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  1. Acid sphingomyelinase deficiency (ASMD) (also known as Niemann-Pick disease types A and B) is a rare and debilitating lysosomal storage disorder. This prospective, multi-center, multinational longitudinal stud...

    Authors: Margaret M. McGovern, Melissa P. Wasserstein, Bruno Bembi, Roberto Giugliani, K. Eugen Mengel, Marie T. Vanier, Qi Zhang and M. Judith Peterschmitt
    Citation: Orphanet Journal of Rare Diseases 2021 16:212
  2. Rare and severe neurological disorders in childhood not only heavily affect the life perspective of the patients, but also their caregivers and families. The aim of this study was to investigate the impact of ...

    Authors: Louisa Ammann-Schnell, Samuel Groeschel, Christiane Kehrer, Saskia Frölich and Ingeborg Krägeloh-Mann
    Citation: Orphanet Journal of Rare Diseases 2021 16:211
  3. Although clinician, researcher, and patient resources for matchmaking exist, finding similar patients remains an obstacle for rare disease diagnosis. The goals of this study were to develop and test the effect...

    Authors: Kimberly LeBlanc, Emily Glanton, Anna Nagy, Jorick Bater, Tala Berro, Molly A. McGuinness, Courtney Studwell and Matthew Might
    Citation: Orphanet Journal of Rare Diseases 2021 16:210
  4. Lymphatic malformations (LMs) are benign congenital malformations that stem from the abnormal development of the lymphatic vessels during early embryogenesis. Somatic PIK3CA gene mutations are conventional cause ...

    Authors: Shengcai Wang, Wei Wang, Xuexi Zhang, Jingang Gui, Jie Zhang, Yongli Guo, Yuanhu Liu, Lin Han, Qiaoyin Liu, Yanzhen Li, Nian Sun, Zhiyong Liu, Jiangnan Du, Jun Tai and Xin Ni
    Citation: Orphanet Journal of Rare Diseases 2021 16:208

    The Correction to this article has been published in Orphanet Journal of Rare Diseases 2021 16:321

  5. The incidence of hydrocephalus in the spinal muscular atrophy (SMA) population relative to the general population is currently unknown. Since the approval of nusinersen, an intrathecally administered drug for ...

    Authors: Emma Viscidi, Nasha Wang, Maneesh Juneja, Ishir Bhan, Claudia Prada, Dayle James, Stacie Lallier, Corinne Makepeace, Karen Laird, Susan Eaton, Anne Dilley and Susan Hall
    Citation: Orphanet Journal of Rare Diseases 2021 16:207
  6. Decreased sequencing costs have led to an explosion of genetic and genomic data. These data have revealed thousands of candidate human disease variants. Establishing which variants cause phenotypes and disease...

    Authors: Dustin Baldridge, Michael F. Wangler, Angela N. Bowman, Shinya Yamamoto, Tim Schedl, Stephen C. Pak, John H. Postlethwait, Jimann Shin, Lilianna Solnica-Krezel, Hugo J. Bellen and Monte Westerfield
    Citation: Orphanet Journal of Rare Diseases 2021 16:206
  7. Primary hemophagocytic lymphohistiocytosis (pHLH) is a rare and life-threatening disorder, which usually occurs during infancy or early childhood and is characterized by abnormal activation of the immune syste...

    Authors: Annabel Nixon, Elina Roddick, Karen Moore and Diane Wild
    Citation: Orphanet Journal of Rare Diseases 2021 16:205
  8. The global spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection causing the ongoing coronavirus disease 2019 (COVID-19) pandemic has raised serious concern for patients with chronic...

    Authors: Thomas H. Brannagan III, Michaela Auer-Grumbach, John L. Berk, Chiara Briani, Vera Bril, Teresa Coelho, Thibaud Damy, Angela Dispenzieri, Brian M. Drachman, Nowell Fine, Hanna K. Gaggin, Morie Gertz, Julian D. Gillmore, Esther Gonzalez, Mazen Hanna, David R. Hurwitz…
    Citation: Orphanet Journal of Rare Diseases 2021 16:204
  9. Degos disease is a rare vascular disorder with a cutaneous-limited form, benign atrophic papulosis (BAP), and a systemic variant, malignant atrophic papulosis (MAP). Despite the poor prognosis of MAP, no study...

    Authors: Justin D. Lu, Muskaan Sachdeva, Orli M. Silverberg, Lee Shapiro, David Croitoru and Rebecca Levy
    Citation: Orphanet Journal of Rare Diseases 2021 16:203
  10. Prader-Willi syndrome (PWS) is a neurodevelopmental disorder with hypothalamic dysfunction leading to obesity and behavioral disabilities, including eating disorders (EDs). We evaluated the effects of the COVI...

    Authors: Helena Mosbah, Muriel Coupaye, Flavien Jacques, Maithé Tauber, Karine Clément, Jean-Michel Oppert and Christine Poitou
    Citation: Orphanet Journal of Rare Diseases 2021 16:202
  11. Neurodegeneration with brain iron accumulation (NBIA) is a group of genetic neurological disorders frequently associated with iron accumulation in the basal nuclei of the brain characterized by progressive spa...

    Authors: Mónica Álvarez-Córdoba, Marta Talaverón-Rey, Irene Villalón-García, Suleva Povea-Cabello, Juan M. Suárez-Rivero, Alejandra Suárez-Carrillo, Manuel Munuera-Cabeza, Joaquín J. Salas and José A. Sánchez-Alcázar
    Citation: Orphanet Journal of Rare Diseases 2021 16:201
  12. Inherited retinal degenerations (IRD) are rare genetic disorders with > 300 known genetic loci, manifesting variably progressive visual dysfunction. IRDs were historically underserved due to lack of effective ...

    Authors: Kirk A. J. Stephenson, Julia Zhu, Niamh Wynne, Adrian Dockery, Rebecca M. Cairns, Emma Duignan, Laura Whelan, Conor P. Malone, Hilary Dempsey, Karen Collins, Shana Routledge, Rajiv Pandey, Elaine Crossan, Jacqueline Turner, James J. O’Byrne, Laura Brady…
    Citation: Orphanet Journal of Rare Diseases 2021 16:200
  13. Pompe disease (PD) is a rare inherited disorder caused by the deficiency of acid-α glucosidase, which leads to the impairment of organ and tissue functions and causes disabilities. As the first national survey...

    Authors: Shanquan Chen, Jingxuan Wang, Jianfeng Zhu, Roger Yat-Nork Chung and Dong Dong
    Citation: Orphanet Journal of Rare Diseases 2021 16:199
  14. About 30 million people in the EU and USA, respectively, suffer from a rare disease. Driven by European legislative requirements, national strategies for the improvement of care in rare diseases are being deve...

    Authors: Alexandra Berger, Anne-Kathrin Rustemeier, Jens Göbel, Dennis Kadioglu, Vanessa Britz, Katharina Schubert, Klaus Mohnike, Holger Storf and Thomas O. F. Wagner
    Citation: Orphanet Journal of Rare Diseases 2021 16:198
  15. The ectodermal dysplasias (EDs) constitute a group of disorders characterized by abnormalities in two or more ectodermal derivatives, including skin, hair, teeth, and sweat glands. The purpose of the current s...

    Authors: Daphna Landau Prat, William R. Katowitz, Alanna Strong and James A. Katowitz
    Citation: Orphanet Journal of Rare Diseases 2021 16:197
  16. During the COVID-19 pandemic, most of the health care systems suspended their non-urgent activities. This included the cancellation of consultations for patients with rare diseases, such as severe pulmonary hy...

    Authors: Laurent Godinas, Keerthana Iyer, Gergely Meszaros, Rozenn Quarck, Pilar Escribano-Subias, Anton Vonk Noordegraaf, Pavel Jansa, Michele D’Alto, Milan Luknar, Senka Milutinov Ilic, Catharina Belge, Olivier Sitbon, Abílio Reis, Stephan Rosenkranz, Joanna Pepke-Zaba, Marc Humbert…
    Citation: Orphanet Journal of Rare Diseases 2021 16:196
  17. Alteration of vitamin B12 metabolism can be genetic or acquired, and can result in anemia, failure to thrive, developmental regression and even irreversible neurologic damage. Therefore, early diagnosis and inter...

    Authors: Sonia Pajares, Jose Antonio Arranz, Aida Ormazabal, Mireia Del Toro, Ángeles García-Cazorla, Aleix Navarro-Sastre, Rosa María López, Silvia María Meavilla, Mariela Mercedes de los Santos, Camila García-Volpe, Jose Manuel González de Aledo-Castillo, Ana Argudo, Jose Luís Marín, Clara Carnicer, Rafael Artuch, Frederic Tort…
    Citation: Orphanet Journal of Rare Diseases 2021 16:195

    The Correction to this article has been published in Orphanet Journal of Rare Diseases 2023 18:188

  18. Limb–girdle muscular dystrophy (LGMD) is a genetically and clinically heterogeneous group of rare muscular dystrophies. Subtype 2A (LGMD2A) also known as “calpainopathy” is an inherited autosomal recessive gen...

    Authors: Silvio Quick, Max Winkler, Uwe Speiser, Karim Ibrahim, Jochen Schäfer, Axel Linke, Kun Zhang, Marian Christoph and Felix M. Heidrich
    Citation: Orphanet Journal of Rare Diseases 2021 16:194
  19. To determine whether revision laparoscopic Kasai portoenterostomy (RLKPE) is a viable treatment option for patients with biliary atresia (BA) who had undergone initially successful laparoscopic Kasai portoente...

    Authors: Yi Ji, Xuepeng Zhang, Siyuan Chen, Yanan Li, Kaiying Yang, Jiangyuan Zhou and Zhicheng Xu
    Citation: Orphanet Journal of Rare Diseases 2021 16:193
  20. Tenosynovial giant cell tumor (TGCT) is a rare, locally aggressive neoplasm arising from the synovium of joints, bursae, and tendon sheaths affecting small and large joints. It represents a wide spectrum rangi...

    Authors: Nicholas M. Bernthal, Geert Spierenburg, John H. Healey, Emanuela Palmerini, Sebastian Bauer, Hans Gelderblom, Eric L. Staals, Julio Lopez-Bastida, Eva-Maria Fronk, Xin Ye, Petra Laeis and Michiel A. J. van de Sande
    Citation: Orphanet Journal of Rare Diseases 2021 16:191
  21. The spectrum of disorders associated with hyperinsulinemic hypoglycemia (HHI) has vastly increased over the past 20 years with identification of molecular, metabolic and cellular pathways involved in the regul...

    Authors: Swathi Sethuram, Mark A. Sperling, Jasmine Gujral and Christopher J. Romero
    Citation: Orphanet Journal of Rare Diseases 2021 16:190
  22. For communities of people living with hemophilia and other genetic conditions, gene therapy could represent a paradigm shift in treatment strategies. As investigational therapeutic modalities such as gene ther...

    Authors: Daniel P. Hart, Brian R. Branchford, Sarah Hendry, Robert Ledniczky, Robert F. Sidonio Jr., Claude Négrier, Michelle Kim, Michelle Rice, Matthew Minshall, Claire Arcé, Steve Prince, Maria Kelleher and Sharon Lee
    Citation: Orphanet Journal of Rare Diseases 2021 16:189
  23. Duchenne muscular dystrophy (DMD) is the most common genetic muscle disease in human. We aimed to describe the genotype distribution in a large cohort of Chinese DMD patients and their delayed loss of ambulati...

    Authors: Shu Zhang, Dongdong Qin, Liwen Wu, Man Li, Lifang Song, Cuijie Wei, Chunling Lu, Xiaoli Zhang, Siqi Hong, Mingming Ma and Shiwen Wu
    Citation: Orphanet Journal of Rare Diseases 2021 16:188
  24. This study used quantitative and qualitative research methods to analyze how acute hepatic porphyria (AHP) affects patients with varying annualized porphyria attack rates. The overall impact of AHP on patients...

    Authors: Liz Gill, Sue Burrell, John Chamberlayne, Stephen Lombardelli, Jordanna Mora, Nicola Mason, Marieke Schurer, Madeline Merkel, Stephen Meninger and John J. Ko
    Citation: Orphanet Journal of Rare Diseases 2021 16:187
  25. Patient access to orphan medicinal products (OMPs) is limited and varies between countries, reimbursement decisions on OMPs are complex, and there is a need for more transparent processes to know which criteri...

    Authors: Fernando de Andrés-Nogales, Encarnación Cruz, Miguel Ángel Calleja, Olga Delgado, Maria Queralt Gorgas, Jaime Espín, Jorge Mestre-Ferrándiz, Francesc Palau, Alba Ancochea, Rosabel Arce, Raquel Domínguez-Hernández and Miguel Ángel Casado
    Citation: Orphanet Journal of Rare Diseases 2021 16:186
  26. CLN2 disease (Neuronal Ceroid Lipofuscinosis Type 2) is an ultra-rare, neurodegenerative lysosomal storage disease, caused by an enzyme deficiency of tripeptidyl peptidase 1 (TPP1). Lack of disease awareness a...

    Authors: Sara E. Mole, Angela Schulz, Eben Badoe, Samuel F. Berkovic, Emily C. de Los Reyes, Simon Dulz, Paul Gissen, Norberto Guelbert, Charles M. Lourenco, Heather L. Mason, Jonathan W. Mink, Noreen Murphy, Miriam Nickel, Joffre E. Olaya, Maurizio Scarpa, Ingrid E. Scheffer…
    Citation: Orphanet Journal of Rare Diseases 2021 16:185
  27. Patients with vasculitis, a set of rare diseases, encounter delays in obtaining an accurate diagnosis which can lead to substantial morbidity and increased mortality. This study sought to describe the diagnost...

    Authors: Antoine G. Sreih, Keri Cronin, Dianne G. Shaw, Kalen Young, Cristina Burroughs, Joyce Kullman, Kirthi Machireddy, Carol A. McAlear and Peter A. Merkel
    Citation: Orphanet Journal of Rare Diseases 2021 16:184
  28. In traditional clinical trial design, efficacy is typically assessed using a single primary endpoint in a randomized controlled trial to detect an expected treatment effect of a therapy in a narrowly selected ...

    Authors: P. K. Tandon and Emil D. Kakkis
    Citation: Orphanet Journal of Rare Diseases 2021 16:183
  29. Recurrent spontaneous epistaxis is the most common clinical manifestation and the most debilitating symptom in hereditary haemorrhagic telangiectasia (HHT) patients. To this date, there exist only a classifica...

    Authors: F. Haubner, A. Schneider, H. Schinke, M. Bertlich, B. G. Weiss, M. Canis and F. Kashani
    Citation: Orphanet Journal of Rare Diseases 2021 16:182
  30. The tuberous sclerosis-associated neuropsychiatric disorders (TAND) have not previously been studied in China. We aimed to assess the psychiatric level of individuals with TAND using the Mini International Neu...

    Authors: Yifeng Ding, Ji Wang, Hao Zhou, Taoli Li, Shuizhen Zhou and Yi Wang
    Citation: Orphanet Journal of Rare Diseases 2021 16:181
  31. The mosaic form of neurofibromatosis type 1 (NF1) is called mosaic NF1 (MNF1). No specific MNF1 follow-up guidelines exist. It is debatable if patients with MNF1 should be clinically examined and undergo follo...

    Authors: C. Ejerskov, M. Raundahl, P. A. Gregersen and M. M. Handrup
    Citation: Orphanet Journal of Rare Diseases 2021 16:180
  32. ZFYVE19 (Zinc Finger FYVE-Type Containing 19) mutations have most recently been associated to a novel type of high gamma-glutamyl transpeptidase (GGT), non-syndromic, neonatal-onset intrahepatic chronic choles...

    Authors: Claudia Mandato, Maria Anna Siano, Lucia Nazzaro, Monica Gelzo, Paola Francalanci, Francesca Rizzo, Ylenia D’Agostino, Manuela Morleo, Simona Brillante, Alessandro Weisz, Brunella Franco and Pietro Vajro
    Citation: Orphanet Journal of Rare Diseases 2021 16:179
  33. The aim of this scoping review was to overview the cost-of-illness studies conducted in rare diseases.

    Authors: Lidia García-Pérez, Renata Linertová, Cristina Valcárcel-Nazco, Manuel Posada, Inigo Gorostiza and Pedro Serrano-Aguilar
    Citation: Orphanet Journal of Rare Diseases 2021 16:178
  34. Cystinosis, a rare lysosomal storage disease, is characterized by cystine crystallization and accumulation within tissues and organs, including the kidneys and brain. Its impact on neural function appears mild...

    Authors: Ana A. Francisco, Alaina S. Berruti, Frederick J. Kaskel, John J. Foxe and Sophie Molholm
    Citation: Orphanet Journal of Rare Diseases 2021 16:177
  35. Rare diseases may result in motor impairment, which in turn may affect parenthood. Our purpose was to evaluate perinatal outcomes, parenting needs, mother-infant interactions and infant development in a set of...

    Authors: Marc Dommergues, Drina Candilis, Ludivine Becerra, Edith Thoueille, David Cohen and Sylvie Viaux-Savelon
    Citation: Orphanet Journal of Rare Diseases 2021 16:176
  36. Recessive dystrophic epidermolysis bullosa (RDEB) is a genetic collagen disorder characterized by skin fragility leading to blistering, wounds, and scarring. There are currently no approved curative therapies....

    Authors: Jean Yuh Tang, M. Peter Marinkovich, Eleanor Lucas, Emily Gorell, Albert Chiou, Ying Lu, Jodie Gillon, Dipen Patel and Dan Rudin
    Citation: Orphanet Journal of Rare Diseases 2021 16:175
  37. The retinoid isomerohydrolase RPE65 has received considerable attention worldwide since a successful clinical gene therapy was approved in 2017 as the first treatment for vision loss associated with RPE65-mediate...

    Authors: Feng-Juan Gao, Dan-Dan Wang, Jian-Kang Li, Fang-Yuan Hu, Ping Xu, Fang Chen, Yu-He Qi, Wei Liu, Wei Li, Sheng-Hai Zhang, Qing Chang, Ge-Zhi Xu and Ji-Hong Wu
    Citation: Orphanet Journal of Rare Diseases 2021 16:174
  38. Idiopathic Ketotic hypoglycemia (IKH) is a diagnosis of exclusion. Although considered as the most frequent cause of hypoglycemia in childhood, little progress has been made to advance the understanding of IKH...

    Authors: Danielle Drachmann, Erica Hoffmann, Austin Carrigg, Beccie Davis-Yates, Valerie Weaver, Paul Thornton, David A. Weinstein, Jacob S. Petersen, Pratik Shah and Henrik Thybo Christesen
    Citation: Orphanet Journal of Rare Diseases 2021 16:173
  39. Patients with Ehlers-Danlos Syndrome/Hypermobility Type (EDS-HT/JHS) and Craneo-Cervical Instability frequently suffer from severe widespread pain which is difficult to control. Chronic neuroinflammation, opio...

    Authors: Carlos Ramírez-Paesano, Albert Juanola Galceran, Claudia Rodiera Clarens, Vicenҫ Gilete García, Bartolomé Oliver Abadal, Verónica Vilchez Cobo, Bibiana Ros Nebot, Sara Julián González, Lucía Cao López, Jesús Santaliestra Fierro and Josep Rodiera Olivé
    Citation: Orphanet Journal of Rare Diseases 2021 16:172
  40. It is estimated that there are over 16.8 million rare disease patients in China, representing a significant challenge for the healthcare system and society. Rare disease patients often experience delayed diagn...

    Authors: Xuefeng Li, Xiangyu Zhang, Shu Zhang, Zijuan Lu, Jianyong Zhang, Jincheng Zhou, Bingzhe Li and Li Ou
    Citation: Orphanet Journal of Rare Diseases 2021 16:171
  41. The Treatable ID App was created in 2012 as digital tool to improve early recognition and intervention for treatable inherited metabolic disorders (IMDs) presenting with global developmental delay and intelle...

    Authors: Eva M. M. Hoytema van Konijnenburg, Saskia B. Wortmann, Marina J. Koelewijn, Laura A. Tseng, Roderick Houben, Sylvia Stöckler-Ipsiroglu, Carlos R. Ferreira and Clara D. M. van Karnebeek
    Citation: Orphanet Journal of Rare Diseases 2021 16:170
  42. With the advancements in genetics and genomics in the twenty-first century, genetic services have become an integral part of medical practices in high-income and upper-middle-income countries. However, people ...

    Authors: Mohammad Jakir Hosen, Saeed Anwar, Jarin Taslem Mourosi, Sourav Chakraborty, Md. Faruque Miah and Olivier M. Vanakker
    Citation: Orphanet Journal of Rare Diseases 2021 16:168
  43. Smith–Lemli–Opitz syndrome (SLOS) is an autosomal, recessively inherited congenital malformation syndrome characterized by multiple congenital anomalies such as microcephaly with mental defects, distinctive fa...

    Authors: Jong Eun Park, Taeheon Lee, Kyeongsu Ha and Chang-Seok Ki
    Citation: Orphanet Journal of Rare Diseases 2021 16:166
  44. The European Reference Network on Rare Multisystemic Vascular Diseases (VASCERN) was launched in 2017 and involves, to date, 35 highly specialised multidisciplinary expert centres (from the 30 full Healthcare ...

    Authors: Alessia Paglialonga, Raffaella Gaetano, Leema Robert, Marine Hurard, Luisa Maria Botella, Natasha Barr, Guillaume Jondeau and Alessandro Pini
    Citation: Orphanet Journal of Rare Diseases 2021 16:164
  45. The epidemiology of Moebius syndrome (MBS) is difficult to assess. In the present study, we investigated the epidemiology of MBS in a well-defined population within a precise geographical area.

    Authors: Arturo Carta, Stefania Favilla, Giacomo Calzetti, Maria Cristina Casalini, Pier Francesco Ferrari, Bernardo Bianchi, Maria Beatrice Simonelli, Roberta Farci, Stefano Gandolfi and Paolo Mora
    Citation: Orphanet Journal of Rare Diseases 2021 16:162
  46. Data silos are proliferating while research and development activity explode following genetic and immunological advances for many clinically described disorders with previously unknown etiologies. The latter ...

    Authors: Nathan Denton, Monique Molloy, Samantha Charleston, Craig Lipset, Jonathan Hirsch, Andrew E. Mulberg, Paul Howard and Eric D. Marsh
    Citation: Orphanet Journal of Rare Diseases 2021 16:161