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Abstract
Nineteen cases of the Prader-Willi syndrome were collected in the San-in district,
in the western part of Japan, and an epidemiological study was carried out. The male
to female ratio was 1:1.11. Deletion of chromosome 15q11–13 was found in seven of
16 patients examined by means of high-resolution chromosome banding. The incidence
among live-births was estimated to be 6.64 × 10−5 (1 in 15 060 live-births) in 1980–1989, and the mutation rate was 3.32 × 10−5 per gene per generation, as determined by a direct method. The prevalence was estimated
to be 5.72 × 10−5 (1 in 17 483) in patients under 15 years old, which was higher than that in other
autosomal dominant diseases (tuberous sclerosis and congenital myotonic dystrophy)
also studied in the San-in district. A birth-order effect was revealed and a slightly
significant difference was found as to the father's age between the patients and their
normal siblings. The results of these two tests are in accord with the recent discovery
that this syndrome is caused by paternal chromosomal aberrations.
Keywords
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Article info
Publication history
Accepted:
April 8,
1995
Received:
September 9,
1994
Identification
Copyright
© 1995 Elsevier Science B.V. All rights reserved. Published by Elsevier Inc.