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ORPHA:904Malformation syndrome
Also called Deletion 7q11.23 · Monosomy 7q11.23 · Williams-Beuren syndrome
What it is
A rare genetic multisystemic neurodevelopmental disorder characterized by a distinct facial appearance, cardiac anomalies (most frequently supravalvular aortic stenosis), cognitive and developmental abnormalities, and connective tissue abnormalities (e.g., joint laxity). Facial dysmorphism is characterized by a broad forehead, bitemporal narrowing, periorbital fullness, stellate and/or lacy iris pattern, short upturned nose with bulbous tip, long philtrum, wide mouth, full lips and mild micrognathia.
Key facts
- Prevalence
- 1-5 / 10 000 (Norway)
- Age of onset
- Antenatal, Neonatal
- Inheritance
- Autosomal dominant
- Classified as
- Malformation syndrome
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%
49- Abdominal pain
- Abnormality of extrapyramidal motor function
- Abnormality of pelvic girdle bone morphology
- Abnormality of speech or vocalization
- Abnormality of the cardiovascular system
- Abnormality of the neck
- Abnormality of the voice
- Abnormal nervous system morphology
- Abnormal social behavior
- Anxiety
- Ataxia
- Blepharophimosis
- Broad forehead
- Coarse facial features
- Depression
- Dysgraphia
- Dysmetria
- Elfin facies
- Epicanthus
- Everted lower lip vermilion
- Failure to thrive in infancy
- Gait disturbance
- Gait imbalance
- High forehead
- High hypermetropia
- Hoarse voice
- Hyperacusis
- Hypercalcemia
- Hyperreflexia
- Intellectual disability
- Involuntary movements
- Long philtrum
- Macroglossia
- Macrotia
- Micrognathia
- Narrow face
- Open bite
- Overfriendliness
- Periorbital edema
- Phonophobia
- Pointed chin
- Posteriorly rotated ears
- Protruding ear
- Short nose
- Short stature
- Thick lower lip vermilion
- Tremor
- Wide mouth
- Wide nasal bridge
Common30–79%
53- Abnormal dental morphology
- Abnormal fingernail morphology
- Abnormality of dental enamel
- Abnormality of the bladder
- Abnormality of the cerebral vasculature
- Arterial stenosis
- Arthralgia
- Attention deficit hyperactivity disorder
- Autism
- Cerebral ischemia
- Chronic otitis media
- Clinodactyly of the 5th finger
- Colonic diverticula
- Compulsive behaviors
- Constipation
- Dental malocclusion
- Down-sloping shoulders
- Elevated circulating creatine kinase concentration
- Genu valgum
- Hallux valgus
- Hypercalciuria
- Hyperlordosis
- Hypertension
- Hypodontia
- Hypoplasia of the zygomatic bone
- Hypoplastic toenails
- Hypotonia
- Inguinal hernia
- Insomnia
- Joint stiffness
- Kyphosis
- Microcephaly
- Microdontia
- Mitral regurgitation
- Mitral valve prolapse
- Nausea and vomiting
- Nystagmus-induced head nodding
- Obesity
- Pelvic kidney
- Peripheral pulmonary artery stenosis
- Pes planus
- Proteinuria
- Pulmonic stenosis
- Redundant skin
- Renal insufficiency
- Renovascular hypertension
- Sacral dimple
- Sensorineural hearing impairment
- Spasticity
- Strabismus
- Stroke
- Supravalvular aortic stenosis
- Visual impairment
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
ICD-10 codes
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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