Time for a general approval of growth hormone treatment in adults with Prader-Willi syndrome.

Prader-Willi syndrome (PWS) is a complex, multi-system, neurodevelopmental disorder characterised by neonatal muscular hypotonia, short stature, high risk of obesity, hypogonadism, intellectual disabilities, distinct behavioural/psychiatric problems and abnormal body composition with increased body fat and a deficit of lean body mass. Growth hormone (GH) deficiency and other hormone deficiencies are common due to hypothalamic dysfunction. In children with PWS GH treatment has been widely demonstrated to improve body composition, normalise height and improve psychomotor development. In adults with PWS, GH's main effects are to maintain normal body structure and metabolism. The positive effects of GH treatment on body composition, physical fitness and beneficial effects on cardiovascular risk markers, behaviour and quality of life in adults with PWS are also well established from several studies. GH treatment is approved for treatment of children with PWS in many countries, but until recently not as a treatment in young adults in the transition period or for adults in general. In this commentary we want to draw attention to the uneven global use of GH treatment, specifically in adults with PWS, and advocate for GH treatment to be approved internationally, not just for children, but also for adults with PWS and based only on the diagnosis of genetically confirmed PWS

Behaviour management in Prader-Willi syndrome

SIGLEAvailable from British Library Document Supply Centre-DSC:m00/17545 / BLDSC - British Library Document Supply CentreGBUnited Kingdo

Prader-Willi Syndrome Practical ideas to help with weight control

First published December 1991, revised November 1999 and February 2001Available from British Library Document Supply Centre-DSC:m01/26085 / BLDSC - British Library Document Supply CentreSIGLEGBUnited Kingdo

A handbook for parents and carers of adults with Prader-Willi Syndrome

Rev. ed.SIGLEAvailable from British Library Document Supply Centre-DSC:q97/08942 / BLDSC - British Library Document Supply CentreGBUnited Kingdo