Skin picking and Prader-Willi syndrome.

Authors

  • Lucy García
  • Carolina Concha

Keywords:

obesity, self-mutilation, acanthosis nigricans, hyperphagia

Abstract

We report the case of an 18 year old woman with Prader-Willi syndrome who had mental health and behavioral problems, such as skin-picking and compulsive behaviors, also obesity, hypogonadism, short stature, small hands, and “almondshaped” eyes. She had a history of hypotonia and a voracious appetite. The Prader-Willi syndrome is a rare congenital disorder, nonhereditary, that affects 1 in 10,000 to 25000 newborn children. This syndrome results from alterations in expression of paternal genes (imprinted) located on chromosome 15q11-13. It is characterized by hypotonia, development deficit, in the behavior disorders, obesity, insatiable appetite, hypogonadism, characteristic facies, short stature and cutaneous manifestations.

Author Biographies

Lucy García

Médica dermatóloga, M.Sc. en Ciencias Básicas Médicas; docente, Sección de Dermatología, Universidad del Valle, Cali, Colombia

Carolina Concha

Médica, residente tercer año, Sección de Dermatología, Universidad del Valle, Cali, Colombia

References

1. Prader A, Labhart A, Willi H. Ein Syndrom von adipositas, kryptorchismus und oligophrenie nach myatonieartigem zustand im neugeborenenalter. Schweiz Med Wochenschr. 1956;86:1260-1.
2. Ledbetter DH, Riccardi VM, Airhart SD, Strobel RJ, Keenen SB, Crawford JD. Deletions of chromosome 15 as a cause of the Prader-Willi syndrome. N Engl J Med. 1981;304:325-9.
3. Nicholls RD, Knoll JHM, Butler MG, Karam S, Lalande M. Genetic imprinting suggested by maternal heterodisomy in nondeletion Prader-Willi syndrome. Nature. 1989;342:281-5.
4. Holm VA, Cassidy SB, Butler MG, Hanchett JM, Greenswag LR, Whitman BY, Greenberg F. Prader-Willi syndrome: consensus diagnostic criteria. Pediatrics. 1993;91:398-402.
5. Goldstone AP. Prader-Willi syndrome: advances in genetics, pathophysiology and treatment. Trend Endocrinol Metab. 2004;15:12-20.
6. Lin HY, Lin SP, Tsai LP, Chao MC, Chen MR, Chuang CK, Huang CY, Tsai FJ, Chou IC, Chiu PC, Huang CH, Yen JL, Lin JL, Kuo PL. Effects of growth hormone treatment on height, weight, and obesity in Taiwanese patients with Prader-Willi syndrome. J Chin Med Assoc. 2008;71:305-9.
7. Soni S, Whittington J, Holland AJ, Webb T, Maina E, Boer H, Clarke D. The course and outcome of psychiatric illness in people with Prader-Willi syndrome: implications for management and treatment. J Intellect Disabil Res. 2007;51:32-42.
8. Lochner CH, Daphne S, Nehaus D, Stein D. Trichotillomania and skin-picking: a phenomenological comparison. Depress and Anxiety. 2002;15:83-6.
9. Bloch M, Elliot M, Thompson H, Koran L. Fluoxetine in pathologic skin picking. Psychosomatics. 2001;42:314-9.
10. Cassidy SB, Driscoll DJ. Prader Willi Syndrome. Eur J Hum Genet. 2009;17:3-13.

How to Cite

1.
García L, Concha C. Skin picking and Prader-Willi syndrome. rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 2019 Feb. 27 [cited 2026 Mar. 15];18(3):178-81. Available from: https://revistaasocoldermaorgco.biteca.online/index.php/asocolderma/article/view/332

Downloads

Download data is not yet available.

Published

2019-02-27

How to Cite

1.
García L, Concha C. Skin picking and Prader-Willi syndrome. rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 2019 Feb. 27 [cited 2026 Mar. 15];18(3):178-81. Available from: https://revistaasocoldermaorgco.biteca.online/index.php/asocolderma/article/view/332
Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views