Rare Diseases: A Journey of Resilience in Childhood - Rare Disease

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I want to grow up?


The child is seven years old this year.
She is in the first grade of elementary school, with a height of 70-75 cm and a weight of 7-7.5 kg.
She is unable to express herself and cannot walk, and is currently undergoing rehabilitation.
Chromosomal testing has returned normal results.
She was born at 37 weeks and 4 days gestation, weighing 1740 grams.
Is it possible to detect her condition during pregnancy? If it could have been detected, would that be considered a medical malpractice? The child has been frail and frequently ill since she was young, often requiring hospital visits, and this continues to be the case.
Nevertheless, she remains strong and does not give up on herself.

Xiao Ke Ai Ma Mi, 20~29 year old female. Ask Date: 2007/11/12

Dr. Jian Yingxiu reply Rare Disease


Your baby appears to be small at birth, which may suggest a congenital abnormality or possible prenatal injury.
The exact cause should be evaluated by consulting a pediatric neurologist or a genetic specialist at a medical center.

Reply Date: 2007/11/12

More Info


Understanding rare diseases, especially in the context of childhood, is a complex and often emotional journey for both the child and their family. In your case, the child, who is seven years old and has faced numerous health challenges, embodies resilience despite the difficulties associated with their condition.
Rare diseases, by definition, are those that affect a small percentage of the population. In the United States, a disease is considered rare if it affects fewer than 200,000 individuals. Many rare diseases are genetic, but they can also be acquired or have unknown origins. The challenges faced by children with rare diseases can be multifaceted, including physical, emotional, and social aspects.

In your child's situation, the fact that they were born prematurely at 37 weeks and had a low birth weight of 1740 grams suggests that they may have faced significant health challenges from the start. Premature birth can lead to a range of complications, including developmental delays and other health issues. The normal chromosomal tests indicate that there may not be a genetic cause for the child's condition, which can sometimes complicate diagnosis and treatment.

Regarding prenatal testing, it is important to note that while some genetic conditions can be detected during pregnancy through various screening methods, not all conditions are identifiable. Tests such as amniocentesis or chorionic villus sampling (CVS) can detect certain genetic disorders, but many rare diseases do not have specific tests available, especially if they are not well understood or documented. If a condition is not detectable through available tests, it would not typically be classified as medical negligence. Medical negligence usually pertains to a failure to provide the standard of care that a reasonably competent medical professional would provide under similar circumstances.

Your child's ongoing rehabilitation and the fact that they are unable to walk or express themselves fully highlight the significant impact that rare diseases can have on a child's development and quality of life. It is crucial to provide a supportive environment that encourages their strengths and abilities, even when faced with limitations. Early intervention programs, physical therapy, and occupational therapy can be beneficial in helping children with developmental delays improve their skills and independence.

Moreover, the emotional and psychological aspects of living with a rare disease should not be overlooked. Children may experience feelings of isolation or frustration due to their limitations, and it is essential to foster open communication and emotional support within the family. Engaging with support groups or communities for families dealing with similar challenges can also provide valuable resources and a sense of belonging.

In conclusion, while the journey of understanding and managing a rare disease can be fraught with challenges, it is also a testament to resilience. Your child's strength and determination are commendable, and with the right support and resources, they can continue to thrive despite their health challenges. It is essential to work closely with healthcare providers to ensure that your child receives the best possible care tailored to their unique needs.

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