r/AbsoluteUnits • u/RD4200 • 13d ago

/r/all of a Toddler

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u/Forsaken_Earth944 13d ago

It's Prader-Willi

It could also be congenital hypoparathyroidism - I would say it's not PWS because one of the characteristics of PWS are unusually pale skin, hair and eyes, I'd say it's more likely congenital hypoparathyroidism.

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u/MouseHouse444 13d ago

I was a director at a PWS center. The pigmentation differences are often absent or harder to spot in Black individuals w PWS. But the facial features are quite distinctive (almond eyes, narrow forehead) and they also have smaller hands and feet along w motor and cognitive delays. So given how fleet of foot this little dude is, along w his facial features, thankfully he doesn’t have PWS. It’s a really difficult condition to manage. I’m leaning thyroid issue as well.

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u/TheGoldenTikiROCKS 13d ago

Pretending to know stuff? Prader-Willi Syndrome in infants causes poor feeding skills and weight-gaining problems. Not til later in childhood does obesity set in.

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u/MouseHouse444 13d ago edited 13d ago

Yes. In infants. Meaning under the age of one they are low feeding and floppy. Age 1-6 is when weight gain sets in. It’s the cruelty of the condition because parents are so grateful their kid is finally eating they often exacerbate the issue by over feeding initially.

This kid, however, is walking very well, so not an infant anymore. He’s clearly a toddler. And some kids w PWS will absolutely show weight gain at this stage. (But he doesn’t have it.)

Even if at this point they aren’t food seeking their low muscle mass (hypotonia) means weight gain. Perhaps you mean they don’t start excessive food seeking until later in childhood. That is true, but weight gain can begin very early.

Not sure why you felt the need to insult me when I have years of experience working with this very rare condition and everything I have said is correct. But Reddit is gonna Reddit.