Definition
Beckwith-Wiedemann syndrome is a consistent grouping of findings of unknown
etiology (cause) and characterized by a large tongue (
macroglossia), large organs (
visceromegaly) and large body size (
macrosomia),
umbilical hernia or
omphalocele (hernia of the navel), and
low blood sugar in the newborn (neonatal
hypoglycemia).
Causes
The cause of Beckwith-Wiedemann syndrome is unknown, but it appears to be genetic. Some cases may be associated with a defect in chromosome number 11.
Affected children are often large at birth. Many have an abdominal wall defect, such as an umbilical hernia or omphalocele. They have a characteristic facial appearance with a gaping mouth and large tongue.
Infancy can be a critical period because of low blood sugar (hypoglycemia), omphalocele (when present), and an increased rate of tumor development (Wilm's tumor and adrenal carcinoma being most common).