{"id":4754,"date":"2025-09-09T15:24:44","date_gmt":"2025-09-09T13:24:44","guid":{"rendered":"https:\/\/www.pezz.ch\/?page_id=4754"},"modified":"2026-04-21T12:42:25","modified_gmt":"2026-04-21T10:42:25","slug":"syndrome","status":"publish","type":"page","link":"https:\/\/www.pezz.ch\/fr\/fuer-familien\/syndrome\/","title":{"rendered":"Syndromes"},"content":{"rendered":"<div class=\"brz brz-root__container brz-reset-all brz-root__container-page\">\n<section id=\"wachstum-kopfbild\" data-brz-id=\"b3fnQC14Esqn_b3fnQC14Esqn\" class=\"brz-section brz-css-d-section brz-css-1pibej2\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-q10vwo\" data-brz-custom-id=\"qoG5ae_wAadX\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-image\"><\/div>\n<div class=\"brz-bg-shape brz-bg-shape__bottom\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-lxt1sf\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-r-wrapper brz-css-5kgyep brz-wrapper\">\n<div class=\"brz-spacer brz-css-d-spacer brz-css-1bhssf1\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"syndrome\" data-brz-id=\"maJrR08rmmPm_maJrR08rmmPm\" class=\"brz-section brz-css-d-section brz-css-1eed9sm\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-sectionitem-bg brz-css-1etitc0\" data-brz-custom-id=\"lKyW62t5peXD\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-y9qbpg\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-zv3ezu brz-wrapper\">\n<div class=\"brz-wp__breadcrumbs brz-css-d-wpbreadcrumbs brz-css-v1gal3\" data-brz-custom-id=\"iutYG5RKXixD\">\n<div style=\"min-height:20px\"><\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-mne329 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-uhaa7s\" data-brz-custom-id=\"cWErFpXtvq9C\">\n<div data-brz-translate-text=\"1\">\n<h1 class=\"brz-tp-lg-heading1 brz-css-y0XUg\" data-uniq-id=\"posfN\" data-generated-css=\"brz-css-w8xsF\"><span class=\"brz-cp-color8\">SYNDROMES<\/span><\/h1>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-nd7axh\" data-brz-custom-id=\"jbleIjB1CETP\">\n<div class=\"brz-row brz-css-d-row-container brz-css-r-row-container brz-css-zy8pr6\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-1kin042\" data-brz-custom-id=\"htTa2EJZ1aLx\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-15bav41\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-xzwwqt brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-a4roqd\" data-brz-custom-id=\"tXh7EMaC5TrE\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_4 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-28 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-heading3 brz-css-hcOyc\" data-generated-css=\"brz-css-fKq6K\" data-uniq-id=\"la7AQ\"><span class=\"brz-underline-true brz-cp-color8\">SYNDROMES AVEC TROUBLES HORMONAUX<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-1umpyz2\" data-brz-custom-id=\"ysQ4jv8v9ctD\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1jc0cj3\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1p2f5f9 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1cb7v0g\" data-brz-custom-id=\"qC5JTReSlCqA\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-rgOsP\" data-generated-css=\"brz-css-tqT1N\" data-uniq-id=\"n9B92\"><span class=\"brz-cp-color8\">Il existe des centaines de syndromes diff\u00e9rents.<\/span><\/p>\n<p class=\"brz-tp-lg-paragraph brz-css-ntxIm\" data-generated-css=\"brz-css-kOPFA\" data-uniq-id=\"xzy3O\"><span class=\"brz-cp-color8\"> <\/span><\/p>\n<p class=\"brz-tp-lg-paragraph brz-css-i_sBv\" data-generated-css=\"brz-css-ga2B6\" data-uniq-id=\"a8RI6\"><span class=\"brz-cp-color8\">Nous nous concentrons ici sur les syndromes fr\u00e9quents associ\u00e9s \u00e0 des troubles hormonaux.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"hUKoWN3LecCd_hUKoWN3LecCd\" class=\"brz-section brz-css-d-section brz-css-1yxjkhw\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-1bdgnjp\" data-brz-custom-id=\"ygh0oqcbo5Zx\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-yenjl7\">\n<div class=\"brz-row__container brz-css-d-row-row brz-css-1qe0e7s\" data-brz-custom-id=\"mp6TLvguFRdw\">\n<div class=\"brz-row brz-css-d-row-container brz-css-r-row-container brz-css-nkpywq\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-1riqbrh\" data-brz-custom-id=\"yWELJLN0bxpt\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-11y3ikx\">\n<div class=\"brz-row__container brz-css-d-row-row brz-css-116vbmf\" data-brz-custom-id=\"chdRZ9g5S6tc\">\n<div class=\"brz-row brz-row--inner brz-css-d-row-container brz-css-r-row-container brz-css-11uw6b1\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-14q32oy\" data-brz-custom-id=\"mVKhGkyJy63n\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-12mccec\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-16qkhod brz-wrapper menu-tab-left\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-jqe769\" data-brz-duration=\"300\" data-brz-custom-id=\"hjUKLzyJ022p\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">MENU TAB<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-uh7g6c brz-wrapper\">\n<div class=\"brz-menu__container brz-css-d-menu-menu-container brz-css-u806hr\" data-brz-custom-id=\"uEYnzgGedIDG\">\n<nav data-mods=\"%7B%22desktop%22%3A%22horizontal%22%2C%22tablet%22%3A%22horizontal%22%2C%22mobile%22%3A%22horizontal%22%7D\" class=\"brz-menu brz-menu__preview brz-css-d-menu-menu brz-css-sioj35\">\n<ul class=\"brz-menu__ul\" data-menu-items-active=\"\">\n<li data-menu-item-id=\"9bae4c643233a316ed03c0fcf92fe54c\" class=\"brz-menu__item menu-item menu-item-type-custom menu-item-object-custom\"><a class=\"brz-a\" target=\"\" href=\"\/fr\/fuer-familien\/syndrome\/#turner\" title=\"\"><span class=\"brz-span\">Syndrome de Turner<\/span><\/a><\/li>\n<li data-menu-item-id=\"14f448c5202716ecf92c49eaf8959142\" class=\"brz-menu__item menu-item menu-item-type-custom menu-item-object-custom\"><a class=\"brz-a\" target=\"\" href=\"\/fr\/fuer-familien\/syndrome\/#sga-mangelgeburt\" title=\"\"><span class=\"brz-span\">Naissance SGA<\/span><\/a><\/li>\n<li data-menu-item-id=\"4be9d23fc97d2c90200d24b049c3efff\" class=\"brz-menu__item menu-item menu-item-type-custom menu-item-object-custom\"><a class=\"brz-a\" target=\"\" href=\"\/fr\/fuer-familien\/syndrome\/#prader-willi\" title=\"\"><span class=\"brz-span\">Syndrome de Prader-WIlli<\/span><\/a><\/li>\n<li data-menu-item-id=\"63aebfeedcf24d76b4391004dbf6ddd9\" class=\"brz-menu__item menu-item menu-item-type-custom menu-item-object-custom\"><a class=\"brz-a\" target=\"\" href=\"\/fr\/fuer-familien\/syndrome\/#noonan\" title=\"\"><span class=\"brz-span\">Syndrome de Noonan<\/span><\/a><\/li>\n<li data-menu-item-id=\"805ff24c7c59046d6af6a06d53b1f9f6\" class=\"brz-menu__item menu-item menu-item-type-custom menu-item-object-custom\"><a class=\"brz-a\" target=\"\" href=\"\/fr\/fuer-familien\/syndrome\/#kallmann\" title=\"\"><span class=\"brz-span\">Syndrome de Kallmann<\/span><\/a><\/li>\n<li data-menu-item-id=\"a58b0b03a808e94603fd1c64e341deeb\" class=\"brz-menu__item menu-item menu-item-type-custom menu-item-object-custom\"><a class=\"brz-a\" target=\"\" href=\"\/fr\/fuer-familien\/syndrome\/#klinefelter\" title=\"\"><span class=\"brz-span\">Syndrome de Klinefelter<\/span><\/a><\/li>\n<\/ul>\n<\/nav>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-5b4ptm\" data-brz-custom-id=\"pCW_Wy_YEorm\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-130jduy\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-r-wrapper brz-css-bok1ws brz-wrapper\">\n<div class=\"brz-spacer brz-css-d-spacer brz-css-y6gcqy\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"turner\" data-brz-id=\"g5Yx_UqHqSOi_g5Yx_UqHqSOi\" class=\"brz-section brz-css-d-section brz-css-9z3edh\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-jqzpnl\" data-brz-custom-id=\"qdQ_li9mLMdg\">\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-18dshsk\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1s158f3 brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-q90xgfo593eq-parent brz-css-72g3vb\" data-brz-custom-id=\"q90xGFo593eQ\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/11\/pezz-adoleszentenmedizin-01.webp\" loading=\"lazy\" title=\"Arzt spricht mit der jungen Patientin.\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"turner-syndrom-info\" data-brz-id=\"ptBZHMP893dH_ptBZHMP893dH\" class=\"brz-section brz-css-d-section brz-css-1mbyy8v\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-sectionitem-bg brz-css-q7exi0\" data-brz-custom-id=\"hdgasdDGFPFc\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-17uhcwc\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-147d410 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-jt7vdv\" data-brz-custom-id=\"ctwd2p_GnY9r\">\n<div data-brz-translate-text=\"1\">\n<h2 class=\"brz-text-xs-left brz-ff-qKYqBgi9lfgW brz-ft-upload brz-fs-lg-70 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1 brz-vfw-lg-600 brz-fwdth-lg-100 brz-fsft-lg-0 brz-mb-lg-0 brz-mb-sm-0 brz-mb-xs-0 brz-tp-lg-heading2 brz-text-lg-left brz-css-bDs_S\" data-generated-css=\"brz-css-b9Vib\" data-uniq-id=\"hrMYE\"><span class=\"brz-cp-color8\">SYNDROME DE TURNER CHEZ LES FILLES<\/span><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-1qd146w\" data-brz-custom-id=\"kCYmLmVL3EA2\">\n<div class=\"brz-row brz-css-d-row-container brz-css-1spljy3\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-47xa7k\" data-brz-custom-id=\"tthFVqUervjt\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1xc3rzw\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1nw26dn brz-wrapper book-tab\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-17sshgz\" data-brz-duration=\"300\" data-brz-custom-id=\"vIa_XICSAqWx\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">BUCH TAB<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-19dfmwn brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-sqpjee\" data-brz-custom-id=\"nmeEDOg3PoXL\">\n<div data-brz-translate-text=\"1\">\n<p data-uniq-id=\"zu6B5\" data-generated-css=\"brz-css-qbs5O\" class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-yW7Hj\"><span class=\"brz-cp-color8\">Pour de plus amples informations, nous renvoyons \u00e9galement \u00e0 la brochure \u00ab Le syndrome de Turner et ses visages \u00bb, r\u00e9alis\u00e9e en collaboration avec le PEZZ, le groupe d\u2019entraide pour le syndrome de Turner en Suisse et la soci\u00e9t\u00e9 Novo Nordisk Pharma AG Suisse.<\/span><\/p>\n<p data-uniq-id=\"sxoMY\" data-generated-css=\"brz-css-wgXrM\" class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-uXpru\"><a class=\"link--external brz-cp-color1\" href=\"https:\/\/www.turner-syndrom.ch\" data-brz-link-type=\"external\" target=\"_blank\" rel=\"noreferrer noopener\">www.turner-syndrom.ch <\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-11qx9l2 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1xui47g\" data-brz-custom-id=\"kU3FBMcUbzxf\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-mt-lg-30 brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_4 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-28 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-sm-heading3 brz-tp-lg-heading3 brz-css-j6E4_\" data-generated-css=\"brz-css-wdYua\" data-uniq-id=\"vCTRN\"><span class=\"brz-underline-true brz-cp-color8\">LE SYNDROME DE TURNER TOUCHE ENVIRON 15 FILLES PAR AN. SANS TRAITEMENT, IL ENTRA\u00ceNE UNE PETITE TAILLE ET UN RETARD DE D\u00c9VELOPPEMENT.<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-4srxjq brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-473wzv\" data-brz-custom-id=\"d1cRxVvG7Och\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-r4t6B\" data-generated-css=\"brz-css-xziVM\" data-uniq-id=\"q9CLk\"><span class=\"brz-cp-color8\">Le syndrome de Turner (ST) est consid\u00e9r\u00e9 comme un trouble relativement fr\u00e9quent ; il touche environ 1 fille sur 2 500 nouveau-n\u00e9es. En Suisse, environ 15 filles par an naissent avec un ST. Il survient lorsqu\u2019au cours d\u2019une division cellulaire pr\u00e9coce, l\u2019un des deux chromosomes X est perdu ou endommag\u00e9. Cela peut \u00eatre mis en \u00e9vidence par une analyse chromosomique.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-ah2nqp brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1vc7q5m\" data-brz-custom-id=\"h2xjnWcnNtBR\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-is1fU\" data-generated-css=\"brz-css-wRfAV\" data-uniq-id=\"yqwb_\"><span class=\"brz-cp-color8\">CARACT\u00c9RISTIQUES PRINCIPALES<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1omev3e brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-hb4nuz\" data-brz-custom-id=\"jf14PKZ65NK9\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-tvY5g\" data-uniq-id=\"s_mqF,z7FTE,qtYpS\" data-generated-css=\"brz-css-h_XWH,brz-css-qqQ_y,brz-css-fnNyj\"><span class=\"brz-cp-color8\">Les principales caract\u00e9ristiques du syndrome de Turner sont une petite taille et l\u2019absence de d\u00e9veloppement pubertaire. Il existe des courbes de croissance sp\u00e9cifiques pour les filles atteintes du syndrome de Turner. Sans traitement, elles atteignent une taille adulte moyenne d\u2019environ 145 cm.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-lBu1V\" data-uniq-id=\"s_mqF,z7FTE,qtYpS\" data-generated-css=\"brz-css-h_XWH,brz-css-qqQ_y,brz-css-fnNyj\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-o7dp2\" data-uniq-id=\"qtYpS\" data-generated-css=\"brz-css-fnNyj\"><span class=\"brz-cp-color8\">En plus de la petite taille, dans la plupart des cas, les ovaires ne fonctionnent pas ou seulement de mani\u00e8re insuffisante. Au lieu d\u2019un tissu ovarien normal contenant des cellules capables de produire des hormones et des ovules, on observe le plus souvent de petits ovaires compos\u00e9s principalement de tissu conjonctif. Cela entra\u00eene soit l\u2019absence de d\u00e9but de la pubert\u00e9, soit, apr\u00e8s un d\u00e9but spontan\u00e9, un arr\u00eat rapide du d\u00e9veloppement. Les femmes atteintes du syndrome de Turner sont \u00e9galement g\u00e9n\u00e9ralement infertiles (dans environ 95 \u00e0 98 % des cas).<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1mo8qe9 brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-1rtmcue\" data-brz-duration=\"300\" data-brz-custom-id=\"nKvYt_j1unyp\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">PLUS<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-a7hg12 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-13cr4i9\" data-brz-custom-id=\"eDdiRmn4ydPQ\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-krk_H\" data-uniq-id=\"ejnSJ\" data-generated-css=\"brz-css-k9ZBR\"><span class=\"brz-cp-color8\">Si, en raison de la croissance ou de l\u2019absence de d\u00e9veloppement pubertaire, le syndrome de Turner est \u00e9voqu\u00e9 dans le cadre du diagnostic diff\u00e9rentiel, il convient de rechercher d\u2019autres signes caract\u00e9ristiques. Toutefois, ceux-ci ne sont pas obligatoirement pr\u00e9sents et sont souvent seulement partiellement et de mani\u00e8re tr\u00e8s discr\u00e8te : <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-abyya1 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-aj19do\" data-brz-custom-id=\"r61I_a_NIjVx\">\n<div data-brz-translate-text=\"1\">\n<p data-uniq-id=\"m7vdi\" data-generated-css=\"brz-css-xCl6g\" class=\"brz-tp-lg-paragraph brz-css-kPINf\"><span class=\"brz-cp-color8\">YEUX<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-i8du66 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-14w2rye\" data-brz-custom-id=\"ouA6yjSvUHez\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-whghL\" data-generated-css=\"brz-css-gu4yp\" data-uniq-id=\"f8mHj\"><span class=\"brz-cp-color8\">Ptosis des paupi\u00e8res sup\u00e9rieures, plis \u00e9picanthiques (\u00e9picanthus), myopie, strabisme<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-cwq4m9 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-fce4n6\" data-brz-custom-id=\"zFoLjIwJs6Ro\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-fcT6X\" data-generated-css=\"brz-css-l1TOo\" data-uniq-id=\"bFGds\"><span class=\"brz-cp-color8\">OREILLES<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1fhxsm8 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-82kq8f\" data-brz-custom-id=\"gTpuL8Xp1A35\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-rbm1d\" data-generated-css=\"brz-css-pNzf1\" data-uniq-id=\"npMUd\"><span class=\"brz-cp-color8\">D\u00e9formation des pavillons de l\u2019oreille, otites (otites moyennes), perte auditive<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-nh9wop brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1jqjojc\" data-brz-custom-id=\"arHHJvFJgOEF\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-oB0_C\" data-generated-css=\"brz-css-ggBwv\" data-uniq-id=\"dDC0W\"><span class=\"brz-cp-color8\">BOUCHE, M\u00c2CHOIRE<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-13a0jry brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-iil0s0\" data-brz-custom-id=\"poRk07B581sj\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-nr45y\" data-generated-css=\"brz-css-u8I56\" data-uniq-id=\"m0AAs\"><span class=\"brz-cp-color8\">hoher Gaumen (Palatum arcuatum), kleiner Unterkiefer (Mikrognathie), Zahnfehlstellung<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-jumg70 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-xc7pwj\" data-brz-custom-id=\"aLFewD0jdJ2E\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-mbfon\" data-generated-css=\"brz-css-rTGAq\" data-uniq-id=\"pqYsF\"><span class=\"brz-cp-color8\">PEAU, ANNEXES CUTAN\u00c9ES<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-574rp9 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-wl6jnq\" data-brz-custom-id=\"sg54fYF4H61r\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-lGvGi\" data-generated-css=\"brz-css-gx9nY\" data-uniq-id=\"j78DF\"><span class=\"brz-cp-color8\">\u0152d\u00e8mes des mains et des pieds li\u00e9s au tissu conjonctif (lymph\u0153d\u00e8mes), augmentation des grains de beaut\u00e9 (naevus pigment\u00e9s), pilosit\u00e9 excessive (hypertrichose), malformation des ongles des doigts et des orteils (dysplasie ungu\u00e9ale), d\u00e9pigmentation (vitiligo)<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-197ewsz brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-13t91qs\" data-brz-custom-id=\"caXQf8RSbwl6\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-zyzLa\" data-generated-css=\"brz-css-cVHxH\" data-uniq-id=\"eCNKq\"><span class=\"brz-cp-color8\">COU<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-8w3fhs brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1ldak43\" data-brz-custom-id=\"tw0N6V5iEfj7\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-m_8Gv\" data-uniq-id=\"nDFeL\" data-generated-css=\"brz-css-kiZbY\"><span class=\"brz-cp-color8\">Cou court et large, implantation basse des cheveux \u00e0 l\u2019arri\u00e8re du cou, ligne capillaire orient\u00e9e vers le haut \u00e0 la nuque, plis cutan\u00e9s lat\u00e9raux (pterygium colli)<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1o2j36 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-hznbtl\" data-brz-custom-id=\"dDhtbg0W6Q1V\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-r7ww5\" data-uniq-id=\"sIZQ4\" data-generated-css=\"brz-css-iSO3r\"><span class=\"brz-cp-color8\">POITRINE<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-vytxwq brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1jycmy\" data-brz-custom-id=\"rjgv_sJ5hLBw\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-cEmNX\" data-generated-css=\"brz-css-g8EG0\" data-uniq-id=\"xdGmC\"><span class=\"brz-cp-color8\">Thorax de forme rectangulaire (thorax en bouclier), \u00e9cartement important des mamelons, mamelons invers\u00e9s (orient\u00e9s vers l\u2019int\u00e9rieur)<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1r4cdgg brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-8sj873\" data-brz-custom-id=\"i5FS6JIlUeTF\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-fNqVf\" data-uniq-id=\"w1Juf\" data-generated-css=\"brz-css-eW4Zq\"><span class=\"brz-cp-color8\">SQUELETTE<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1lghc3q brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-17sotpv\" data-brz-custom-id=\"pu0DNp34sA4Y\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-uWhY1\" data-generated-css=\"brz-css-leFoA\" data-uniq-id=\"wVYjs\"><span class=\"brz-cp-color8\">weiter Winkel zwischen Ober-und Unterarm (Cubitus valgus), kurze Mittelhandknochen (Brachymetacarpie), Wirbels\u00e4ulenverkr\u00fcmmung (Scoliosis)<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-exkyh\" data-brz-custom-id=\"mXiLoYaUsJeH\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-is2kn9\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1ohfbtc brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-199j02y\" data-brz-custom-id=\"yQLoRO_0ljjB\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-mt-lg-30 brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_4 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-28 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-sm-heading3 brz-tp-lg-heading3 brz-css-lhvNU\" data-generated-css=\"brz-css-sna_M\" data-uniq-id=\"vD0jE\"><span class=\"brz-underline-true brz-cp-color8\">LES ANOMALIES SONT DANS LA PLUPART DES CAS SI DISCR\u00c8TES QU\u2019ELLES NE SONT RECONNUES QUE PAR UN SP\u00c9CIALISTE EXP\u00c9RIMENT\u00c9.<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-4ollxx brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1ddef67\" data-brz-custom-id=\"hYCe4UvpxW0X\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-wZsGH\" data-uniq-id=\"qylw0\" data-generated-css=\"brz-css-d2kXf\"><span class=\"brz-cp-color8\">La plupart des filles et des femmes atteintes du syndrome de Turner ne se distinguent pas des autres filles et femmes.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1xk1vof brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-bd1rj8\" data-brz-custom-id=\"fF5Eh6In6MV1\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-rZQr4\" data-generated-css=\"brz-css-xvVT3\" data-uniq-id=\"jOPTs\"><span class=\"brz-cp-color8\">Divers autres troubles sont plus fr\u00e9quents dans le syndrome de Turner, bien que la raison de cette association reste, dans la plupart des cas, inconnue. Les probl\u00e8mes les plus fr\u00e9quents \u00e0 rechercher d\u00e8s le diagnostic sont les malformations r\u00e9nales et cardiaques, en particulier les anomalies de l\u2019aorte. Les affections suivantes sont \u00e9galement plus fr\u00e9quentes que dans la population g\u00e9n\u00e9rale : troubles thyro\u00efdiens (thyro\u00efdite de Hashimoto), maladie c\u0153liaque, myopie, augmentation de la pression intraoculaire (glaucome), surdit\u00e9, ost\u00e9oporose et surpoids.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1k3vpll brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-10w4ifq\" data-brz-duration=\"300\" data-brz-custom-id=\"o9cbDunkGfK8\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">PLUS<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-uw8p35 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1klvyr0\" data-brz-custom-id=\"oixSW6MNjzG6\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-oSe7A\" data-generated-css=\"brz-css-kFLsm\" data-uniq-id=\"j8ho5\"><span class=\"brz-cp-color8\">Les filles atteintes du syndrome de Turner peuvent parfois rencontrer des difficult\u00e9s sp\u00e9cifiques \u00e0 l\u2019\u00e9cole. On observe typiquement des troubles partiels des apprentissages, notamment au niveau des comp\u00e9tences en calcul et en math\u00e9matiques ainsi que de l\u2019orientation spatiale.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-yBLdK\" data-generated-css=\"brz-css-otP4B\" data-uniq-id=\"khzbf\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-uRAty\" data-generated-css=\"brz-css-kVFVZ\" data-uniq-id=\"bAlGU\"><span class=\"brz-cp-color8\">Es gibt viele Arbeiten \u00fcber psychosoziale Probleme: Die betroffenen M\u00e4dchen sind im Vergleich zu Gesunden \u00e4ngstlicher, weniger aggressiv, emotional unreifer, weniger selbstbewusst und dadurch oft weniger gut in der Gruppe Gleichaltriger integriert. Auf der anderen Seite zeigt eine neuere Studie (2004), dass Turner-M\u00e4dchen erstaunlicherweise oft eine bessere und l\u00e4ngere Ausbildung aufweisen als Gleichaltrige (mehr h\u00f6here Schulen, mehr Universit\u00e4tsabschl\u00fcsse). Dies zeigt, dass Schulprobleme, auch wenn sie h\u00e4ufiger sind als bei anderen, dank ad\u00e4quater Betreuung in der Regel in eine gute schulische und berufliche Leistung m\u00fcnden.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-jdPMh\" data-generated-css=\"brz-css-xClo9\" data-uniq-id=\"dLMq_\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-qIjqO\" data-generated-css=\"brz-css-kGGSx\" data-uniq-id=\"fKzA6\"><span class=\"brz-cp-color8\">Un diagnostic pr\u00e9coce est essentiel, car la mise en place rapide de mesures appropri\u00e9es peut permettre une vie adulte normale.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-iXnc8\" data-generated-css=\"brz-css-beCva\" data-uniq-id=\"tHfl6\"><span class=\"brz-cp-color8\">Depuis environ 15 ans, les filles atteintes du syndrome de Turner sont trait\u00e9es par hormone de croissance. Avec un d\u00e9but pr\u00e9coce du traitement, des tailles finales d\u2019environ 160 cm ne sont d\u00e9sormais plus rares.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-g4mq2a brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-uiz2zd\" data-brz-custom-id=\"q3BjvXMtbKGt\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-diRnU\" data-uniq-id=\"ytCQm\" data-generated-css=\"brz-css-rID7j\"><span class=\"brz-cp-color8\">PUBERT\u00c9<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-3lg2du brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-spj3np\" data-brz-custom-id=\"vT2NRnMvkij3\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-gdg45\" data-generated-css=\"brz-css-w33QB\" data-uniq-id=\"mvdwc\"><span class=\"brz-cp-color8\">Im Pubert\u00e4tsalter werden die fehlenden Geschlechtshormone (\u00d6strogene und Gestagene) in dem Alter und dem Entwicklungsstand angepassten Dosen ersetzt \u2013 eine normale Pubert\u00e4tsentwicklung ist die Folge. M\u00e4dchen mit Turner-Syndrom haben bis auf die Eierst\u00f6cke normale weibliche Organe. Sie haben also eine normale Scheide und eine normale Geb\u00e4rmutter. Mit einer Hormonersatzbehandlung werden sie normal menstruieren und auch normal sexuell aktiv sein k\u00f6nnen. Wegen der fehlenden Eizellen sind sie in der Regel aber unfruchtbar.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-16pz9wo brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1b94cgx\" data-brz-custom-id=\"eLfvZen0Mc7z\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-f_YHF\" data-uniq-id=\"u5bO9\" data-generated-css=\"brz-css-mz4VV\"><span class=\"brz-cp-color8\">\u00c2GE ADULTE<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-14cpe37 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-fpjnt3\" data-brz-custom-id=\"ckT7ZnQ7Ye9m\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-ytWcE\" data-generated-css=\"brz-css-bKoMQ\" data-uniq-id=\"uOXCX\"><span class=\"brz-cp-color8\">Les femmes adultes atteintes du syndrome de Turner devraient b\u00e9n\u00e9ficier de contr\u00f4les m\u00e9dicaux r\u00e9guliers, de pr\u00e9f\u00e9rence aupr\u00e8s d\u2019un m\u00e9decin connaissant bien le syndrome de Turner et ses complications. Une attention particuli\u00e8re doit \u00eatre port\u00e9e au c\u0153ur, au poids, \u00e0 la pression art\u00e9rielle, \u00e0 la densit\u00e9 osseuse, au traitement substitutif par \u0153strog\u00e8nes, ainsi qu\u2019au d\u00e9pistage d\u2019autres affections plus fr\u00e9quentes, comme par exemple l\u2019hypothyro\u00efdie (voir ci-dessus).<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-wrapper-clone brz-flex-xs-wrap brz-css-d-cloneable brz-css-1y1ldj9\" data-brz-custom-id=\"hrqkOdYXSHDo\">\n<div class=\"brz-icon__container\" data-brz-custom-id=\"e5ORVdmXAbQ0\"><span class=\"brz-icon brz-span brz-css-d-icon-icon brz-css-18ruv3v\"><\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"sga-mangelgeburt\" data-brz-id=\"y3Aa4p7i4XpN_y3Aa4p7i4XpN\" class=\"brz-section brz-css-d-section brz-css-19gvltv\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-19ae6al\" data-brz-custom-id=\"nz7F2FXCNVTV\">\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-cx1r5z\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-175kyn8 brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-lyufx1rfphvp-parent brz-css-1wb4l2w\" data-brz-custom-id=\"lyufX1RfPhvP\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/12\/pezz-sga.webp\" loading=\"lazy\" title=\"Eine Brosch\u00fcre \u00fcber SGA-Mangelgeburt\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"sga-mangelgeburt-info\" data-brz-id=\"mDhi9Lt8jLEu_mDhi9Lt8jLEu\" class=\"brz-section brz-css-d-section brz-css-1ffxel3\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-sectionitem-bg brz-css-4v7r61\" data-brz-custom-id=\"zjPYVwajjwjm\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-1bqg77v\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-7pqe0f brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-9lhcns\" data-brz-custom-id=\"foCv6sV7vd1g\">\n<div data-brz-translate-text=\"1\">\n<h2 class=\"brz-text-xs-left brz-ff-qKYqBgi9lfgW brz-ft-upload brz-fs-lg-70 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1 brz-vfw-lg-600 brz-fwdth-lg-100 brz-fsft-lg-0 brz-mb-sm-0 brz-mb-xs-0 brz-tp-lg-heading2 brz-text-lg-left brz-mb-lg-0 brz-css-thSKl\" data-generated-css=\"brz-css-mkGDj\" data-uniq-id=\"m9UH7\"><span class=\"brz-cp-color8\">SGA &#8211; MANGELGEBURT<\/span><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-skg8lg\" data-brz-custom-id=\"d3WAfhsmFEFa\">\n<div class=\"brz-row brz-css-d-row-container brz-css-163thml\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-1u0fjh8\" data-brz-custom-id=\"taNBfTTVkOWz\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1qr12tz\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1fxajw6 brz-wrapper book-tab\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-1x3tknh\" data-brz-duration=\"300\" data-brz-custom-id=\"hywC55gPcrNQ\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">BUCH TAB<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1e6bf6 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1xztmse\" data-brz-custom-id=\"xyW9iXGN1V2M\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-empty brz-css-pQVDE translation-block\" data-generated-css=\"brz-css-iJEEw\" data-uniq-id=\"sRBsV\">Le Prof. Dr m\u00e9d. Urs Eiholzer a \u00e9crit deux ouvrages dans lesquels il explique de mani\u00e8re sensible, concise et claire tous les aspects importants li\u00e9s \u00e0 la naissance avec un petit poids pour l\u2019\u00e2ge gestationnel. Le guide \u00ab SGA \u2013 Petit pour l\u2019\u00e2ge gestationnel \u00bb s\u2019adresse aux parents d\u2019enfants SGA et les aide \u00e0 mieux comprendre le diagnostic.<\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-sq5e6\" data-generated-css=\"brz-css-oTuIZ\" data-uniq-id=\"f5wkS\"><\/p>\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-empty brz-css-hUkqa\" data-generated-css=\"brz-css-lAUIc\" data-uniq-id=\"g8as6\"><span class=\"brz-cp-color8\">Das im Karger-Verlag erschienene Fachbuch <\/span><a class=\"brz-bold-true brz-cp-color1 link--external\" href=\"https:\/\/www.pezz.ch\/fr\/das-pezz\/bestellungen\/\" data-brz-link-type=\"external\"><strong>SGA-Mangelgeburt &#8222;Ursachen, Risiken, Therapien und Behandlung&#8220;<\/strong><\/a><span class=\"brz-cp-color1\"> <\/span><span class=\"brz-cp-color8\">ist ein Muss f\u00fcr \u00c4rzte, die an Wachstumsst\u00f6rungen, Adipositas, Diabetes und dem metabolischen Syndrom interessiert sind. <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1ilgac3 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-19eq4fq\" data-brz-custom-id=\"c1HxQzGBapPQ\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-ccvqE\" data-uniq-id=\"vUT4P\" data-generated-css=\"brz-css-cmEFb\"><a class=\"brz-cp-color1 link--upload\" href=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/12\/SGA_Paediatrica_Urs_Zumsteg.pdf\" data-brz-link-type=\"upload\">SGA und Kleinwuchs \u2013 Indikation <\/a><span class=\"brz-cp-color1 link--upload brz-span\">f\u00fcr Wachstumshormon<\/span><span class=\"brz-cp-color8\"> (PDF), Urs Zumsteg<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-o31zhz brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-yrxnvs\" data-brz-custom-id=\"tEVjLhB02vM4\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-mt-lg-30 brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_4 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-28 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-sm-heading3 brz-tp-lg-heading3 brz-css-kZzu2\" data-generated-css=\"brz-css-d0Od7\" data-uniq-id=\"ppdaN\"><span class=\"brz-underline-true brz-cp-color8\">TROP PETIT \u00c0 LA NAISSANCE OU TROP L\u00c9GER POUR L\u2019\u00c2GE GESTATIONNEL<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1x2tlco brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-3a5msi\" data-brz-custom-id=\"zDj1Buv2dRPR\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-gr7p3\" data-generated-css=\"brz-css-n4myJ\" data-uniq-id=\"dZvdN\"><span class=\"brz-cp-color8\">Lorsqu\u2019un enfant na\u00eet trop petit ou trop l\u00e9ger pour son \u00e2ge gestationnel (small for gestational age, SGA), cela peut avoir des cons\u00e9quences \u00e0 long terme. Une \u00e9valuation pr\u00e9coce est importante, car un traitement peut permettre un d\u00e9veloppement normal.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1dgex3p brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-b34mks\" data-brz-custom-id=\"sKCh_jq0sHwl\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-lNebc\" data-generated-css=\"brz-css-ltoCn\" data-uniq-id=\"xoysT\"><span class=\"brz-cp-color8\">Sie haben ein Kind bekommen, die Freude ist gross. Sie halten es im Arm und haben das Gef\u00fchl, es sei winzig. Selbst wenn es zum Termin auf die Welt gekommen ist, selbst wenn es nicht Ihr erstes Kind ist, sind Sie \u00fcberrascht oder aufs Neue ber\u00fchrt, wie klein so ein Baby bei der Geburt ist. Klein kommen uns alle Neugeborenen vor, aber sie unterscheiden sich durchaus in Gr\u00f6sse und Gewicht. In der Regel wiegt ein Neugeborenes zwischen 2800 und 4200 Gramm und misst zwischen 47 und 55 Zentimeter. Einige Kinder \u2013 etwa 15% aller Neugeborenen \u2013 entsprechen, wenn sie zur Welt kommen, nicht dieser allgemeinen Norm, sie sind gr\u00f6sser oder kleiner.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-14r4mgc brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-ymtzwz\" data-brz-duration=\"300\" data-brz-custom-id=\"kozHUGVoV4fB\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">PLUS<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-143ia07 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1ih3g27\" data-brz-custom-id=\"mN5aiwSx8hNg\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-sLwu4\" data-generated-css=\"brz-css-xR6Fr\" data-uniq-id=\"qXhwG\"><span class=\"brz-cp-color8\">La cause du SGA est le plus souvent un manque de nutriments pour le f\u0153tus. Ce d\u00e9ficit peut \u00eatre d\u00fb \u00e0 une sous-alimentation de la m\u00e8re ou, en particulier dans les pays d\u00e9velopp\u00e9s, \u00e0 un trouble du transfert des nutriments de la m\u00e8re \u00e0 l\u2019enfant. Dans la plupart des cas, la cause exacte ne peut pas \u00eatre clairement identifi\u00e9e.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-i3xL_\" data-generated-css=\"brz-css-gex1X\" data-uniq-id=\"lmQpw\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-qKxA0\" data-generated-css=\"brz-css-qZvS2\" data-uniq-id=\"iJGuS\"><span class=\"brz-cp-color8\">En raison de l\u2019augmentation de l\u2019\u00e2ge des primipares au cours des derni\u00e8res d\u00e9cennies, davantage d\u2019enfants SGA naissent aujourd\u2019hui. Le report du projet de maternit\u00e9 entra\u00eene d\u2019une part une augmentation des grossesses multiples et des traitements de fertilit\u00e9, et d\u2019autre part, les femmes plus \u00e2g\u00e9es sont plus souvent expos\u00e9es \u00e0 des complications de la grossesse.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-16o499a brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-3iph8s\" data-brz-custom-id=\"paJK2qB7DMJf\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-ceEq_\" data-generated-css=\"brz-css-aa2Ft\" data-uniq-id=\"izEry\"><span class=\"brz-cp-color8\">REPROGRAMMATION F\u0152TALE<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-10kw1fm brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-p8shui\" data-brz-custom-id=\"iuWgWOgh51_J\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-jwMR8\" data-uniq-id=\"zqirO\" data-generated-css=\"brz-css-xP1Zr\"><span class=\"brz-cp-color8\">Studien weisen darauf hin, dass der Organismus des Fetus den Stoffwechsel umschaltet \u2013 und zwar f\u00fcr immer, wenn die Zufuhr an N\u00e4hrstoffen w\u00e4hrend der Schwangerschaft mangelhaft ist. Der Fetus entwickelt aufgrund der \u00abHungersnot\u00bb im Mutterleib eine kompensatorische \u00dcberlebensstrategie und konzentriert sich auf Kosten des Wachstums auf die Versorgung von lebenswichtigen Organen. Das Resultat dieser fetalen Programmierung ist das \u00abbesonders sparsame Individuum\u00bb (thrifty phenotype). <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1q5tkfi brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-16wak2n\" data-brz-duration=\"300\" data-brz-custom-id=\"xIjR5DLoUKmo\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">PLUS<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1l00zzk brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-s4jykt\" data-brz-custom-id=\"yUxspvUHQcAI\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-y50Hq\" data-uniq-id=\"xx31w\" data-generated-css=\"brz-css-osw7K\"><span class=\"brz-cp-color8\">Ces \u00ab ph\u00e9notypes \u00e9conomes \u00bb (ou enfants SGA) pr\u00e9sentent une taille plus petite, un m\u00e9tabolisme plus lent, moins de masse musculaire et une activit\u00e9 physique r\u00e9duite. Ils sont ainsi parfaitement adapt\u00e9s \u00e0 un environnement caract\u00e9ris\u00e9 par une p\u00e9nurie chronique de nourriture. En cas de famine, cette reprogrammation du m\u00e9tabolisme favorise la survie. En revanche, si l\u2019enfant est expos\u00e9 d\u00e8s la naissance \u00e0 un environnement riche en nutriments, cette programmation peut entra\u00eener des probl\u00e8mes de sant\u00e9.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-w3p33o\" data-brz-custom-id=\"sw0TaS3PZC1h\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1ye80c4\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-lpybdb brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-iyjucd\" data-brz-custom-id=\"sNXUqrUxPLut\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-kFssB\" data-uniq-id=\"nbsuw\" data-generated-css=\"brz-css-dk8PY\"><span class=\"brz-cp-color8\">CONS\u00c9QUENCES DE LA REPROGRAMMATION F\u0152TALE<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1z061uc brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-zxjnt7\" data-brz-custom-id=\"lKPlyISAwzNr\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-s6LNo\" data-generated-css=\"brz-css-nPdMm\" data-uniq-id=\"mw3rv\"><span class=\"brz-cp-color8\">Des anomalies tr\u00e8s subtiles du m\u00e9tabolisme du glucose sont souvent d\u00e9j\u00e0 d\u00e9tectables d\u00e8s l\u2019enfance. Par ailleurs, un apport insuffisant chez la m\u00e8re et l\u2019enfant entra\u00eene un stress et une augmentation du taux de cortisol, l\u2019hormone du stress, qui peut avoir des effets durables tout au long de la vie. Ces enfants sont donc souvent plus sensibles au stress que les autres.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1jhuiaf brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-1rhxlt4\" data-brz-duration=\"300\" data-brz-custom-id=\"lg1Ti3Err1h5\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">PLUS<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-l7js8g brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1hfm9vv\" data-brz-custom-id=\"zjnOcCWIT15O\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-jQv_i\" data-generated-css=\"brz-css-bFCoA\" data-uniq-id=\"uIlPW\"><span class=\"brz-cp-color8\">Tous ces m\u00e9canismes\u2014\u00e0 savoir une masse musculaire r\u00e9duite, une masse grasse plus importante, une activit\u00e9 physique moindre, un nombre r\u00e9duit de cellules des \u00eelots pancr\u00e9atiques et une activit\u00e9 accrue du cortex surr\u00e9nalien\u2014augmentent le risque ult\u00e9rieur de r\u00e9sistance \u00e0 l\u2019insuline. Par cons\u00e9quent, la susceptibilit\u00e9 au diab\u00e8te de type 2, \u00e0 l\u2019hypertension art\u00e9rielle, \u00e0 l\u2019infarctus du myocarde et \u00e0 l\u2019AVC augmente \u00e0 l\u2019\u00e2ge adulte.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-fnYkq\" data-generated-css=\"brz-css-bFCoA\" data-uniq-id=\"uIlPW\"><span class=\"brz-cp-color8\"> <\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-bAVqZ\" data-generated-css=\"brz-css-bFCoA\" data-uniq-id=\"uIlPW\"><span class=\"brz-cp-color8\">Le diagnostic de SGA (petit pour l\u2019\u00e2ge gestationnel) a des r\u00e9percussions sur les enfants m\u00eame \u00e0 l\u2019\u00e2ge scolaire. Le lien entre un faible poids de naissance et, plus tard, une intelligence plus basse, de moins bonnes perspectives professionnelles, des comp\u00e9tences sociales r\u00e9duites et des troubles du comportement est bien document\u00e9.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-6s7m1m brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-429pkt\" data-brz-custom-id=\"vEeHk8Ezxtze\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-cHVhp\" data-generated-css=\"brz-css-kasTc\" data-uniq-id=\"lmP38\"><span class=\"brz-cp-color8\">TRAITEMENT D\u2019UNE CROISSANCE INSUFFISANTE<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-15w120n brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-114h181\" data-brz-custom-id=\"zyoKEnh0vWie\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-tajDX\" data-uniq-id=\"rMp3P\" data-generated-css=\"brz-css-nDFL2\"><span class=\"brz-cp-color8\">Im Laufe der Kindheit steht das Wachstumsproblem im Vordergrund, sp\u00e4ter im Erwachsenenalter dann manchmal die Probleme der Insulinresistenz.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-10yefrm brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-1pxq855\" data-brz-duration=\"300\" data-brz-custom-id=\"cWFUxevXtRul\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">PLUS<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-qb25mg brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1b3as55\" data-brz-custom-id=\"fL2bKHbsMH0o\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-mXNid\" data-uniq-id=\"hnjeG\" data-generated-css=\"brz-css-oRQMM\"><span class=\"brz-cp-color8\">Die meisten zu klein geborenen Kinder holen in den ersten zwei Lebensjahren ihr Wachstumsr\u00fcckstand auf. Bei rund zehn Prozent der Kinder, die zu klein und untergewichtig zur Welt gekommen sind, bleibt das Aufholwachstum in dieser Zeit aus. In der Schweiz werden Behandlungskosten mit Wachstumshormon dann \u00fcbernommen, wenn folgende Kriterien erf\u00fcllt sind: Gewicht und\/oder Gr\u00f6sse sind bei der Geburt um 2 Standardabweichungen kleiner als bei Normalgeborenen. Bis zum vierten Lebensjahr findet kein Aufholwachstum statt. Die aktuelle Gr\u00f6sse des Kindes liegt mindestens 2.5 Standardabweichungen unter der Gr\u00f6sse von Gleichaltrigen. Die Wachstumsgeschwindigkeit im vergangenen Jahr betr\u00e4gt weniger als 0 SDS. Die Angleichung an die elterliche Zielgr\u00f6sse betr\u00e4gt mindestens -1 SD. Ausserdem m\u00fcssen vor einer Therapie alle anderen Gr\u00fcnde f\u00fcr Kleinwuchs (z.B. ein Wachstumshormonmangel oder eine Hypothyreose) ausgeschlossen werden. Nach einem Jahr muss die Behandlung evaluiert werden. Ziel der Behandlung ist nicht nur die Beeinflussung des L\u00e4ngenwachstums, sondern auch des Muskelaufbaus zuungunsten des K\u00f6rperfettanteils, weil dies das Risiko von Diabetes reduziert.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-n6k8nf brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1px10af\" data-brz-custom-id=\"lJsIc02ej2l8\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-wl6pT\" data-uniq-id=\"mqFbb\" data-generated-css=\"brz-css-jiiJT\"><span class=\"brz-cp-color8\">UN DIAGNOSTIC ET UN TRAITEMENT PR\u00c9COCES SONT ESSENTIELS<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-lgkydq brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1cznzr8\" data-brz-custom-id=\"jga_AB70_cha\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-dTtPL\" data-generated-css=\"brz-css-xmWSe\" data-uniq-id=\"haqv9\"><span class=\"brz-cp-color8\">Nous pensons qu\u2019il est important que les p\u00e9diatres soient attentifs pr\u00e9cocement lorsqu\u2019un enfant SGA n\u2019a pas pr\u00e9sent\u00e9 de croissance de rattrapage avant l\u2019\u00e2ge de deux ans, afin de ne pas passer \u00e0 c\u00f4t\u00e9 d\u2019autres causes \u00e9ventuelles d\u2019un trouble de la croissance.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-17bungo brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-ccj8iu\" data-brz-duration=\"300\" data-brz-custom-id=\"hxgqKmHvy33X\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">PLUS<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1co2ag5 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-ptv95c\" data-brz-custom-id=\"sAUSF2qRMyLy\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-f3MUH\" data-generated-css=\"brz-css-fLH5_\" data-uniq-id=\"yTFb2\"><span class=\"brz-cp-color8\">Une \u00e9valuation pr\u00e9coce est \u00e9galement importante, car une augmentation de la s\u00e9cr\u00e9tion hormonale par le cortex surr\u00e9nalien peut entra\u00eener une l\u00e9g\u00e8re acc\u00e9l\u00e9ration de la maturation osseuse. Il n\u2019est pas rare qu\u2019un enfant SGA de sept ans grandisse d\u00e9j\u00e0 un peu plus rapidement et ne remplisse alors plus les crit\u00e8res d\u2019un traitement. Cependant, cette l\u00e9g\u00e8re acc\u00e9l\u00e9ration de la croissance entra\u00eene malheureusement le plus souvent une l\u00e9g\u00e8re diminution de la taille finale, car la pubert\u00e9 et la pouss\u00e9e de croissance pubertaire d\u00e9butent un peu plus t\u00f4t, ce qui met fin \u00e0 la croissance plus pr\u00e9cocement.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1pzt1r0 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-huo51e\" data-brz-custom-id=\"gwse1qHBKATI\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-zMhmJ\" data-generated-css=\"brz-css-aa0zZ\" data-uniq-id=\"s6Q2d\"><span class=\"brz-cp-color8\">SYNDROME DE SILVER-RUSSELL<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1gh16oc brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1fwji7g\" data-brz-custom-id=\"fe6H3KXCB5vh\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-tsIpQ\" data-uniq-id=\"y_lKR\" data-generated-css=\"brz-css-snWv3\"><span class=\"brz-cp-color8\">On consid\u00e8re aujourd\u2019hui que le syndrome de Silver-Russell repr\u00e9sente dans la plupart des cas une forme particuli\u00e8re de SGA, avec, en plus de la petite taille et du faible poids, une asym\u00e9trie des deux c\u00f4t\u00e9s du corps g\u00e9n\u00e9ralement observ\u00e9e.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-wrapper-clone brz-flex-xs-wrap brz-css-d-cloneable brz-css-1dk204k\" data-brz-custom-id=\"grCAd5ZSmsZa\">\n<div class=\"brz-icon__container\" data-brz-custom-id=\"a9tGo0udpctp\"><span class=\"brz-icon brz-span brz-css-d-icon-icon brz-css-1gj2o4e\"><\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-xe6vo9\" data-brz-custom-id=\"c0LdEoTfeLGt\">\n<div class=\"brz-row brz-css-d-row-container brz-css-r-row-container brz-css-133p389\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-4b9hjp\" data-brz-custom-id=\"e3o4uYqf2l3Z\">\n<div class=\"brz-bg\"><\/div>\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1tgtvg7\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1135ssz brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-kqyato\" data-brz-custom-id=\"zz4_zYDPCXxH\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-cC0yO\" data-generated-css=\"brz-css-jElpS\" data-uniq-id=\"ySZ5M\"><span class=\"brz-cp-color8\">D\u00c9FINITION SGA<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-k8iilb brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-owbkh1\" data-brz-custom-id=\"pDIiDJ8Fap04\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-mfYt0\" data-generated-css=\"brz-css-lKQCv\" data-uniq-id=\"vXekZ\"><span class=\"brz-cp-color8\">Die Abk\u00fcrzung SGA steht f\u00fcr &#8222;small for gestational age&#8220;. Unter SGA-Kindern versteht man also Kinder, welche bei Geburt f\u00fcr die Schwangerschaftsdauer untergewichtig und\/oder mit einer zu kleinen Geburtsl\u00e4nge zur Welt kommen (&#8222;Mangelgeburt&#8220;). F\u00fcr die Beurteilung, ob ein Geburtsgewicht und\/oder eine Geburtsl\u00e4nge ungen\u00fcgend sind, werden Normtabellen und Normkurven herbeigezogen. Man spricht in der Regel von SGA, wenn die Gr\u00f6sse und\/oder die L\u00e4nge im untersten 5%-Bereich f\u00fcr Kinder der gleichen Schwangerschaftsdauer liegen. Bei einem am errechneten Termin (40. Schwangerschaftswoche) geborenen M\u00e4dchen oder Knaben heisst dies leichter als 2.63 kg beziehungsweise 2.74 kg und kleiner als etwa 47 cm.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"prader-willi\" data-brz-id=\"tNV7yiyxitiS_tNV7yiyxitiS\" class=\"brz-section brz-css-d-section brz-css-l46uf6\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-g6syk0\" data-brz-custom-id=\"eKQqtNPVbrd2\">\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-1q8wup9\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1i00dvm brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-c1vcvq4bkz6x-parent brz-css-1a516e0\" data-brz-custom-id=\"c1vCVq4bkZ6X\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/11\/pezz-prader-willi.webp\" loading=\"lazy\" title=\"Ein Baby ohne K\u00f6rperspanne\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"prader-willi-info\" data-brz-id=\"m57sk6VHZwG__m57sk6VHZwG_\" class=\"brz-section brz-css-d-section brz-css-i4j6hn\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-sectionitem-bg brz-css-bxtc43\" data-brz-custom-id=\"mmB2NnpvvxYx\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-11cyozb\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-169v3jj brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1in33az\" data-brz-custom-id=\"ktg4Nqyxoq8d\">\n<div data-brz-translate-text=\"1\">\n<h2 class=\"brz-text-xs-left brz-ff-qKYqBgi9lfgW brz-ft-upload brz-fs-lg-70 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1 brz-vfw-lg-600 brz-fwdth-lg-100 brz-fsft-lg-0 brz-mb-lg-0 brz-mb-sm-0 brz-mb-xs-0 brz-tp-lg-heading2 brz-text-lg-left brz-css-rP2dp\" data-generated-css=\"brz-css-j1Q3k\" data-uniq-id=\"h8jZj\"><span class=\"brz-cp-color8\">SYNDROME DE PRADER-WILLI<\/span><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-xbx2u9\" data-brz-custom-id=\"df0RlPZcq1EV\">\n<div class=\"brz-row brz-css-d-row-container brz-css-cfbbr4\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-oophbc\" data-brz-custom-id=\"eUYgCDlwPoPz\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-emrn9n\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-qre2pl brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-mqlvgy\" data-brz-custom-id=\"dB5X7qPWlgOE\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-mt-lg-0 brz-tp-lg-heading3 brz-tp-sm-heading3 brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-28 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_4 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-b01rA\" data-uniq-id=\"igyKC\" data-generated-css=\"brz-css-n9f09\"><span class=\"brz-cp-color8 brz-underline-true\">DAS PWS &#8211; eine seltene, genetische Krankheit.<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1qa4zwg brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-gcjcov\" data-brz-custom-id=\"zAppxPHltqHt\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-nQX_3\" data-uniq-id=\"kdFbe\" data-generated-css=\"brz-css-b__bc\"><span class=\"brz-cp-color8\">DAS PRADER-WILLI-SYNDROM TRITT DURCHSCHNITTLICH BEI 1 VON 16&#8217;000 NEUGEBORENEN AUF.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-jyl570 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-bt9gds\" data-brz-custom-id=\"tnRUeGcp3BAQ\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-pzNtK\" data-uniq-id=\"ue_sk\" data-generated-css=\"brz-css-mSwIf\"><span class=\"brz-cp-color8\">En Suisse, environ 3 \u00e0 4 enfants naissent chaque ann\u00e9e avec le syndrome de Prader-Willi. Comme les proches des patients trouvaient peu d\u2019interlocuteurs, le Prof. Dr Urs Eiholzer a commenc\u00e9, il y a plus de 20 ans, \u00e0 s\u2019int\u00e9resser particuli\u00e8rement \u00e0 cette maladie. Aujourd\u2019hui, le centre d\u2019endocrinologie p\u00e9diatrique de Zurich est consid\u00e9r\u00e9 comme l\u2019un des centres de r\u00e9f\u00e9rence les plus comp\u00e9tents au monde pour les patients atteints du syndrome de Prader-Willi.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-c_kEP\" data-uniq-id=\"uQ_40\" data-generated-css=\"brz-css-thTbI\"><span class=\"brz-cp-color8\"> <\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-mX3Mm\" data-uniq-id=\"kp5SD\" data-generated-css=\"brz-css-tVvze\"><span class=\"brz-cp-color8\">Das Prader-Willi-Syndrom wurde 1956 von den Z\u00fcrcher \u00c4rzten Andrea Prader, Alexis Labhart und Heinrich Willi beschrieben. Bereits beim S\u00e4ugling f\u00e4llt eine ausgepr\u00e4gte, generelle Muskelhypotonie auf, das sogenannte &#8222;Waschlappen-Ph\u00e4nomen&#8220;. Zwischen dem 2. und 4. Lebensjahr entwickelt das Kind eine starke Esssucht, die zu \u00dcbergewichtigkeit f\u00fchrt.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-tn1xpa brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-dvr1ys\" data-brz-duration=\"300\" data-brz-custom-id=\"wYaKA0sIXjNP\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">PLUS<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-19oxa06 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-13kk1li\" data-brz-custom-id=\"aWOeIlqrx3Px\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-qqlN7\" data-generated-css=\"brz-css-cOPMc\" data-uniq-id=\"n66mT\"><span class=\"brz-cp-color8\">Les enfants pr\u00e9sentent une croissance ralentie et un d\u00e9veloppement inf\u00e9rieur \u00e0 la moyenne en ce qui concerne la motricit\u00e9 globale et les capacit\u00e9s intellectuelles. Une caract\u00e9ristique typique est une alt\u00e9ration de la composition corporelle, avec une augmentation de la masse grasse et une diminution de la masse musculaire. \u00c0 l\u2019\u00e2ge adulte, la taille moyenne des patients atteints du syndrome de Prader-Willi est de 146 cm chez les femmes et de 152 cm chez les hommes. Des complications secondaires, li\u00e9es au syndrome lui-m\u00eame ou \u00e0 l\u2019ob\u00e9sit\u00e9, sont fr\u00e9quentes.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-tVLyi\" data-generated-css=\"brz-css-cOPMc\" data-uniq-id=\"n66mT\"><span class=\"brz-cp-color8\"> <\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-qjHUn\" data-generated-css=\"brz-css-lrtE3\" data-uniq-id=\"e4YEH\"><span class=\"brz-cp-color8\">Les anomalies g\u00e9n\u00e9tiques \u00e0 l\u2019origine du syndrome de Prader-Willi sont en grande partie connues. Selon les connaissances actuelles, les sympt\u00f4mes sont dus \u00e0 un dysfonctionnement du dienc\u00e9phale.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-jsaIG\" data-generated-css=\"brz-css-k1Hh_\" data-uniq-id=\"r2rw2\"><span class=\"brz-cp-color8\">Gr\u00e2ce \u00e0 la grande exp\u00e9rience dans la prise en charge des patients et de leurs familles, ainsi qu\u2019\u00e0 l\u2019\u00e9valuation scientifique continue des r\u00e9sultats, de nouveaux concepts th\u00e9rapeutiques sont \u00e9labor\u00e9s et mis en \u0153uvre au centre d\u2019endocrinologie p\u00e9diatrique de Zurich. Ces concepts th\u00e9rapeutiques b\u00e9n\u00e9ficient d\u2019une reconnaissance internationale. Chez de nombreux patients, il est ainsi possible de normaliser la croissance et les proportions corporelles.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-xmewo\" data-generated-css=\"brz-css-o6LpL\" data-uniq-id=\"zKwKg\"><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-4h3pj8\" data-brz-custom-id=\"jXdcuGQEMV8l\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-8ai2n4\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1rqrd6w brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-114t1o6\" data-brz-custom-id=\"aRZBOcA2UA8w\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-mt-lg-0 brz-tp-lg-heading3 brz-tp-sm-heading3 brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-28 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_4 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-zU4bR\" data-uniq-id=\"tZLAY\" data-generated-css=\"brz-css-xJR4M\"><span class=\"brz-cp-color8 brz-underline-true\">LE SYNDROME DE PRADER-WILLI EN BREF<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1txynpu brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-ar7mhb\" data-brz-custom-id=\"eS02J4Ye4sM6\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-t7aNc\" data-generated-css=\"brz-css-mK9j7\" data-uniq-id=\"m3Ttf\"><span class=\"brz-cp-color8\">LE SYNDROME A \u00c9T\u00c9 D\u00c9CRIT EN 1956 PAR LES M\u00c9DECINS ZURICHOIS ANDREA PRADER, ALEXIS LABHART ET HEINRICH WILLI.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1x16dce brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1e1t06y\" data-brz-custom-id=\"moL_fPqQS4af\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-hcwHD\" data-generated-css=\"brz-css-pVMl4\" data-uniq-id=\"vdyVq\"><span class=\"brz-cp-color8\">Ses principales caract\u00e9ristiques sont :<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-v50wgm brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1ygg4em\" data-brz-custom-id=\"wgJXDxcYJ7sh\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-aNJCT\" data-generated-css=\"brz-css-mf9H4\" data-uniq-id=\"ikmCN\"><span class=\"brz-cp-color8\">FAIBLESSE MUSCULAIRE<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-tdk392 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-10x38kq\" data-brz-custom-id=\"zqtWI0z3D8qS\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-wxBDD\" data-generated-css=\"brz-css-dbhOA\" data-uniq-id=\"ubXvy\"><span class=\"brz-cp-color8\">L\u2019un des premiers signes du SGP est la faiblesse musculaire. D\u00e9j\u00e0 dans le ventre maternel, les f\u0153tus atteints de SGP bougent moins que les f\u0153tus sains, et apr\u00e8s la naissance, les nourrissons apparaissent flasques. Les bras et les jambes semblent sans force, et les b\u00e9b\u00e9s bougent peu d\u2019eux-m\u00eames. Ils sont tr\u00e8s calmes, r\u00e9agissent peu \u00e0 leur environnement et dorment beaucoup.\n\nComme la faiblesse musculaire affecte \u00e9galement les capacit\u00e9s de succion et de d\u00e9glutition, les nourrissons atteints de SGP ne prennent souvent pas suffisamment de nourriture au d\u00e9but et sont en sous-poids. Avec le temps, les enfants deviennent plus vigoureux et plus attentifs, mais une faiblesse musculaire plus ou moins marqu\u00e9e persiste.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-18f1tba brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1uzi6mw\" data-brz-custom-id=\"p1_LS2pPDxys\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-xwQzl\" data-uniq-id=\"ufB2G\" data-generated-css=\"brz-css-p5IWR\"><span class=\"brz-cp-color8\">FAIM EXCESSIVE (HYPERPHAGIE)<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-vevpcn brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-113zmcw\" data-brz-custom-id=\"qpJtYH8A4Ym6\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-yJPQc\" data-uniq-id=\"l85nB\" data-generated-css=\"brz-css-xcdIk\"><span class=\"brz-cp-color8\">Apr\u00e8s la p\u00e9riode de difficult\u00e9s alimentaires et de sous-poids, le comportement alimentaire des enfants atteints de SGP change fondamentalement entre deux et trois ans. L\u2019alimentation devient de plus en plus importante. Plus tard, les enfants d\u00e9veloppent une sorte d\u2019app\u00e9tit insatiable qui persiste plus ou moins tout au long de leur vie.\n\nLa surveillance constante et la limitation de l\u2019apport alimentaire constituent la t\u00e2che la plus difficile, mais aussi la plus importante, pour les parents et les autres personnes s\u2019occupant d\u2019enfants et d\u2019adultes atteints de SGP. Sans limites claires impos\u00e9es de l\u2019ext\u00e9rieur, cet app\u00e9tit excessif entra\u00eene une prise de poids importante, pouvant aller jusqu\u2019\u00e0 une ob\u00e9sit\u00e9 parfois consid\u00e9rable. Comme les enfants atteints de SGP sont moins actifs et moins enclins au mouvement que les autres enfants, ils br\u00fblent \u00e9galement moins de calories.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1k8g52a brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-otw00j\" data-brz-custom-id=\"xiQ60Li0FWUv\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-hBTwr\" data-uniq-id=\"h0EnT\" data-generated-css=\"brz-css-pKQ4r\"><span class=\"brz-cp-color8\">RETARD DE CROISSANCE<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-8191x5 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-bqm28i\" data-brz-custom-id=\"sjTvdyFZn1tH\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-jeTjx\" data-generated-css=\"brz-css-nNb7s\" data-uniq-id=\"uFhAq\"><span class=\"brz-cp-color8\">Une autre caract\u00e9ristique importante du SGP est la petite taille. Le retard de croissance, d\u00e9j\u00e0 visible d\u00e8s la petite enfance, a des r\u00e9percussions \u00e0 l\u2019\u00e2ge adulte : les patients atteints de SGP restent de petite taille. En moyenne, les femmes atteignent une taille de 146 cm et les hommes de 152 cm.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1uvd8p9 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-17i5bdz\" data-brz-custom-id=\"xvMmMCFCbRuk\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-uC7m5\" data-uniq-id=\"x_pOF\" data-generated-css=\"brz-css-aasrx\"><span class=\"brz-cp-color8\">HYPOGONADISME<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-6l04ch brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1sx1bjg\" data-brz-custom-id=\"zlIIpuAJfF6V\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-oHTJL\" data-generated-css=\"brz-css-fIYHd\" data-uniq-id=\"gJx7Z\"><span class=\"brz-cp-color8\">D\u00e8s la naissance, les enfants atteints de SGP pr\u00e9sentent souvent un sous-d\u00e9veloppement des organes g\u00e9nitaux. \u00c0 la pubert\u00e9, le d\u00e9veloppement physique est g\u00e9n\u00e9ralement retard\u00e9 et incomplet. La plupart des jeunes hommes atteints de SGP ne connaissent pas de mue de la voix, et la plupart des jeunes femmes n\u2019ont pas de cycle menstruel. L\u2019int\u00e9r\u00eat pour la sexualit\u00e9 et la libido sont souvent peu d\u00e9velopp\u00e9s. En raison de leur d\u00e9veloppement physique, les personnes atteintes de SGP sont dans la plupart des cas st\u00e9riles.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1u9fto5 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-18rkgb5\" data-brz-custom-id=\"oBSD6sIYg2oC\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-pYWpr\" data-generated-css=\"brz-css-cMt4M\" data-uniq-id=\"dkxKo\"><span class=\"brz-cp-color8\">KOGNITIVE BEEINTR\u00c4CHTIGUNG<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-b7ypp1 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1p0urqv\" data-brz-custom-id=\"gvORqtXLI2bG\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-aopsS\" data-uniq-id=\"l0hj4\" data-generated-css=\"brz-css-gZzDW\"><span class=\"brz-cp-color8\">Le d\u00e9veloppement psychomoteur et intellectuel des enfants atteints de SGP est g\u00e9n\u00e9ralement d\u00e9j\u00e0 retard\u00e9 d\u00e8s la petite enfance. Le d\u00e9veloppement du langage et de la motricit\u00e9 globale (s\u2019asseoir, marcher) est particuli\u00e8rement affect\u00e9. Alors que certains enfants peuvent fr\u00e9quenter une \u00e9cole ordinaire, d\u2019autres pr\u00e9sentent un retard important par rapport \u00e0 leurs pairs. La plupart se sentent \u00e0 l\u2019aise dans des classes plus petites, orient\u00e9es vers la p\u00e9dagogie sp\u00e9cialis\u00e9e.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-w3qd5o brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-ykdlkr\" data-brz-custom-id=\"gsv7bA7RxRav\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-cek3Q\" data-uniq-id=\"wtlQX\" data-generated-css=\"brz-css-lSZIY\"><span class=\"brz-cp-color8\">VERHALTENSAUFF\u00c4LLIGKEITEN<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-q1004o brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1fhcfc1\" data-brz-custom-id=\"ueMaag82BipK\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-faMUL\" data-generated-css=\"brz-css-avOKx\" data-uniq-id=\"s7gjo\"><span class=\"brz-cp-color8\">Les enfants atteints de SGP sont g\u00e9n\u00e9ralement doux et ob\u00e9issants en bas \u00e2ge, mais \u00e0 l\u2019\u00e2ge scolaire, ils peuvent parfois faire preuve d\u2019une opposition marqu\u00e9e, r\u00e9agir avec col\u00e8re et claquer des portes sans parvenir \u00e0 se calmer. Les changements impr\u00e9vus dans leur routine quotidienne leur posent particuli\u00e8rement probl\u00e8me, car ils aiment savoir pr\u00e9cis\u00e9ment\u2014et \u00e0 l\u2019avance\u2014ce qui va se passer. Les crises de col\u00e8re, fr\u00e9quentes chez de nombreux enfants atteints de SGP avant la pubert\u00e9, deviennent ensuite plus rares. En revanche, certains adolescents atteints de SGP peuvent souffrir d\u2019\u00e9pisodes d\u00e9pressifs, en partie parce qu\u2019ils prennent davantage conscience de leur diff\u00e9rence.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1ml515e brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-1jmt9u1\" data-brz-duration=\"300\" data-brz-custom-id=\"eLvaxJy0AJb8\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">PLUS<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-kn8mv5 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-13iljkv\" data-brz-custom-id=\"pK2GR5FZha6D\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-cPzFa\" data-generated-css=\"brz-css-t_x3q\" data-uniq-id=\"rU1bD\"><span class=\"brz-cp-color8\">Difficile, mais tr\u00e8s important pour les parents d\u2019enfants atteints de SGP, est la prise de conscience qu\u2019ils ne peuvent pas \u00ab gu\u00e9rir \u00bb leur enfant, m\u00eame avec la meilleure volont\u00e9. Les d\u00e9fis auxquels est confront\u00e9 un enfant atteint de SGP sont d\u00e9termin\u00e9s d\u00e8s la naissance. Cette prise de conscience est essentielle pour \u00e9viter, d\u2019une part, de surmener l\u2019enfant et, d\u2019autre part, de g\u00e9n\u00e9rer des sentiments de culpabilit\u00e9 chez les parents. M\u00eame avec une th\u00e9rapie continue et les meilleurs soins possibles, les limites impos\u00e9es par le SGP ne peuvent \u00eatre d\u00e9pass\u00e9es.\n\nParall\u00e8lement, la connaissance de ces limites ne doit toutefois pas d\u00e9courager les parents et les personnes qui s\u2019occupent des patients atteints de SGP. Leur engagement, associ\u00e9 au soutien d\u2019une \u00e9quipe interdisciplinaire, est essentiel pour le bien-\u00eatre physique et psychique des patients et en vaut toujours la peine, m\u00eame lorsque le diagnostic est pos\u00e9 tardivement.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-6kfcbk\" data-brz-custom-id=\"oSBWdfhdHpyh\">\n<div class=\"brz-row brz-css-d-row-container brz-css-r-row-container brz-css-d9tot3\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-1dw8syf\" data-brz-custom-id=\"l1nbmExbLyRP\">\n<div class=\"brz-bg\"><\/div>\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-8oun9a\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-lj1d brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1raxanz\" data-brz-custom-id=\"d0KrHOJZuEiw\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-laJ03\" data-uniq-id=\"rYj8B\" data-generated-css=\"brz-css-o_2NM\"><span class=\"brz-cp-color8\">VID\u00c9OS SUR LE SUJET<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-1inupu6\" data-brz-custom-id=\"qBOsqZLH5neW\">\n<div class=\"brz-row brz-row--inner brz-css-d-row-container brz-css-r-row-container brz-css-wtxjty\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-cxjs76\" data-brz-custom-id=\"ldgvwVnqbzB6\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-3suet0\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1ds1q00 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1d7dapa\" data-brz-custom-id=\"lqfJOjmOD3eN\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-erIZZ\" data-uniq-id=\"dvWz5\" data-generated-css=\"brz-css-hRaUM\"><span class=\"brz-cp-color8\">Interview avec Urs Eiholzer sur le syndrome de Prader-Willi<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-gaz557 brz-wrapper\">\n<div class=\"brz-video brz-youtube-video brz-video-on-controls-hidden brz-css-d-video brz-css-pjz5v6\" data-brz-custom-id=\"jO_4C4Ndp87T\">\n<div class=\"brz-video-content\" data-loop=\"false\" data-muted=\"false\" data-autoplay=\"off\">\n<div class=\"video-wrapper brz-image-fix-16-9\">\n<div class=\"brz-video-data brz-hidden\" data-src=\"https:\/\/www.youtube.com\/embed\/XaV2d10EOnI?autoplay=0&amp;controls=1&amp;start=0&amp;end=0&amp;modestbranding=0&amp;wmode=transparent&amp;enablejsapi=1&amp;loop=0&amp;rel=0&amp;mute=0\" data-population=\"\" data-controls=\"true\" data-branding=\"true\" data-intro=\"true\" data-start=\"0\" data-end=\"0\" data-loop=\"false\" data-autoplay=\"off\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-hsw38\" data-brz-custom-id=\"h2mzLw4GPmqr\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1g8dkej\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-rghv6e brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-h73u2q\" data-brz-custom-id=\"zh7TDrerIczV\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-c9aeI\" data-generated-css=\"brz-css-tzgHi\" data-uniq-id=\"qwekX\"><span class=\"brz-cp-color8\">\u00ab Peu visible mais bien pr\u00e9sent : vivre avec le syndrome de Prader-Willi \u00bb<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1tc2p4g brz-wrapper\">\n<div class=\"brz-video brz-youtube-video brz-video-on-controls-hidden brz-css-d-video brz-css-1djn3pd\" data-brz-custom-id=\"pELOK2FZtx6S\">\n<div class=\"brz-video-content\" data-loop=\"false\" data-muted=\"false\" data-autoplay=\"off\">\n<div class=\"video-wrapper brz-image-fix-16-9\">\n<div class=\"brz-video-data brz-hidden\" data-src=\"https:\/\/www.youtube.com\/embed\/ShnPZEzAjiI?autoplay=0&amp;controls=1&amp;start=0&amp;end=0&amp;modestbranding=0&amp;wmode=transparent&amp;enablejsapi=1&amp;loop=0&amp;rel=0&amp;mute=0\" data-population=\"\" data-controls=\"true\" data-branding=\"true\" data-intro=\"true\" data-start=\"0\" data-end=\"0\" data-loop=\"false\" data-autoplay=\"off\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-fczgwa brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1btqhrj\" data-brz-custom-id=\"cbCbGUw0Ue1f\">\n<div data-brz-translate-text=\"1\">\n<h3 data-generated-css=\"brz-css-uO1uG\" data-uniq-id=\"pfxyJ\" class=\"brz-text-xs-left brz-ff-qKYqBgi9lfgW brz-ft-upload brz-fs-lg-70 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1 brz-vfw-lg-600 brz-fwdth-lg-100 brz-fsft-lg-0 brz-mb-lg-0 brz-mb-sm-0 brz-mb-xs-0 brz-text-lg-left brz-tp-lg-heading2 brz-css-pdV8q\"><span class=\"brz-cp-color8\">NOTRE APPROCHE TH\u00c9RAPEUTIQUE<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-130ip70 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1xxx9qj\" data-brz-custom-id=\"zp_qUs15gGJ6\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-yMyOG\" data-generated-css=\"brz-css-nNRJp\" data-uniq-id=\"uOwJy\"><span class=\"brz-cp-color8\">La principale probl\u00e9matique du SGP r\u00e9side dans la diversit\u00e9 de sa symptomatologie. Tout d\u2019abord, il faut une personne\u2014par exemple les m\u00e9decins de la maternit\u00e9 ou plus tard le p\u00e9diatre en charge\u2014qui pense au diagnostic et qui initie les examens n\u00e9cessaires. \u00c0 ce jour, aucune explication n\u2019a \u00e9t\u00e9 trouv\u00e9e quant aux raisons pour lesquelles les enfants atteints de SGP pr\u00e9sentent des sympt\u00f4mes d\u2019intensit\u00e9 variable. Pour le quotidien avec un enfant atteint de SGP, cela signifie avant tout une chose :<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-4hdm5v\" data-brz-custom-id=\"iv8kJyKIIw7H\">\n<div class=\"brz-row brz-css-d-row-container brz-css-pp64j2\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-mob1s5\" data-brz-custom-id=\"i_ryyR2TQY5t\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-yfvsi7\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-gj3rur brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1mn4smi\" data-brz-custom-id=\"uE5gkgxouyWT\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_4 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-28 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-sm-heading3 brz-tp-lg-heading3 brz-mt-lg-0 brz-css-w0v9X\" data-generated-css=\"brz-css-b8FK2\" data-uniq-id=\"aRBvF\"><span class=\"brz-underline-true brz-cp-color8\">JEDES KIND IST ANDERS &#8211; JEDES KIND BRAUCHT ANDERE HILFEN UND INDIVIDUELLE F\u00d6RDERUNG.<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-13yh61e brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-qctfmrggf6j4-parent brz-css-12f48t5\" data-brz-custom-id=\"qcTFMrGGf6j4\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/brizy\/imgs\/theme-pws-06-263x145x0x0x263x145x1769510280.webp\" loading=\"lazy\" title=\"Beschr\u00e4nkung der Kalorienzufuhr\"><\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1oarlpt brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1eeble2\" data-brz-custom-id=\"i5U1ogqZFo6P\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-t6ekL\" data-uniq-id=\"r8WJk\" data-generated-css=\"brz-css-hQUkv\"><span class=\"brz-cp-color8\">RESTRICTION CALORIQUE<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-183v6z brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-gtzau3\" data-brz-custom-id=\"dtLtaGBchOgs\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-k99gQ\" data-generated-css=\"brz-css-bAlO_\" data-uniq-id=\"mQS2l\"><span class=\"brz-cp-color8\">Erste und wichtigste therapeutische Massnahme ist die Beschr\u00e4nkung der Kalorienzufuhr. Das ist ein permanenter Kampf, der in der Regel nur einigermassen zum Erfolg f\u00fchrt, wenn der K\u00fchlschrank abgeschlossen wird und kein Essen zug\u00e4nglich ist.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1jrh8zh brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-p6eyns\" data-brz-duration=\"300\" data-brz-custom-id=\"aQ9vWgNMt691\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">PLUS<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-t1nw2 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1cpa4i3\" data-brz-custom-id=\"c2JmdyUWx_Mh\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-gx3VZ\" data-uniq-id=\"reyvH\" data-generated-css=\"brz-css-bODp7\"><span class=\"brz-cp-color8\">M\u00eame une surveillance stricte et le fait de garder syst\u00e9matiquement les aliments sous cl\u00e9 ne permettent que de limiter, mais pas d\u2019emp\u00eacher, le surpoids ou l\u2019ob\u00e9sit\u00e9. En effet, les personnes atteintes de SGP pr\u00e9sentent un app\u00e9tit quasiment insatiable. Le graphique montre que les enfants atteints de SGP, contrairement \u00e0 d\u2019autres enfants pr\u00e9sentant un surpoids similaire, ne parviennent pas \u00e0 s\u2019arr\u00eater lorsqu\u2019ils peuvent manger autant de portions de sandwich qu\u2019ils le souhaitent (les enfants atteints de SGP \u00e0 droite).\nAxe Y : nombre de portions de sandwich consomm\u00e9es (1\/4 de sandwich).\nAxe X : temps<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-drhhkh brz-wrapper\">\n<div class=\"brz-image brz-image__lightbox brz-css-d-image-wkciqmk966xc-parent brz-css-a8gj2y\" data-brz-custom-id=\"wkcIqMk966xC\"><a class=\"brz-a\" target=\"_self\" rel=\"noopener\" href=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/12\/fuenf-finger-modell-1a-sandwiches.webp\" data-brz-link-type=\"lightBox\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/12\/fuenf-finger-modell-1a-sandwiches.webp\" loading=\"lazy\" title=\"Prader-Willi Syndrom: Beschr\u00e4nkung der Kalorienzufuhr\"><\/a><\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-scp37h brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1ni2tm1\" data-brz-custom-id=\"i9P_27k7Wtj0\">\n<div data-brz-translate-text=\"1\">\n<p data-uniq-id=\"sY1Sb\" data-generated-css=\"brz-css-ovFus\" class=\"brz-tp-lg-paragraph brz-css-mWmAK\"><span class=\"brz-cp-color8\">Le contr\u00f4le externe est tr\u00e8s efficace.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-w9Atx\" data-uniq-id=\"dsQMp\" data-generated-css=\"brz-css-gLX8b\"><span class=\"brz-cp-color8\">Il peut s\u2019agir des parents, de membres de la famille ou de personnes en charge de l\u2019accompagnement.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-l4bqf\" data-uniq-id=\"glut8\" data-generated-css=\"brz-css-wsncA\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-uCA44\" data-uniq-id=\"wfwQq\" data-generated-css=\"brz-css-pfnci\"><span class=\"brz-cp-color8\">Julia, avant et apr\u00e8s la mise en place du contr\u00f4le alimentaire. \u00c0 noter : seulement trois mois et un appel t\u00e9l\u00e9phonique plus tard. Le contr\u00f4le alimentaire a \u00e9t\u00e9 mis en place sans que nous ayons rencontr\u00e9 la famille en personne.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1r3x7e0 brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-epzwfixicyfd-parent brz-css-1kbirhe\" data-brz-custom-id=\"ePZwFixICyFD\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/brizy\/imgs\/fuenf-finger-modell-1c-julia-555x396x0x0x555x396x1769510287.webp\" loading=\"lazy\" title=\"Syndrome de Prader-WIlli\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1eu9cwq brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-i8upfd5fespy-parent brz-css-5k7e60\" data-brz-custom-id=\"i8UpfD5fESPY\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/brizy\/imgs\/theme-pws-07-263x145x0x0x263x145x1769510288.webp\" loading=\"lazy\" title=\"Behandlung mit Wachstumshormon\"><\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1oyb4s9 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-lukc20\" data-brz-custom-id=\"eUvQVCcrRtlU\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-dWrkB\" data-generated-css=\"brz-css-iBMiB\" data-uniq-id=\"gerqs\"><span class=\"brz-cp-color8\">TRAITEMENT PAR HORMONE DE CROISSANCE<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1vecd2t brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-8yzsps\" data-brz-custom-id=\"oEctmnT39cjD\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-fpiNN\" data-generated-css=\"brz-css-pIqis\" data-uniq-id=\"z5J_c\"><span class=\"brz-cp-color8\">Kinder und Erwachsene mit PWS sind kleinw\u00fcchsig. Ende der 1980er Jahre wurde zudem entdeckt, dass sie \u2013 im Vergleich zu gesunden \u00fcbergewichtigen Kindern \u2013 eine verminderte Muskelmasse haben.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1mmdr7h brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-fl70bx\" data-brz-duration=\"300\" data-brz-custom-id=\"kkB9vUBOQN62\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">PLUS<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-mwngy3 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-gllt63\" data-brz-custom-id=\"d8SWnLH3a8rq\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-rOBGV\" data-uniq-id=\"zeCiw\" data-generated-css=\"brz-css-k8T8t\"><span class=\"brz-cp-color8\">La petite taille et la r\u00e9duction de la masse musculaire sont des sympt\u00f4mes typiques d\u2019un d\u00e9ficit en hormone de croissance. C\u2019est pourquoi le traitement des enfants atteints de SGP par hormone de croissance a commenc\u00e9 en 1990. Plusieurs \u00e9tudes ont montr\u00e9 que la croissance, la composition corporelle et les performances physiques pouvaient \u00eatre nettement am\u00e9lior\u00e9es gr\u00e2ce \u00e0 un traitement par hormone de croissance. Des r\u00e9sultats encore meilleurs sont obtenus lorsque le traitement est d\u00e9but\u00e9 avant l\u2019\u00e2ge de 2,5 ans.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-12fb2jz brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-d7uq6e\" data-brz-custom-id=\"cEfz6G50IDEj\">\n<div data-brz-translate-text=\"1\">\n<p data-uniq-id=\"c809i\" data-generated-css=\"brz-css-siGqe\" class=\"brz-tp-lg-paragraph brz-css-iHTwI\"><span class=\"brz-cp-color8\">Der gleiche Patient &#8211; zwei Jahre sp\u00e4ter<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-vze_4\" data-uniq-id=\"y64k4\" data-generated-css=\"brz-css-gtBMt\"><span class=\"brz-cp-color8\">Sous restriction calorique et traitement par hormone de croissance.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-h5g7nw brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-wfqck4ryt4r6-parent brz-css-1njtp6h\" data-brz-custom-id=\"wfQcK4rYt4r6\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/brizy\/imgs\/fuenf-finger-modell-2a-b-555x366x0x0x555x366x1769510286.webp\" loading=\"lazy\" title=\"Syndrome de Prader-WIlli\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-17ywhki brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-kup8rloklvg5-parent brz-css-w2nycr\" data-brz-custom-id=\"kuP8RlokLvG5\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/brizy\/imgs\/theme-pws-08-263x145x0x0x263x145x1769510284.webp\" loading=\"lazy\" title=\"T\u00e4gliches Training\"><\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-7tu7e4 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-6h56jg\" data-brz-custom-id=\"fJBctTcCZ73g\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-iSkc3\" data-generated-css=\"brz-css-wxyB8\" data-uniq-id=\"i7037\"><span class=\"brz-cp-color8\">ENTRA\u00ceNEMENT QUOTIDIEN<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-s3kclv brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-yediw7\" data-brz-custom-id=\"kB7C_mH5sonw\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-bbOu0\" data-uniq-id=\"kPOaL\" data-generated-css=\"brz-css-pE4NO\"><span class=\"brz-cp-color8\">Inaktivit\u00e4t und wenig Freude an k\u00f6rperlicher Bet\u00e4tigung sind weitere charakteristische Symptome des PWS. Eine Hormontherapie kann zwar das Wachstum normalisieren und die K\u00f6rperzusammensetzung verbessern, aber auch unter langdauernder Wachstumshormonbehandlung bleibt bei PWS-Kindern die Muskelmasse deutlich vermindert und die Fettmasse erh\u00f6ht &#8211; selbst wenn das Gewicht normal ist.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-mIyLZ\" data-uniq-id=\"z9Qcm\" data-generated-css=\"brz-css-kIeTT\"><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1a4cyj1 brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-nlb0yj\" data-brz-duration=\"300\" data-brz-custom-id=\"rFcio4kBdSdP\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">PLUS<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-14c25yy brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-zqucxt\" data-brz-custom-id=\"oHUvlaPJUuny\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-gTXg6\" data-uniq-id=\"b6cHa\" data-generated-css=\"brz-css-eBQL0\"><span class=\"brz-cp-color8\">Pour am\u00e9liorer la masse musculaire et augmenter la d\u00e9pense \u00e9nerg\u00e9tique, il est judicieux que les enfants et les adultes concern\u00e9s suivent quotidiennement un programme d\u2019entra\u00eenement structur\u00e9. L\u2019importance de l\u2019activit\u00e9 physique doit \u00eatre clairement expliqu\u00e9e aux parents, aux personnes en charge et aux patients atteints de SGP. Une \u00e9tude a montr\u00e9 que 3 \u00e0 4 minutes d\u2019entra\u00eenement des muscles du mollet par jour (3 s\u00e9ries de 12 r\u00e9p\u00e9titions) entra\u00eenaient une augmentation du tour de mollet chez les enfants atteints de SGP ainsi que chez leurs fr\u00e8res et s\u0153urs en bonne sant\u00e9. La faible masse musculaire chez les enfants atteints de SGP est en grande partie une cons\u00e9quence de l\u2019inactivit\u00e9. Il en va de m\u00eame pour la force.\n\nEt la surprise : apr\u00e8s l\u2019entra\u00eenement, les enfants atteints de SGP parcourent spontan\u00e9ment des distances nettement plus longues, ce qui montre que le plaisir du mouvement peut \u00eatre stimul\u00e9. Avant l\u2019entra\u00eenement, la distance de marche spontan\u00e9e \u00e9tait de 10 km en 3 jours ; apr\u00e8s l\u2019entra\u00eenement, elle \u00e9tait de 18 km. (Aucune modification significative n\u2019a \u00e9t\u00e9 observ\u00e9e chez les enfants en bonne sant\u00e9.)<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-17dgjb5 brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-xbup3qajjhdw-parent brz-css-1n6w9wy\" data-brz-custom-id=\"xbup3qAjjhdW\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/brizy\/imgs\/fuenf-finger-modell-3a-555x765x0x0x555x765x1769510282.webp\" loading=\"lazy\" title=\"Syndrome de Prader-WIlli\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-c868n8 brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-fx8s_lvzbjmp-parent brz-css-qywmvc\" data-brz-custom-id=\"fx8S_LVZBJMp\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/brizy\/imgs\/theme-pws-09-263x145x0x0x263x145x1769510288.webp\" loading=\"lazy\" title=\"Substitution mit Geschlechtshormonen\"><\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-x1p40s brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-3m23ur\" data-brz-custom-id=\"jun8fiHK33ki\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-vUpxu\" data-uniq-id=\"aObtm\" data-generated-css=\"brz-css-so8NA\"><span class=\"brz-cp-color8\">TRAITEMENT SUBSTITUTIF PAR HORMONES SEXUELLES<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-19wkg3o brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1u8ly44\" data-brz-custom-id=\"eNp2AH0EZZuu\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-nIDsc\" data-generated-css=\"brz-css-jQijj\" data-uniq-id=\"lGuHX\"><span class=\"brz-cp-color8\">L\u2019arr\u00eat du d\u00e9veloppement pubertaire est tr\u00e8s \u00e9prouvant pour les personnes concern\u00e9es, par exemple en raison de l\u2019absence de mue de la voix chez les adolescents de sexe masculin. La cause en est une caract\u00e9ristique centrale du SGP, appel\u00e9e \u00ab hypogonadisme \u00bb. Cette insuffisance fonctionnelle des testicules ou des ovaires n\u2019affecte pas seulement le d\u00e9veloppement pubertaire et la maturation psychique, mais aussi la croissance et la composition corporelle.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-9zhije brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-g8a8j0\" data-brz-duration=\"300\" data-brz-custom-id=\"aZvWFFejyifq\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">PLUS<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-19of1yh brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1s1gin1\" data-brz-custom-id=\"mrexb_ZKvDD1\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-xorSj\" data-uniq-id=\"pgpKc\" data-generated-css=\"brz-css-itKy4\"><span class=\"brz-cp-color8\">Prader\u2013Willi syndrome and Hypogonadism &#8211; IPWSO<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1wz8sx2 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1ipsonu\" data-brz-custom-id=\"edzHLJDqNIOL\">\n<div data-brz-translate-text=\"1\">\n<p data-generated-css=\"brz-css-ydiyz\" data-uniq-id=\"dr5hT\" class=\"brz-tp-lg-paragraph brz-css-konLx\"><span class=\"brz-cp-color8\">Pubert\u00e9<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-ytecp7 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-n29s3d\" data-brz-custom-id=\"bAo0kHFeat6L\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-nxC_7\" data-generated-css=\"brz-css-tWdHs\" data-uniq-id=\"cvEVk\"><span class=\"brz-cp-color8\">Dass die Pubert\u00e4t oft unvollst\u00e4ndig bleibt liegt an einer Fehlregulierung des Zwischenhirns von PWS-Betroffenen. Bedingt durch die unterschiedliche Produktion der Geschlechtshormone ist dies bei Jungen und M\u00e4dchen verschieden: <\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-aBo5d\" data-generated-css=\"brz-css-tWdHs\" data-uniq-id=\"cvEVk\">\t<span class=\"brz-cp-color8\">&#8211; \u00d6strogene werden nicht nur in den Eierst\u00f6cken, sondern auch im Fettgewebe hergestellt. Deshalb haben M\u00e4dchen weitgehend eine normale Pubert\u00e4t, meist aber ohne Zyklus. <\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-hLrsZ\" data-generated-css=\"brz-css-tWdHs\" data-uniq-id=\"cvEVk\">\t<span class=\"brz-cp-color8\">&#8211; Testosteron wird praktisch nur in den Hoden produziert, deshalb haben PWS-Jungen wenig Pubert\u00e4tsentwicklung, insbesondere ohne Stimmbruch.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-ipTUR\" data-generated-css=\"brz-css-tWdHs\" data-uniq-id=\"cvEVk\"><span class=\"brz-cp-color8\">Und: Jungen brauchen Testosteron f\u00fcr die Muskelbildung.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-uJa_S\" data-generated-css=\"brz-css-zhxbs\" data-uniq-id=\"eAEPw\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-rQSEy translation-block\" data-generated-css=\"brz-css-tBTBv\" data-uniq-id=\"kBNa8\">Bien que l\u2019hypogonadisme dans le SGP soit bien document\u00e9, la substitution des hormones sexuelles reste encore partiellement controvers\u00e9e \u00e0 ce jour. Cela repose principalement sur l\u2019ancienne id\u00e9e qu\u2019une augmentation de l\u2019hormone sexuelle masculine, la testost\u00e9rone, pourrait entra\u00eener un comportement plus agressif chez les jeunes hommes. \u00c0 ce jour, aucune \u00e9tude scientifique men\u00e9e chez des personnes atteintes de SGP ne confirme cela.\n\nDans notre exp\u00e9rience, la substitution des hormones sexuelles chez les adolescents atteints de SGP donne d\u2019excellents r\u00e9sultats, \u00e0 condition que le traitement soit initi\u00e9 au moment physiologiquement appropri\u00e9.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1ly8w4l brz-wrapper\">\n<div class=\"brz-image brz-image__lightbox brz-css-d-image-zx4psks4_5jh-parent brz-css-1qpiup0\" data-brz-custom-id=\"zX4psKS4_5jh\"><a class=\"brz-a\" target=\"_self\" rel=\"noopener\" href=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/12\/fuenf-finger-modell-4a.webp\" data-brz-link-type=\"lightBox\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/12\/fuenf-finger-modell-4a.webp\" loading=\"lazy\" title=\"Hypogonadismus Prader-Willi Syndrom\"><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1gs8mk1 brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-sk6hujiaezvy-parent brz-css-1s2ouk1\" data-brz-custom-id=\"sK6HuJIAezVY\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/brizy\/imgs\/theme-pws-10-263x145x0x0x263x145x1769510280.webp\" loading=\"lazy\" title=\"Familiencoaching\"><\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-12h8ghs brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-olno7t\" data-brz-custom-id=\"yiSbKWBdzf7I\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-buKsK\" data-uniq-id=\"aRJnv\" data-generated-css=\"brz-css-vt7Ug\"><span class=\"brz-cp-color8\">COACHING FAMILIAL<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1sl0ho0 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1kck6ni\" data-brz-custom-id=\"yR1e2qQV9gry\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-xogm8\" data-uniq-id=\"nBnE8\" data-generated-css=\"brz-css-xGD0V\"><span class=\"brz-cp-color8\">Les familles ayant des enfants atteints de PWS sont g\u00e9n\u00e9ralement soumises \u00e0 une charge psychosociale plus importante que les autres familles.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-oJhHB\" data-uniq-id=\"xWFaN\" data-generated-css=\"brz-css-lYJBg\"><span class=\"brz-cp-color8\">C\u2019est pourquoi nous consid\u00e9rons que le soutien de la famille est particuli\u00e8rement important, par exemple<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-qlJ79\" data-uniq-id=\"aGulN\" data-generated-css=\"brz-css-hKIar\"><\/p>\n<ul>\n<li class=\"brz-tp-lg-uSRJcAJTJCVu brz-bcp-color8 brz-css-ghdbm\" data-uniq-id=\"jvwou\" data-generated-css=\"brz-css-gvuJ0\"><span class=\"brz-cp-color8\">dans la restriction de l\u2019apport calorique sur 24 heures<\/span><\/li>\n<li class=\"brz-tp-lg-uSRJcAJTJCVu brz-bcp-color8 brz-css-cd5_i\" data-uniq-id=\"ovYw7\" data-generated-css=\"brz-css-iUTCE\"><span class=\"brz-cp-color8\">dans la mise en \u0153uvre d\u2019un programme d\u2019entra\u00eenement structur\u00e9 quotidien<\/span><\/li>\n<li class=\"brz-tp-lg-uSRJcAJTJCVu brz-bcp-color8 brz-css-f2keZ\" data-uniq-id=\"q_uMX\" data-generated-css=\"brz-css-vi4RN\"><span class=\"brz-cp-color8\">en cas de crises de col\u00e8re, d\u2019ent\u00eatement, de d\u00e9pression, d\u2019isolement et de \u00ab skin picking \u00bb<\/span><\/li>\n<li class=\"brz-tp-lg-uSRJcAJTJCVu brz-bcp-color8 brz-css-pJOSE\" data-uniq-id=\"fIMXQ\" data-generated-css=\"brz-css-jFb_D\"><span class=\"brz-cp-color8\">dans les mesures m\u00e9dicales et les traitements<\/span><\/li>\n<li class=\"brz-tp-lg-uSRJcAJTJCVu brz-bcp-color8 brz-css-lMC3T\" data-uniq-id=\"eAeLE\" data-generated-css=\"brz-css-tDpXV\"><span class=\"brz-cp-color8\">dans les offres de soutien et dans la recherche d\u2019une \u00e9cole et d\u2019un placement en institution<\/span><\/li>\n<li class=\"brz-tp-lg-uSRJcAJTJCVu brz-bcp-color8 brz-css-xtgui\" data-uniq-id=\"qIUsf\" data-generated-css=\"brz-css-nsw1n\"><span class=\"brz-cp-color8\">bei beh\u00f6rdlichen Angelegenheiten<\/span><\/li>\n<\/ul>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-z6rR6\" data-uniq-id=\"fcVVF\" data-generated-css=\"brz-css-tMlpO\"><span class=\"brz-cp-color8\"> <\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-pztW3\" data-uniq-id=\"s4VRO\" data-generated-css=\"brz-css-pWQL8\"><span class=\"brz-cp-color8\">Les familles doivent se sentir en s\u00e9curit\u00e9 et bien accompagn\u00e9es. Pour cela, il est n\u00e9cessaire de disposer d\u2019un \u00ab case manager \u00bb capable de coordonner et de mettre en lien les diff\u00e9rentes informations des sp\u00e9cialistes.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-3s3uwp brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-1dl5vxg\" data-brz-duration=\"300\" data-brz-custom-id=\"jbf18wohn8Km\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">PLUS<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-15mload brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-k32784\" data-brz-custom-id=\"yaKGX355cmFw\">\n<div data-brz-translate-text=\"1\">\n<p data-generated-css=\"brz-css-xjHIb\" data-uniq-id=\"eHw9f\" class=\"brz-tp-lg-paragraph brz-css-cf0up\"><span class=\"brz-cp-color8\">Le chemin facile et sans conflit n\u2019est pas toujours le meilleur. R\u00e9flexions d\u2019Urs Eiholzer.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1sr93ea brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1bw8vhu\" data-brz-custom-id=\"eZg7sKv23bYu\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-qZ69F\" data-generated-css=\"brz-css-spEGV\" data-uniq-id=\"xwbse\"><span class=\"brz-cp-color8\">Dans le pass\u00e9, le syndrome de Prader-Willi \u00e9tait principalement associ\u00e9 \u00e0 l\u2019hyperphagie et \u00e0 la d\u00e9ficience intellectuelle. \u00c0 partir des ann\u00e9es 1990, l\u2019attention s\u2019est port\u00e9e sur le dysfonctionnement hypothalamique, avec une prise en charge principalement endocrinologique. Cependant, depuis environ 40 ans, on sait que, dans le SGP, les troubles psychiatriques occupent une place centrale \u00e0 moyen et long terme et sont d\u00e9terminants pour la qualit\u00e9 de vie des personnes concern\u00e9es et de leurs familles \u2014 et cela reste vrai aujourd\u2019hui.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-fi0yI\" data-generated-css=\"brz-css-fgPdU\" data-uniq-id=\"ulbE5\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-he4vL\" data-generated-css=\"brz-css-ppAjv\" data-uniq-id=\"vPavJ\"><span class=\"brz-cp-color8\">Professor Prader hat mich damals mit der Betreuung seiner Patienten mit Prader Willi Syndrom beauftragt, weil ich einerseits bei ihm zum Facharzt f\u00fcr Endokrinologie ausgebildet wurde und andererseits, weil er meine langj\u00e4hrige Ausbildung und T\u00e4tigkeit als Psychotherapeut mit psychoanalytischem und familientherapeutischem Hintergrund kannte und sch\u00e4tzte. Damals war noch nicht bekannt, dass PWS Betroffene in der sp\u00e4ten Kindheit und im Erwachsenenleben derart h\u00e4ufig an schwersten psychischen St\u00f6rungen erkrankten. Es ging Prader darum, die depressive Grundstimmung der Eltern und des Familiensystems aufzufangen, welche weitgehend aus der Ohnmacht der Medizin entstand und als Folge die Eltern und Angeh\u00f6rigen hilflos liess. Um aus dieser Hilflosigkeit auszubrechen, habe ich damals zusammen mit der Elterngruppe, deren Gr\u00fcndungsmitglieder Andrea Prader und ich waren, Studien \u00fcber das PWS begonnen und neue Entdeckungen in Publikationen und B\u00fcchern beschrieben. Die allgemeine depressive Grundstimmung der Familien ist damals dank dieser Erkenntnisse und entsprechend neuen Therapieangeboten von einer neuen Welle des Optimismus in den betroffenen Familien abgel\u00f6st worden. Bald zeigte sich aber die andere Seite. Je normaler unsere Patienten mit Prader Willi Syndrom ausgesehen haben und wahrgenommen wurden, desto auffallender wurden ihre geistigen und psychischen Defizite und desto st\u00e4rker sind die h\u00e4ufigen massiven psychischen St\u00f6rungen wie Depressionen und Psychosen. Ich erinnere mich an eine Fahrt der PWS Eltern an einen Kongress der IPWSO in Jesolo. Auf der Hinfahrt waren alle gl\u00fccklich und auf der Heimfahrt haben viele geweint. An diesem Kongress wurde zum ersten Mal breitfl\u00e4chig dar\u00fcber gesprochen, wie h\u00e4ufig und wie massiv die psychischen Auff\u00e4lligkeiten bei \u00e4lteren Kindern und Erwachsenen sind. L\u00f6sungen waren noch keine in Sicht. Ich habe fr\u00fch bemerkt, dass es f\u00fcr den sp\u00e4teren Verlauf von entscheidender Bedeutung ist, die famili\u00e4re Struktur zu beeinflussen und insbesondere die Eltern dazu zu bringen, die Kinder mit Prader Willi Syndrom in einer klar strukturierten Familiensituation aufwachsen zu lassen \u2013 eine Erkenntnis, die heute insbesondere im englischen Sprachraum v\u00f6llig unwidersprochen ist. Alle Familien, die ich je betreut habe, wurden auch psychotherapeutisch in einem Familiensetting betreut und gecoacht, ohne dass sie das immer wahrgenommen haben. Viele Familien die ich betreut habe, d\u00fcrften sich an harte Auseinandersetzungen mit mir erinnern, weil ich immer versucht habe, die Zukunft der psychischen Gesundheit dieser Kinder im Auge zu behalten. Ich habe oft gesagt, dass die Kindheit nur ein \u00dcbergang ist und dass auch vom Prader Willi Syndrom Betroffene nachher noch 60 Jahre oder l\u00e4nger erwachsen sein k\u00f6nnten und dass die Kindheit dazu dient, dass die Betroffenen das Erwachsenenleben mit einer m\u00f6glichst hohen Lebensqualit\u00e4t meistern k\u00f6nnen. Wahrscheinlich w\u00e4ren auch damals verschiedentlich einige Eltern gerne davongelaufen. Sie konnten allerdings nicht, da es ganz einfach keine weitere Fachstelle f\u00fcr die Betreuung vom Prader-Willi Syndrom Betroffenen in der Schweiz gab.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-tyGV2\" data-generated-css=\"brz-css-h_fd2\" data-uniq-id=\"fySbE\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-a7efi\" data-generated-css=\"brz-css-srr3m\" data-uniq-id=\"aLmST\"><span class=\"brz-cp-color8\">Si l\u2019on ne traite que les aspects biologiques chez les personnes atteintes de SGP, l\u2019approche est bien s\u00fbr diff\u00e9rente et beaucoup moins conflictuelle. Cependant, cela ne correspond ni \u00e0 mon approche th\u00e9rapeutique ni \u00e0 ma personnalit\u00e9 que le m\u00e9decin adopte le point de vue des familles et ne dise que ce qu\u2019elles souhaitent entendre. Il ne s\u2019agit ni plus ni moins que d\u2019une chambre d\u2019\u00e9cho, qui expose la sant\u00e9 psychique future des enfants plus \u00e2g\u00e9s et des adultes atteints de SGP \u00e0 des risques suppl\u00e9mentaires.\n\nJe suis convaincu que les familles qui ont la possibilit\u00e9 de saisir cette opportunit\u00e9 doivent pouvoir en b\u00e9n\u00e9ficier.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-vi935h brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-vykwebsuzhgo-parent brz-css-1m493xg\" data-brz-custom-id=\"vYKWebsuzhGO\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/brizy\/imgs\/fuenf-finger-modell-surfbrett-555x416x0x0x555x416x1769510280.webp\" loading=\"lazy\" title=\"Prader-Willi Syndrom - Kinder auf dem Surfbrett\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-1a6aac\" data-brz-custom-id=\"hgU2DMqngVUJ\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1g0u0x8\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-il6q45 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1we0smx\" data-brz-custom-id=\"u9nGxWeWwjSX\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-ykV8z\" data-uniq-id=\"ch8Ea\" data-generated-css=\"brz-css-gak6r\"><span class=\"brz-cp-color8\">INTERVENTION PR\u00c9COCE, PHYSIOTH\u00c9RAPIE, ORTHOPHONIE<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-13gjccc brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-io9nvy\" data-brz-custom-id=\"g_g7xbk1Obae\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-bN9Q_\" data-generated-css=\"brz-css-pBpbk\" data-uniq-id=\"lFXnv\"><span class=\"brz-cp-color8\">Entsprechend den spezifischen Bed\u00fcrfnissen des Kindes und dem lokalen Therapieangebot werden bereits im S\u00e4uglings- und Kleinkindalter die notwendigen F\u00f6rdermassnahmen angeboten.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-bgC1x\" data-generated-css=\"brz-css-gt7zm\" data-uniq-id=\"jw90K\"><\/p>\n<p class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-17 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_3 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-nzVzv\" data-generated-css=\"brz-css-t3XGH\" data-uniq-id=\"dtVXN\"><strong class=\"brz-cp-color8 brz-bold-true\">RENFORCEMENT MUSCULAIRE<\/strong><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-qK7R5\" data-generated-css=\"brz-css-rHDOV\" data-uniq-id=\"ykZol\"><span class=\"brz-cp-color8\">La physioth\u00e9rapie devrait viser principalement le renforcement musculaire en raison de la faiblesse musculaire persistante et de la masse musculaire insuffisante. L\u2019intervention pr\u00e9coce a pour objectif d\u2019encourager l\u2019enfant \u00e0 franchir des \u00e9tapes de d\u00e9veloppement.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-rnBdA\" data-generated-css=\"brz-css-szycI\" data-uniq-id=\"jOvot\"><span class=\"brz-cp-color8\"> <\/span><\/p>\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-empty brz-css-tpwMg\" data-generated-css=\"brz-css-j_z67\" data-uniq-id=\"jv2k_\"><strong class=\"brz-bold-true brz-cp-color8\">CONSEIL EN ORTHOPHONIE<\/strong><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-dtFXd\" data-generated-css=\"brz-css-teXfW\" data-uniq-id=\"l7wto\"><span class=\"brz-cp-color8\">En cas de retard ou de trouble du d\u00e9veloppement du langage, un conseil en orthophonie devrait \u00eatre mis en place comme mesure principale \u00e0 partir d\u2019environ l\u2019\u00e2ge de trois ans. <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1mlyuej brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1nlrp5j\" data-brz-custom-id=\"yygD8s337nfC\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-nIQEj\" data-uniq-id=\"loszd\" data-generated-css=\"brz-css-s5u52\"><span class=\"brz-cp-color8\">CONSEIL PSYCHOLOGIQUE<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-19iius4 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-mnyyzj\" data-brz-custom-id=\"wp26bv6jD44Z\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-f8_Eb\" data-uniq-id=\"qINz5\" data-generated-css=\"brz-css-khnF6\"><span class=\"brz-cp-color8\">Les familles ayant des enfants atteints de PWS sont g\u00e9n\u00e9ralement soumises \u00e0 une charge psychosociale plus importante que les autres familles.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-az5Ts\" data-uniq-id=\"rYxUo\" data-generated-css=\"brz-css-rJyzV\"><\/p>\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-empty brz-css-jpJok\" data-uniq-id=\"toCAj\" data-generated-css=\"brz-css-dkWyS\"><strong class=\"brz-bold-true brz-cp-color8\">Utilisation \u00e9conome des ressources<\/strong><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-xysP5\" data-uniq-id=\"gwhi2\" data-generated-css=\"brz-css-zJ0Cc\"><span class=\"brz-cp-color8\">Ausserdem hat sich gezeigt, dass die Erziehung von Kindern mit PWS einen bedeutenden Einfluss auf deren Gewichtsentwicklung haben kann. Psychologische Beratung von Eltern oder Familien zielt deshalb einerseits darauf ab, die Betroffenen zu unterst\u00fctzen und ihnen im haush\u00e4lterischen Umgang mit ihren Ressourcen zu helfen, und andererseits auf eine Beeinflussung des Erziehungsverhaltens in Richtung mehr Klarheit und Konsequenz. Die Erfahrung zeigt aber auch, dass es den Familien oft nicht leicht f\u00e4llt, sich einzugestehen, dass die eigenen Ressourcen nicht mehr ausreichen und dass sie Hilfe und Unterst\u00fctzung von aussen brauchen.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-wrapper-clone brz-flex-xs-wrap brz-css-d-cloneable brz-css-10g5z2u\" data-brz-custom-id=\"zcDSUNOGNFiZ\">\n<div class=\"brz-icon__container\" data-brz-custom-id=\"yTYsqywOe3Ph\"><span class=\"brz-icon brz-span brz-css-d-icon-icon brz-css-m65a0r\"><\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"noonan\" data-brz-id=\"gOu8BtNLxLOf_gOu8BtNLxLOf\" class=\"brz-section brz-css-d-section brz-css-zxxrfy\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-xk6dtx\" data-brz-custom-id=\"f12YCinOPpJt\">\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-1azh71v\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1wi87hm brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-ez4uugzvazpi-parent brz-css-u3o5t1\" data-brz-custom-id=\"eZ4uuGZvaZpi\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/11\/pezz-noonan-1.webp\" loading=\"lazy\" title=\"Ein Kind mit Noonan-Syndrom bl\u00e4st eine Pusteblume\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"noonan-infos\" data-brz-id=\"lz71QDfP3vRc_lz71QDfP3vRc\" class=\"brz-section brz-css-d-section brz-css-1fnvcxy\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-sectionitem-bg brz-css-8hwvfz\" data-brz-custom-id=\"a4pDzIESKqsQ\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-3rvjsl\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1q0g3dq brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-30v9ef\" data-brz-custom-id=\"v5_0hGchHpkF\">\n<div data-brz-translate-text=\"1\">\n<h2 class=\"brz-text-xs-left brz-ff-qKYqBgi9lfgW brz-ft-upload brz-fs-lg-70 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1 brz-vfw-lg-600 brz-fwdth-lg-100 brz-fsft-lg-0 brz-mb-lg-0 brz-mb-sm-0 brz-mb-xs-0 brz-tp-lg-heading2 brz-text-lg-left brz-css-yIcTj\" data-generated-css=\"brz-css-vUi_E\" data-uniq-id=\"ahSQY\"><span class=\"brz-cp-color8\">NOONAN-SYNDROM<\/span><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-euwj91\" data-brz-custom-id=\"h1AHlgVHjm7X\">\n<div class=\"brz-row brz-css-d-row-container brz-css-1u604vi\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-1ov7ahn\" data-brz-custom-id=\"s7C2XraF95B7\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1oti3la\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-jjynub brz-wrapper book-tab\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-kbdh8r\" data-brz-duration=\"300\" data-brz-custom-id=\"h1WXcC9RTQXe\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">BUCH TAB<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-ndpp3h brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-16bz8au\" data-brz-custom-id=\"vJYDamZKuZdJ\">\n<div data-brz-translate-text=\"1\">\n<p data-uniq-id=\"y_ofF\" data-generated-css=\"brz-css-g1eDX\" class=\"brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-22 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_4 brz-vfw-lg-600 brz-fwdth-lg-100 brz-fsft-lg-0 brz-tp-lg-uSRJcAJTJCVu brz-css-tAnwE\"><span class=\"brz-cp-color8 brz-italic-true\">D\u00e9couvrez-en davantage sur le syndrome de Noonan dans notre brochure <\/span><a class=\"brz-cp-color8 brz-italic-true link--external\" href=\"https:\/\/www.pezz.ch\/fr\/ueber-uns\/buecher\/\" data-brz-link-type=\"external\">&#8222;Das Noonan-Syndrom &#8211; Wie erkennt man es? Wie unterst\u00fctzt man Betroffene&#8220;<\/a><span class=\"brz-cp-color8 brz-italic-true\"> <\/span><\/p>\n<p class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-22 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_4 brz-vfw-lg-600 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-eDIl6\" data-uniq-id=\"gwm6j\" data-generated-css=\"brz-css-e7fcr\"><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1mht1wy brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-h6d7t\" data-brz-custom-id=\"mAmcSOlVZBa9\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-tp-lg-heading3 brz-tp-sm-heading3 brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-28 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_4 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-mt-lg-30 brz-css-hH62A\" data-uniq-id=\"hzq6c\" data-generated-css=\"brz-css-yZWib\"><span class=\"brz-cp-color8 brz-underline-true\">SOUVENT UNE ODYSS\u00c9E JUSQU\u2019AU DIAGNOSTIC<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-8qel4i brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-3mtwij\" data-brz-custom-id=\"t9DPmu1px8t0\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-lr9tv\" data-uniq-id=\"evhYN\" data-generated-css=\"brz-css-uEjFq\"><span class=\"brz-cp-color8\">Le syndrome de Noonan est une maladie g\u00e9n\u00e9tique rare qui touche environ 40 nouveau-n\u00e9s par an en Suisse. Autrefois, le diagnostic du syndrome de Noonan reposait exclusivement sur les signes cliniques (traits faciaux caract\u00e9ristiques, malformations cardiaques cong\u00e9nitales, petite taille). Aujourd\u2019hui, un test g\u00e9n\u00e9tique est \u00e9galement r\u00e9alis\u00e9, mais dans environ 20 % des cas, aucune anomalie g\u00e9n\u00e9tique n\u2019est identifi\u00e9e. Les personnes pr\u00e9sentant des formes l\u00e9g\u00e8res restent souvent non diagnostiqu\u00e9es toute leur vie.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-170tcq8 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1phwqex\" data-brz-custom-id=\"k1X66VFQlMzF\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-v5DTl\" data-generated-css=\"brz-css-yv0xL\" data-uniq-id=\"c2IZg\"><span class=\"brz-cp-color8\">Die Hauptschwierigkeit beim Noonan-Syndrom ist das breite Spektrum der Symptome. Aus diesem Grund kann es oft l\u00e4ngere Zeit dauern, bis die Diagnose gestellt wird. Nicht immer sind die \u00c4rzte auf der Entbindungsstation oder der zust\u00e4ndige Kinderarzt mit den vielen Spielarten des Noonan Syndroms vertraut. Wenn der Verdacht klar ist, wird das Kind an einen Genetiker \u00fcberwiesen. Die Eltern brauchen dann einen Arzt, der sich mit dem Syndrom auskennt und der die Vielfalt der Symptome erkl\u00e4ren und ein Vertrauensverh\u00e4ltnis aufbauen kann. Der betreffende Arzt sollte auch in der Lage sein, die spezifischen Probleme, die durch das Noonan-Syndrom verursacht werden, vorauszusehen und die verschiedenen Spezialisten zum richtigen Zeitpunkt hinzuzuziehen, um deren Hilfe in Anspruch zu nehmen. Es kann schwierig sein, einen Fachmann zu finden, der diese Rolle \u00fcbernehmen kann, und in den meisten F\u00e4llen m\u00fcssen Eltern die Rolle des Koordinators des &#8222;Care-Teams&#8220; \u00fcbernehmen.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-samwj\" data-generated-css=\"brz-css-pviBl\" data-uniq-id=\"b3p4Y\"><span class=\"brz-cp-color8\"> <\/span><\/p>\n<p class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-17 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_3 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-xL14r translation-block\" data-generated-css=\"brz-css-bNlaY\" data-uniq-id=\"wwbD8\">Au PEZZ, les parents d\u2019enfants atteints du syndrome de Noonan b\u00e9n\u00e9ficient de l\u2019accompagnement d\u2019un expert reconnu dans ce domaine, le Prof. Dr. Dr. med. Kees Noordam.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-uey23\" data-brz-custom-id=\"uwlJppZFcSlE\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-vrh7lk\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-mpfslx brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-zu7z2s\" data-brz-custom-id=\"vtk38g0x5lOz\">\n<div data-brz-translate-text=\"1\">\n<h4 data-generated-css=\"brz-css-qlxQk\" data-uniq-id=\"doCUh\" class=\"brz-tp-lg-heading4 brz-css-btajd\"><span class=\"brz-cp-color8\">CARACT\u00c9RISTIQUES PRINCIPALES<\/span><\/h4>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1mw5w35 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1f8vsaz\" data-brz-custom-id=\"xGZDKnxIk8Ox\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-nJeeo\" data-generated-css=\"brz-css-oVUxL\" data-uniq-id=\"puD7u\"><span class=\"brz-cp-color8\">VISAGE<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1g0un6s brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-7tgm4a\" data-brz-custom-id=\"yCFykAaEkyom\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-bq0RD\" data-generated-css=\"brz-css-eEUq8\" data-uniq-id=\"gJM11\"><span class=\"brz-cp-color8\">Des traits faciaux typiques peuvent souvent d\u00e9j\u00e0 \u00eatre observ\u00e9s chez le nouveau-n\u00e9. Leur expression est tr\u00e8s variable et ils sont g\u00e9n\u00e9ralement moins marqu\u00e9s \u00e0 l\u2019\u00e2ge adulte. On observe notamment un visage de forme triangulaire, des yeux \u00e9cart\u00e9s, des paupi\u00e8res tombantes, une petite m\u00e2choire inf\u00e9rieure, des oreilles basses, un cou court et une implantation basse des cheveux \u00e0 l\u2019arri\u00e8re en forme de W.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1ycjn5k brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-g0c6xe\" data-brz-custom-id=\"zMQfNZETKINZ\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-my5xq\" data-uniq-id=\"tMI6c\" data-generated-css=\"brz-css-fuRWZ\"><span class=\"brz-cp-color8\">C\u0152UR<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-inovzh brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1tbwrki\" data-brz-custom-id=\"tqExxBpkli3P\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-oaz0m\" data-uniq-id=\"mVNnu\" data-generated-css=\"brz-css-uBdGn\"><span class=\"brz-cp-color8\">Les malformations cardiaques cong\u00e9nitales constituent un deuxi\u00e8me \u00e9l\u00e9ment important pour \u00e9tablir le diagnostic. Une st\u00e9nose de la valve pulmonaire est particuli\u00e8rement fr\u00e9quente. Cela entra\u00eene une surcharge du c\u0153ur, et l\u2019enfant pr\u00e9sente une moindre tol\u00e9rance \u00e0 l\u2019effort et se fatigue plus rapidement. D\u2019autres malformations cardiaques peuvent \u00e9galement survenir. Un souffle cardiaque est souvent audible dans les premiers jours apr\u00e8s la naissance, ou bien l\u2019enfant t\u00e8te mal et est p\u00e2le.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-4ra5i7 brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-1ntc03w\" data-brz-duration=\"300\" data-brz-custom-id=\"pp8Mk2tkQpPS\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">PLUS<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-x030b6 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1vvf0g7\" data-brz-custom-id=\"nLh0uCXd3ySW\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-q6YEU\" data-uniq-id=\"k3f9L\" data-generated-css=\"brz-css-bj5nB\"><span class=\"brz-cp-color8\">PETITE TAILLE<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-d9m8nq brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-538w4j\" data-brz-custom-id=\"k8mZK5fMyQlJ\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-gtYRp\" data-uniq-id=\"zoEn_\" data-generated-css=\"brz-css-kBdmY\"><span class=\"brz-cp-color8\">Obwohl das Geburtsgewicht und die Geburtsgr\u00f6sse in der Regel normal sind, sind Kinder mit Noonan-Syndrom sp\u00e4ter kleiner als f\u00fcr ihr Alter erwartet. Die Pubert\u00e4t verz\u00f6gert sich um etwa 2 Jahre und die Endgr\u00f6sse wird erst sp\u00e4t erreicht. M\u00e4nnern erreichen zwischen 157 und 169 cm, Frauen zwischen 148 und 153 cm.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1lmoo4a brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1tj1dlw\" data-brz-custom-id=\"rF_7BXJoXh4e\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-meEL7\" data-uniq-id=\"othKr\" data-generated-css=\"brz-css-g01bl\"><span class=\"brz-cp-color8\">SYST\u00c8ME MUSCULO-SQUELETTIQUE<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-mg26ic brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-o02jnj\" data-brz-custom-id=\"ecBMGyOrj3Ee\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-mQtPC\" data-generated-css=\"brz-css-psK12\" data-uniq-id=\"pboNy\"><span class=\"brz-cp-color8\">\u00c0 l\u2019examen clinique, on constate un tonus musculaire diminu\u00e9. Des d\u00e9formations de la cage thoracique (thorax en entonnoir, thorax en car\u00e8ne, scoliose) ainsi qu\u2019une pr\u00e9disposition aux lymph\u0153d\u00e8mes peuvent \u00e9galement \u00eatre pr\u00e9sentes. Chez les gar\u00e7ons, on observe souvent une cryptorchidie.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1hgk574 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1p2sxsm\" data-brz-custom-id=\"vmGovsPkBk1j\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-pC5xo\" data-uniq-id=\"mElkG\" data-generated-css=\"brz-css-b2mHU\"><span class=\"brz-cp-color8\">PROBL\u00c8MES DE SAIGNEMENT<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-110tib brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-7k3q7k\" data-brz-custom-id=\"aWKAEZrVbzvB\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-uOUtX\" data-generated-css=\"brz-css-otkIa\" data-uniq-id=\"msyNU\"><span class=\"brz-cp-color8\">Des troubles de la coagulation sont \u00e9galement plus fr\u00e9quents. Ils peuvent se manifester par des ecchymoses, des r\u00e8gles abondantes ou une augmentation des pertes de sang apr\u00e8s une op\u00e9ration. Avant toute intervention chirurgicale, la coagulation doit donc toujours \u00eatre \u00e9valu\u00e9e et l\u2019anesth\u00e9siste inform\u00e9.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-y4cl3r brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1rjz2h8\" data-brz-custom-id=\"nChsZOXP8qw4\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-x4tNT\" data-uniq-id=\"ajuAF\" data-generated-css=\"brz-css-h3cjb\"><span class=\"brz-cp-color8\">YEUX<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-mnyigo brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1k0q4n0\" data-brz-custom-id=\"lBzSRIyouSgz\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-cJg0o\" data-uniq-id=\"f0Uo2\" data-generated-css=\"brz-css-n16bN\"><span class=\"brz-cp-color8\">Environ 90 % des personnes concern\u00e9es pr\u00e9sentent un trouble de la vision n\u00e9cessitant le port de lunettes, et le risque de strabisme est augment\u00e9.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-99g1jh brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-sqtsge\" data-brz-custom-id=\"nAQQDIpMAzXD\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-hZhjm\" data-uniq-id=\"fW8uC\" data-generated-css=\"brz-css-tIKQh\"><span class=\"brz-cp-color8\">DOULEURS CHRONIQUES<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1yvbhhq brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-lvsxq\" data-brz-custom-id=\"pfZVXlroNHzX\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-ijghv\" data-generated-css=\"brz-css-eXcmm\" data-uniq-id=\"pjVpi\"><span class=\"brz-cp-color8\">Comme l\u2019ensemble du syst\u00e8me organique peut \u00eatre touch\u00e9 de mani\u00e8re subtile, de nombreux enfants et adultes atteints du syndrome de Noonan souffrent de douleurs au niveau des articulations, des extr\u00e9mit\u00e9s, du dos, des muscles ou de l\u2019abdomen.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-gsmubl brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1rzeb65\" data-brz-custom-id=\"sT89lYeOgHyg\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-sYGfD\" data-uniq-id=\"ewo1o\" data-generated-css=\"brz-css-eT3Kh\"><span class=\"brz-cp-color8\">PROBL\u00c8MES D\u2019ALIMENTATION AU COURS DES DEUX PREMI\u00c8RES ANN\u00c9ES<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1paw9jg brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-hrhrk\" data-brz-custom-id=\"z6BWZnnZWzIs\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-jPXCE\" data-uniq-id=\"sOMxf\" data-generated-css=\"brz-css-zL9Pz\"><span class=\"brz-cp-color8\">Les parents se souviennent g\u00e9n\u00e9ralement surtout des difficult\u00e9s li\u00e9es \u00e0 l\u2019alimentation et \u00e0 la prise de boissons. Les probl\u00e8mes les plus fr\u00e9quents sont une succion insuffisante, le refus de boire, des vomissements r\u00e9p\u00e9t\u00e9s et parfois en jet, des ballonnements et de la constipation. Au cours de la premi\u00e8re ann\u00e9e, la prise de poids est tr\u00e8s lente. \u00c0 partir de la deuxi\u00e8me ann\u00e9e, la situation s\u2019am\u00e9liore g\u00e9n\u00e9ralement. La plupart des enfants pr\u00e9sentent toutefois encore un app\u00e9tit r\u00e9duit et restent minces.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1bsucww brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1wacmm7\" data-brz-custom-id=\"lvTU6swuk2e6\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-qBUfJ\" data-uniq-id=\"yX3ve\" data-generated-css=\"brz-css-ddNkY\"><span class=\"brz-cp-color8\">D\u00c9VELOPPEMENT PSYCHOMOTEUR ET COMPORTEMENT<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-vqllan brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-tn8fap\" data-brz-custom-id=\"u1QTA0MbD92w\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-nWvhU\" data-generated-css=\"brz-css-fsumb\" data-uniq-id=\"lSQRc\"><span class=\"brz-cp-color8\">En raison de l\u2019hypotonie musculaire, les \u00e9tapes motrices telles que le rampement, la station debout et la marche sont acquises plus tard. Dans certains cas, on observe \u00e9galement un retard du langage. Les capacit\u00e9s cognitives se situent dans la norme dans jusqu\u2019\u00e0 80 % des cas, avec un quotient intellectuel compris entre 70 et 120. Des difficult\u00e9s d\u2019apprentissage sont pr\u00e9sentes dans environ un tiers des cas. Des d\u00e9ficits dans la capacit\u00e9 \u00e0 reconna\u00eetre et \u00e0 exprimer correctement les \u00e9motions (alexithymie) ont \u00e9t\u00e9 d\u00e9crits. De nombreux parents observent \u00e9galement chez leurs enfants des troubles de l\u2019attention, des troubles de l\u2019humeur et une faible tol\u00e9rance \u00e0 la frustration.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-9e55nk brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1qiny5b\" data-brz-custom-id=\"fYk6Y2yi0YxZ\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-yBVZF\" data-uniq-id=\"o7Azj\" data-generated-css=\"brz-css-lJzYQ\"><span class=\"brz-cp-color8\">DIRECTIVES POUR LE TRAITEMENT<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1vj4cl4 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1ynshxb\" data-brz-custom-id=\"xtPbulBC61N2\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-jPatz\" data-generated-css=\"brz-css-fux0Q\" data-uniq-id=\"kbrS9\"><span class=\"brz-cp-color8\">Jedes Kind ist anders &#8211; jedes Kind braucht andere Formen der Hilfe und unterschiedliche individuelle Unterst\u00fctzung. Die Hilfe von Experten &#8211; Spezialisten verschiedener Fachrichtungen, Kardiologen, Kinder\u00e4rzten, Logop\u00e4den, Physiotherapeuten, Psychologen \u2013 ist daher sehr wichtig. Ebenso hilfreich sind die Ratschl\u00e4ge und Erfahrungen anderer Eltern von Kindern mit Noonan-Syndrom, die z. B. \u00fcber Elternselbsthilfegruppen ausgetauscht werden k\u00f6nnen.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-gfe5k3 brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-1ocf49h\" data-brz-duration=\"300\" data-brz-custom-id=\"vLgxTBVqroAA\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">PLUS<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-11wfmgv brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1ksguga\" data-brz-custom-id=\"u1PzTdvbGPLu\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-dKgAs\" data-uniq-id=\"fea3i\" data-generated-css=\"brz-css-rPyIJ\"><span class=\"brz-cp-color8\">Apr\u00e8s confirmation du diagnostic par un test g\u00e9n\u00e9tique, les examens suivants doivent \u00eatre r\u00e9alis\u00e9s.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-u8iiut brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1ay7zi8\" data-brz-custom-id=\"up8IiV8y8kUq\">\n<div data-brz-translate-text=\"1\">\n<ul>\n<li class=\"brz-tp-lg-uSRJcAJTJCVu brz-bcp-color8 brz-css-zNNPu\" data-uniq-id=\"bSjrJ\" data-generated-css=\"brz-css-mJisp\"><span class=\"brz-cp-color8\">Un examen cardiologique complet (y compris une \u00e9chographie du c\u0153ur),<\/span><\/li>\n<li class=\"brz-tp-lg-uSRJcAJTJCVu brz-bcp-color8 brz-css-be1y4\" data-uniq-id=\"nEd3t\" data-generated-css=\"brz-css-bU3bx\"><span class=\"brz-cp-color8\">Eine Ultraschalluntersuchung der Nieren,<\/span><\/li>\n<li class=\"brz-tp-lg-uSRJcAJTJCVu brz-bcp-color8 brz-css-cL0Pe\" data-uniq-id=\"t4AS4\" data-generated-css=\"brz-css-amfEc\"><span class=\"brz-cp-color8\">\u00c9valuation de la descente testiculaire,<\/span><\/li>\n<li class=\"brz-tp-lg-uSRJcAJTJCVu brz-bcp-color8 brz-css-bGMbx\" data-uniq-id=\"svKGm\" data-generated-css=\"brz-css-maWYr\"><span class=\"brz-cp-color8\">Examens des yeux<\/span><\/li>\n<li class=\"brz-tp-lg-uSRJcAJTJCVu brz-bcp-color8 brz-css-rGCKC\" data-uniq-id=\"engbi\" data-generated-css=\"brz-css-pgQeh\"><span class=\"brz-cp-color8\">\u00c9valuation de l\u2019audition<\/span><\/li>\n<li class=\"brz-tp-lg-uSRJcAJTJCVu brz-bcp-color8 brz-css-ao85A\" data-uniq-id=\"qE5iV\" data-generated-css=\"brz-css-iT2Kv\"><span class=\"brz-cp-color8\">Bei h\u00e4ufigem Erbrechen sollten Untersuchungen zum Nachweis eines gastro-\u00f6sophagealen Refluxes und einer Malrotation durchgef\u00fchrt und entsprechend behandelt werden. In schweren F\u00e4llen kann eine Sondenern\u00e4hrung notwendig sein.<\/span><\/li>\n<li class=\"brz-tp-lg-uSRJcAJTJCVu brz-bcp-color8 brz-css-r3r5_\" data-uniq-id=\"f8EHI\" data-generated-css=\"brz-css-nT5C_\"><span class=\"brz-cp-color8\">Eine Entwicklungsbeurteilung sollte am Ende des ersten Lebensjahres und bei Eintritt in die Grundschule und in die weiterf\u00fchrenden Schulen erfolgen.<\/span><\/li>\n<li class=\"brz-tp-lg-uSRJcAJTJCVu brz-bcp-color8 brz-css-eXuwr\" data-uniq-id=\"hg4mo\" data-generated-css=\"brz-css-iuPh1\"><span class=\"brz-cp-color8\">Bei Bedarf braucht es eine psychosoziale Betreuung f\u00fcr Kind und Eltern.<\/span><\/li>\n<li class=\"brz-tp-lg-uSRJcAJTJCVu brz-bcp-color8 brz-css-vhcc7\" data-uniq-id=\"dGJQC\" data-generated-css=\"brz-css-h_bpx\"><span class=\"brz-cp-color8\">Eine Basisuntersuchung der Blutgerinnung sollte nach dem 5. Lebensjahr durchgef\u00fchrt werden oder fr\u00fcher, wenn eine gr\u00f6ssere Operation geplant ist.<\/span><\/li>\n<li class=\"brz-tp-lg-uSRJcAJTJCVu brz-bcp-color8 brz-css-nFX55\" data-uniq-id=\"gPKXb\" data-generated-css=\"brz-css-l_TFs\"><span class=\"brz-cp-color8\">Die Schilddr\u00fcsenfunktion sollte alle 3-5 Jahre kontrolliert werden.<\/span><\/li>\n<li class=\"brz-tp-lg-uSRJcAJTJCVu brz-bcp-color8 brz-css-cfqCO\" data-uniq-id=\"aRj2O\" data-generated-css=\"brz-css-x3c0o\"><span class=\"brz-cp-color8\">Entwicklungsverz\u00f6gerungen, die durch die muskul\u00e4re Hypotonie verursacht werden, verbessern sich mit Besch\u00e4ftigungs- und Physiotherapie.<\/span><\/li>\n<li class=\"brz-tp-lg-uSRJcAJTJCVu brz-bcp-color8 brz-css-sfpF8\" data-uniq-id=\"dg8zT\" data-generated-css=\"brz-css-nJcrf\"><span class=\"brz-cp-color8\">Wachstums- und Gewichtsentwicklung sollte anhand der Noonan-spezifischen Wachstumskurven erfolgen. Wenn nach dem Alter von 2 Jahren die K\u00f6rpergr\u00f6sse unter dem Mittelwert f\u00fcr Noonan-Syndrom-Standard liegt, muss eine Beurteilung durch einen p\u00e4diatrischen Endokrinologen erfolgen. In der Schweiz wird die Wachstumshormontherapie aktuell nur bei nachgewiesenem Wachstumshormonmangel bezahlt. Daher sollten bei Kleinwuchs und IGF-1-Spiegel &lt; -1 SD Wachstumshormonstimulationsteste durchgef\u00fchrt werden.<\/span><\/li>\n<li class=\"brz-tp-lg-uSRJcAJTJCVu brz-bcp-color8 brz-css-rjBH6\" data-uniq-id=\"fqhFn\" data-generated-css=\"brz-css-cqRH5\"><span class=\"brz-cp-color8\">Es ist sinnvoll, im Erwachsenenalter erneut neuropsychologische Tests durchzuf\u00fchren, wenn der Patient Symptome einer Stimmungs-\/Angstst\u00f6rung aufweist.<\/span><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"kallmann\" data-brz-id=\"fxE0FX5PYuP0_fxE0FX5PYuP0\" class=\"brz-section brz-css-d-section brz-css-1ouqsfz\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-1ojm47g\" data-brz-custom-id=\"rNKyPPtUCsCo\">\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-1ykdhd4\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1q42vjy brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-h8yqebf8kco_-parent brz-css-b0a9ro\" data-brz-custom-id=\"h8YQeBf8kCO_\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/12\/pezz-kallmann.webp\" loading=\"lazy\" title=\"Eine Hand auf dem Treppengel\u00e4nder\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"kallmann-info\" data-brz-id=\"ry6k8jaR6cFy_ry6k8jaR6cFy\" class=\"brz-section brz-css-d-section brz-css-8usm0\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-sectionitem-bg brz-css-1lhj76e\" data-brz-custom-id=\"lcmOzXd2YHWG\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-1xi53es\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-wd52cy brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-yuxqw\" data-brz-custom-id=\"wVxvR3S8blEU\">\n<div data-brz-translate-text=\"1\">\n<h2 class=\"brz-text-xs-left brz-ff-qKYqBgi9lfgW brz-ft-upload brz-fs-lg-70 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1 brz-vfw-lg-600 brz-fwdth-lg-100 brz-fsft-lg-0 brz-mb-lg-0 brz-mb-sm-0 brz-mb-xs-0 brz-tp-lg-heading2 brz-text-lg-left brz-css-c6tb5\" data-generated-css=\"brz-css-bSECZ\" data-uniq-id=\"yol2F\"><span class=\"brz-cp-color8\">KALLMANN SYNDROM<\/span><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-g96wv6\" data-brz-custom-id=\"stvw4laEkn91\">\n<div class=\"brz-row brz-css-d-row-container brz-css-8yygyi\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-1t4ybx6\" data-brz-custom-id=\"dgazMXnrSlhT\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-3wp593\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-75a95e brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1tr1gwf\" data-brz-custom-id=\"m6MjTo3yuK7c\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-mt-lg-0 brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_4 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-28 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-sm-heading3 brz-tp-lg-heading3 brz-css-mpblq\" data-generated-css=\"brz-css-sXPps\" data-uniq-id=\"iY9G3\"><span class=\"brz-underline-true brz-cp-color8\">IN ALLER REGEL OHNE BEHANDLUNG KEINE PUBERT\u00c4TSENTWICKLUNG<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-kd8f5p brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-th7hvc\" data-brz-custom-id=\"wYpBulrGDACP\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-zEYyr\" data-generated-css=\"brz-css-pP9lb\" data-uniq-id=\"mMUwU\"><span class=\"brz-cp-color8\">Das Kallmann Syndrom ist definiert als gleichzeitiges Bestehen einer St\u00f6rung des Geruchssinns und einer fehlenden Steuerung der Hoden durch das Zwischenhirn.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-1ymzyu9\" data-brz-custom-id=\"xVckRp58WiYn\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-z7lbl7\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-z7jwrp brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-9qcrms\" data-brz-custom-id=\"dOvC2toDpZvk\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-aTY_2\" data-generated-css=\"brz-css-v679D\" data-uniq-id=\"fbdSa\"><span class=\"brz-cp-color8\">GERUCHSINN<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-s5hmmc brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-3tnrjr\" data-brz-custom-id=\"lUxkzgBLkKvu\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-empty brz-css-s9rLK\" data-uniq-id=\"lMkaT\" data-generated-css=\"brz-css-kyBQ6\"><span class=\"brz-cp-color8\">Die Zellen f\u00fcr den Geruchssinn wie auch die Zellen, welche die Signale f\u00fcr die Steuerung der Hoden weitervermitteln entstehen aus Vorl\u00e4uferzellen, die in ihrer Entwicklung von gemeinsamen Steuersignalen abh\u00e4ngen. Beim Kallmann-Syndrom kommt es infolge mehrerer bekannter Gendefekte zu einer gest\u00f6rten Entwicklung dieser Vorl\u00e4uferzellen. Dies f\u00fchrt dazu, dass Betroffene Ger\u00fcche nicht wahrnehmen k\u00f6nnen und in aller Regel ohne Behandlung keine Pubert\u00e4tsentwicklung erleben.<\/span><\/p>\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-empty brz-css-kj6Sp\" data-uniq-id=\"d2YKP\" data-generated-css=\"brz-css-rjXR7\"><\/p>\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-empty brz-css-sHS09\" data-uniq-id=\"q0h5S\" data-generated-css=\"brz-css-hlBit\"><span class=\"brz-cp-color8\">Die H\u00e4ufigkeit liegt bei etwa 1:10\u2019000 f\u00fcr M\u00e4nner. Auch Frauen k\u00f6nnen betroffen sein (1:50&#8217;000), wobei die Diagnose bei Nichteinsetzen der Menstruation, jedoch normalen \u00e4usseren Geschlechtsorganen oft erst sp\u00e4t gestellt wird.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-11qe6ld brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-6cezcr\" data-brz-duration=\"300\" data-brz-custom-id=\"yDL_869HLqW8\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">PLUS<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-17qg5z7 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1xatt0l\" data-brz-custom-id=\"dttwJFcDLpSx\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-mjz_c\" data-generated-css=\"brz-css-mZ14p\" data-uniq-id=\"jGLCT\"><span class=\"brz-cp-color8\">Die Betroffenen nehmen in der Regel nicht wahr, dass ihr Geruchssinn nicht wie bei den anderen funktioniert, weil sie ja damit aufwachsen und nichts anderes kennen. Meistens wird erst die ausbleibende Pubert\u00e4tsentwicklung bemerkt, wobei es manchmal erstaunlich lange geht, bis die Diagnose gestellt und die Betroffenen ad\u00e4quat medizinisch versorgt werden k\u00f6nnen. Die Ursache f\u00fcr die verz\u00f6gerte Diagnose liegt darin, dass Betroffene und oft auch behandelnde \u00c4rzte davon ausgehen, dass es sich um einen sogenannten &#8222;Sp\u00e4tentwickler&#8220; im Sinne einer Normvariante handle. Weitere Auff\u00e4lligkeiten sind ein Hochwuchs (im Verh\u00e4ltnis zur Elterngr\u00f6sse) mit langen Extremit\u00e4ten; \u00fcberdurchschnittlich h\u00e4ufig treten zudem H\u00f6rst\u00f6rungen und Nierenfehlbildungen auf.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-bX9H0\" data-generated-css=\"brz-css-yb3Xs\" data-uniq-id=\"e2UvV\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-qnJV3\" data-generated-css=\"brz-css-mIBUB\" data-uniq-id=\"xm3hZ\"><span class=\"brz-cp-color8\">Die betroffenen Jugendlichen und auch die erwachsenen M\u00e4nner brauchen eine lebenslange Ersatzbehandlung mit m\u00e4nnlichem Geschlechtshormon. Mit einer ad\u00e4quaten Behandlung sind die Pubert\u00e4tsentwicklung und auch das sp\u00e4tere Sexualleben normal. Solange allerdings nur das m\u00e4nnliche Geschlechtshormon ersetzt wird, kommt es zu keiner Reifung der Samenzellen. Sobald eine Fruchtbarkeit gew\u00fcnscht wird, braucht es eine andere, etwas komplizierter Behandlung mit \u00fcbergeordneten Steuerhormonen. <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"klinefelter\" data-brz-id=\"dls3Cb6SIweE_dls3Cb6SIweE\" class=\"brz-section brz-css-d-section brz-css-kgi7qm\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-54djkd\" data-brz-custom-id=\"itJx4dPwSpQ0\">\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-1tj7aut\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-14lmaz8 brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-fqsoqknuou_t-parent brz-css-1ohnq92\" data-brz-custom-id=\"fQSoQknuou_T\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/12\/pezz-klinefelter.webp\" loading=\"lazy\" title=\"Dei Paar F\u00fcsse die im Kreis auf einer Wiese stehen\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"klinefelter-info\" data-brz-id=\"aoWoiF25ndrR_aoWoiF25ndrR\" class=\"brz-section brz-css-d-section brz-css-p1nzv1\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-sectionitem-bg brz-css-1h8ithp\" data-brz-custom-id=\"q3OgBtkbbh03\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-1sc9hrb\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1nu7375 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1gppcn0\" data-brz-custom-id=\"toNRPokYL2e0\">\n<div data-brz-translate-text=\"1\">\n<h2 class=\"brz-text-lg-left brz-tp-lg-heading2 brz-mb-xs-0 brz-mb-sm-0 brz-mb-lg-0 brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-600 brz-lh-lg-1 brz-ls-lg-0 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-70 brz-ft-upload brz-ff-qKYqBgi9lfgW brz-text-xs-left brz-css-hN1xR\" data-uniq-id=\"eJcU_\" data-generated-css=\"brz-css-mDpd2\"><span class=\"brz-cp-color8\">KLINEFELTER SYNDROM<\/span><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-g3wmhy\" data-brz-custom-id=\"mQ0q5KSon6if\">\n<div class=\"brz-row brz-css-d-row-container brz-css-k3c3z8\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-11vufxv\" data-brz-custom-id=\"hNmpxIeSgHsW\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1f6vsnz\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-cgxti0 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-q413ui\" data-brz-custom-id=\"r8muc5UHYXYa\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-tp-lg-heading3 brz-tp-sm-heading3 brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-28 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_4 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-mt-lg-0 brz-css-btNRZ\" data-uniq-id=\"dJjJD\" data-generated-css=\"brz-css-s7K8A\"><span class=\"brz-cp-color8 brz-underline-true\">DIE H\u00c4UFIGSTE CHROMOSOMENST\u00d6RUNG BEIM MANN<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-9u6vp0 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-19bkjvg\" data-brz-custom-id=\"zi4FkRP4lXUm\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-x2AlP\" data-uniq-id=\"cl4ny\" data-generated-css=\"brz-css-g_dWk\"><span class=\"brz-cp-color8\">Das Klinefelter Syndrom ist die h\u00e4ufigste Chromosomenst\u00f6rung beim Mann. Etwa jedes tausendste m\u00e4nnliche Neugeborene ist davon betroffen. Oft wird die Diagnose erst im Erwachsenenalter gestellt &#8211; wenn ein Paar ungewollt kinderlos bleibt. Knaben und M\u00e4nner mit Klinefelter-Syndrom haben in ihrem Chromosomensatz ein X zu viel: anstelle von 46 Chromosomen mit einem X- und einem Y-Chromosom besteht der Chromosomensatz aus 47 Chromosomen mit einem Y Chromosom und 2 X-Chromosomen.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-1cggr2z\" data-brz-custom-id=\"dk_IXe169zLM\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-i4lfh8\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-7idp6o brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-ggpldr\" data-brz-custom-id=\"jmoz0EmGhOE2\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-sChDC\" data-generated-css=\"brz-css-w6rBQ\" data-uniq-id=\"ohjdo\"><span class=\"brz-cp-color8\">KNABEN MIT KLINEFELTER-SYNDROM SIND OFT GR\u00d6SSER ALS MAN AUF GRUND DES FAMILIENRAHMENS ERWARTEN W\u00dcRDE.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-qpa462 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-zwujzj\" data-brz-custom-id=\"ys9sPURmNCZJ\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-17 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_3 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-ghA0b\" data-generated-css=\"brz-css-kwqSE\" data-uniq-id=\"lVlzz\"><span class=\"brz-cp-color8\">Als spezielle Besonderheit ist oft die Beinl\u00e4nge mehr betroffen als die L\u00e4nge des Oberk\u00f6rpers. Einzelne Knaben mit Klinefelter-Syndrom haben eine fehlende oder unvollst\u00e4ndige Pubert\u00e4t, die meisten zeigen aber mit Ausnahme des Hodenwachstums eine normale Entwicklung: M\u00e4nner mit Klinefelter-Syndrom haben in der Regel ein Hodenvolumen, welches deutlich zu klein und in der Regel nicht gr\u00f6sser als 5 ml ist. Da die spermienbildenden Zellen st\u00e4rker betroffen sind als die Zellen, die das m\u00e4nnliche Geschlechtshormon Testosteron produzieren, bleibt die Hormonversorgung oft \u00fcber l\u00e4ngere Zeit ausreichend. Eine verminderte Spermienkonzentration im Samenerguss kann jedoch zu Unfruchtbarkeit f\u00fchren. In den Hoden selbst sind allerdings oft Spermien vorhanden. Es konnte in den letzten Jahren gezeigt werden, dass solche Spermien mit technischen Mitteln gewonnen werden und mit einer Eizelle verschmolzen, der Partnerin in die Geb\u00e4rmutter eingesetzt  zu einer normalen Schwangerschaft f\u00fchren k\u00f6nnen.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-70r6be brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-n8wa89\" data-brz-duration=\"300\" data-brz-custom-id=\"zuM_jxxgaCOC\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">PLUS<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1fcg646 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-sgfhr3\" data-brz-custom-id=\"bOLa7EQ1ruX5\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-c5ufM\" data-uniq-id=\"z9_7i\" data-generated-css=\"brz-css-ut4e1\"><span class=\"brz-cp-color8\">Bei ausreichender eigener Produktion des m\u00e4nnlichen Geschlechtshormons oder, falls n\u00f6tig, dank einer Ersatzbehandlung mit m\u00e4nnlichem Geschlechtshormon sind M\u00e4nner mit Klinefelter-Syndrom normal sexuell aktiv. Es ist allerdings bekannt, dass vor allem Jugendliche mit Klinefelter-Syndrom w\u00e4hrend Pubert\u00e4t und Adoleszenz h\u00e4ufiger psychologische Probleme zeigen als Jugendliche mit normalem Chromosomensatz. Dies bedarf manchmal einer besonderen Betreuung von erfahrenen Jugend\u00e4rzten und Psychologen.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section><\/div>\n<p><!-- version:1774346409 --><\/p>","protected":false},"excerpt":{"rendered":"<p>SYNDROME SYNDROME MIT HORMONST\u00d6RUNGEN Es gibt hunderte von verschiedenen Syndromen. Wir beschr\u00e4nken uns hier auf h\u00e4ufige Syndrome, die mit Hormonst\u00f6rungen einhergehen. MENU TAB Turner Syndrom SGA-Mangelgeburt Prader-Willi Syndrom Noonan Syndrom Kallmann Syndrom Klinefelter Syndrom TURNER SYNDROM BEI M\u00c4DCHEN BUCH TAB F\u00fcr weitere Informationen verweisen wir auch auf die Brosch\u00fcre Das Turner-Syndrom und seine Gesichter, die <a href=\"https:\/\/www.pezz.ch\/fr\/fuer-familien\/syndrome\/\" class=\"more-link\">&#8230;<span class=\"screen-reader-text\">  Syndromes<\/span><\/a><\/p>","protected":false},"author":5,"featured_media":0,"parent":813,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"brizy-blank-template.php","meta":{"iawp_total_views":471,"footnotes":""},"class_list":["post-4754","page","type-page","status-publish","hentry"],"brizy_media":[{"id":706,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2024\/07\/Ups-Fehler404.svg?t=1777636884","name":"Ups-Fehler404.svg","meta":{"brizy_attachment_uid":"wp-765135df340545b2c5be12821b17dc0c.svg","brizy_post_uid":["c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":1699,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/06\/punkt-rot.webp","name":"punkt-rot.webp","meta":{"brizy_attachment_uid":"wp-59ff7eeef95958e2014af8db136d85ae.webp","brizy_post_uid":["c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":1879,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/06\/zu-klein-zu-gross-buecher-pezz.webp","name":"zu-klein-zu-gross-buecher-pezz.webp","meta":{"brizy_attachment_uid":"wp-db6dd7c354b0d8606a00f46eac662a6b.webp","brizy_post_uid":["c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":2275,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/07\/2025-pezz-4team-eiholzer-lindadagliorti-319.webp","name":"2025-pezz-4team-eiholzer-lindadagliorti-319.webp","meta":{"brizy_attachment_uid":"wp-14825792e74534556f5090db9c0a5ff8.webp","brizy_post_uid":["c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":2276,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/07\/2025-pezz-4team-noordam-lindadagliorti-372.webp","name":"2025-pezz-4team-noordam-lindadagliorti-372.webp","meta":{"brizy_attachment_uid":"wp-52f337ad39e834857b41f1e93fd4687e.webp","brizy_post_uid":["c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":2685,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/07\/pezz-kinderhormonzentrum.webp","name":"pezz-kinderhormonzentrum.webp","meta":{"brizy_attachment_uid":"wp-b9ba32e1ed4cabe138a0d2adb92929af.webp","brizy_post_uid":["4a7a5e3bfddd835bce8f05d6ceffddf2","c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":2738,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/07\/pezz-wachstumsfragen.webp","name":"pezz-wachstumsfragen.webp","meta":{"brizy_attachment_uid":"wp-be6c16ecfa0e46002ab87be045f6072b.webp","brizy_post_uid":["4a7a5e3bfddd835bce8f05d6ceffddf2","c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":2742,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/07\/pezz-pubertaet.webp","name":"pezz-pubertaet.webp","meta":{"brizy_attachment_uid":"wp-3f9cfad1cbe331cf58030ec136a643c9.webp","brizy_post_uid":["4a7a5e3bfddd835bce8f05d6ceffddf2","c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":2803,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/07\/pezz-secondopinion.webp","name":"pezz-secondopinion.webp","meta":{"brizy_attachment_uid":"wp-201517bc81636b4ad935ccfefe91c3b9.webp","brizy_post_uid":["4a7a5e3bfddd835bce8f05d6ceffddf2","c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":2853,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/07\/pezz-hormonstoerungen.webp","name":"pezz-hormonstoerungen.webp","meta":{"brizy_attachment_uid":"wp-1bbc734265dbf73bb9554afa5586cbef.webp","brizy_post_uid":["4a7a5e3bfddd835bce8f05d6ceffddf2","c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":2854,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/07\/pezz-syndrome.webp","name":"pezz-syndrome.webp","meta":{"brizy_attachment_uid":"wp-5254c3e7e8554c087b9e8c15367b59bf.webp","brizy_post_uid":["4a7a5e3bfddd835bce8f05d6ceffddf2","c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":2980,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/07\/pezz-topbild-familien.webp","name":"pezz-topbild-familien.webp","meta":{"brizy_attachment_uid":"wp-a24ab95bd73d02d255ab94f3f1036367.webp","brizy_post_uid":["c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":3121,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/07\/pezz-topbild-daspezz.webp","name":"pezz-topbild-daspezz.webp","meta":{"brizy_attachment_uid":"wp-5f54cee1349255372d0e11da7726eeb4.webp","brizy_post_uid":["4a7a5e3bfddd835bce8f05d6ceffddf2","c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":3124,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/08\/pezz-topbild-instrumente.webp","name":"pezz-topbild-instrumente.webp","meta":{"brizy_attachment_uid":"wp-1de391ad3c54402856a8dd05f5a5b7d8.webp","brizy_post_uid":["4a7a5e3bfddd835bce8f05d6ceffddf2","c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":3164,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/08\/pezz-medien-01.webp","name":"pezz-medien-01.webp","meta":{"brizy_attachment_uid":"wp-5cf99cc38660dc3120aa5c860e0a90eb.webp","brizy_post_uid":["4a7a5e3bfddd835bce8f05d6ceffddf2","c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":3165,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/08\/pezz-paket-01.webp","name":"pezz-paket-01.webp","meta":{"brizy_attachment_uid":"wp-a928191810c06cf48c5ef59463f7900d.webp","brizy_post_uid":["4a7a5e3bfddd835bce8f05d6ceffddf2","c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":3169,"url":"https:\/\/www.pezz.ch\/wp-content\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