“…Physical factors include the association of infantile hypotonia with onset during the intrauterine life (reduced fetal movements), hypogonadism, craniofacial dysmorphism, scoliosis, obesity and short stature [11][12][13]. Patients have characteristic physiological traits (muscular hypotonia, metabolic imbalance, sleep related respiratory problems, excessive daytime sleepiness), associated with psychological traits with various degrees of impairment (tantrums, hyperphagia, obsessive-compulsive behavior, irritability, low frustration threshold, intellectual impairment) [11][12][13][14][15]. Phenotypic changes are the consequence of genetic damage in PWS.…”