A Case Of Prader-Willi Syndrome With Behavioural Disturbances: A Successful Multidisciplinary Management Approach / Nor Jannah Nasution Raduan ... [et al.]

• Main Authors: Nasution Raduan, Nor Jannah Nasution Raduan, Salleh, Mohd Razali, Bahar, Norharlina, Md Tahir, Mohd Faiz, Md Rosli, Najwa Hanim
• Format: Article
• Language: English
• Published: Universiti Teknologi MARA Cawangan Selangor 2020
• Subjects: RC Internal Medicine; RJ Pediatrics; Physiology of children and adolescents; Diseases of children
• Online Access: http://ir.uitm.edu.my/id/eprint/44156/1/44156.pdf; http://ir.uitm.edu.my/id/eprint/44156/; https://jchs-medicine.uitm.edu.my/index.php
• Institution: Universiti Teknologi Mara

Prader-Willi Syndrome (PWS) is a genetically determined neurodevelopmental disorder occurring in 1 in 15,000 births. PWS is a rare case in Malaysia and a successful approach to its management has not been well reported here. We present a case of a 13-year-old boy with Prader-Willi Syndrome with prominent behavioural disturbances characterised by temper tantrums, compulsive food intake, stubbornness, stealing and impulsivity further complicated by underlying morbid obesity, poorly controlled type 2 diabetes mellitus, hypertension, dyslipidaemia, obstructive sleep apnoea syndrome and intellectual disability. Multidisciplinary approach involving child and adolescent psychiatrist, occupational therapist, counsellor, family therapist, endocrinologist and dietician has shown to improve the patient’s weight, glucose and blood pressure control and most importantly the behavioural disturbances.