- Decreased response to growth hormone stimulation test
- Decreased testicular size
- Delayed puberty
- Delayed speech and language development
- Dental crowding
- Edema
- Enamel hypoplasia
- Erysipelas
- External genital hypoplasia
- Failure to thrive
- Gastroparesis
- Hypermetropia
- Hypogonadism
- Hypopigmentation of hair
- Hypopigmentation of the skin
- Hypoplastic labia majora
- Hypoplastic labia minora
- Hyporeflexia
- Impaired temperature sensition
- Increased susceptibility to fractures
- Intellectual disability, borderline
- Intellectual disability, mild
- Myopia
- Obstructive sleep apnea
- Osteopenia
- Osteoporosis
- Periodontitis
- Perisylvian polymicrogyria
- Polyphagia
- Poor suck
- Primary amenorrhea
- Recurrent respiratory infections
- Reduced circulating growth hormone concentration
- Scoliosis
- Short foot
- Small hand
- Small pituitary gland
- Small scrotum
- Specific learning disability
- Strabismus
- Ventriculomegaly
- Weak cry
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Genes reported in subtypes
Orphanet records these genes on 3 more specific entries under this disorder, not on this entry itself:
A well-studied disease is usually split into subtypes, and the gene is curated on whichever one the evidence belongs to. Open a subtype to see which gene goes with it.
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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