Genetic Disorders

Angelman Syndrome

안젤만증후군

Maternal 15q11-q13 deletion or paternal UPD - happy demeanor, seizures, developmental delay (imprinting)

How common
Rare but important
Typical age
Often pediatric/young adult onset

What is it?

Genetic cause and core pathophysiology of Angelman Syndrome (Imprinting disorder (maternal 15q11-q13 deletion)).

Commonly affected: brain

How it develops

  1. Genetic mutationImprinting disorder (maternal 15q11-q13 deletion) pattern mutation
  2. Protein/enzyme defectDefective protein loses normal function
  3. Cellular consequenceTissue-specific changes occur in brain
  4. Clinical manifestationCharacteristic clinical features appear

Symptoms

  • Characteristic featuresClassic Angelman Syndrome presentation
  • Organ-specific complicationsbrain involvement
  • Progressive courseMay worsen over time

How it is examined

  • History + pedigreeConfirm inheritance pattern
  • Physical examIdentify specific phenotype
  • Genetic testing (confirmatory)Confirm Imprinting disorder (maternal 15q11-q13 deletion) mutation

Imaging

Imaging of affected organ as indicated.

  • Disease-specific findings

MRI/CT to assess organ involvement when needed.

  • Organ involvement

Non-surgical care

  • Genetic counselingPatient + family counseling, prenatal options
  • Symptomatic careTargeted symptom management
  • Multidisciplinary follow-upCoordinate specialist care
  • Enzyme/protein replacement (if applicable)ERT or analogous therapies

Conservative options are generally tried first. Medications listed here can have side effects — discuss them with your prescriber.

When surgery is considered

For complications or targeted therapy

Procedures that may be discussed

  • Targeted pharmacotherapy (if available)
  • Gene therapy (if available)
  • Surgery for complications

Outlook

Early diagnosis and management improve quality of life.

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