Understanding Congenital Myopathy: Symptoms, Care, and Prevalence in Taiwan
Congenital myopathy with minimal change? Hello Dr. Chen, could you please explain what congenital myopathy with minimal change is, and how to care for it? Because Rui Rui is currently experiencing widespread pain, has a significant outward strabismus that requires surgery, abnorm...
Dr. Chen Shunsheng Reply:
Please provide the full English medical terminology as advised by the physician for an official response.[Read More] Understanding Congenital Myopathy: Symptoms, Care, and Prevalence in Taiwan
Understanding Dystonia: Diagnosis and Causes in Rare Childhood Disorders
Dylan's syndrome? Doctor: Hello, your daughter is currently 4 years old. She has been receiving speech therapy (ST) and occupational therapy (OT) since she was 3 years old. Her EEG and hearing tests are normal. For safety reasons, she has been on medication to control seizur...
Dr. Lin Guanglin Reply:
Are you referring to De Lange syndrome? It is characterized by symptoms such as synophrys (unibrow), thin and downturned lips, limb malformations, hirsutism, hearing impairment, and below-average intelligence, which are generally sporadic. The gene associated with De Lange syndro...[Read More] Understanding Dystonia: Diagnosis and Causes in Rare Childhood Disorders
Understanding Rare Bone Disorders in Children: When to Consult an Orthopedic Specialist
Orthopedic Consultation My child is in the second grade. When he was over one year old, we discovered multiple bone enlargements on the right side of his body, specifically in the bones between the joints and in the pelvis. We have been monitoring this with annual X-rays, but we ...
Dr. Li Zongliao Reply:
According to the letter, this patient has a benign unilateral multiple osteochondroma, with clinical issues related to length discrepancy and deformity. These problems generally become more pronounced with age. Typically, management is based on the clinical manifestations. Your c...[Read More] Understanding Rare Bone Disorders in Children: When to Consult an Orthopedic Specialist
Unexplained Decrease in Platelet Count: Understanding Rare Conditions
Thrombocytopenia of unknown etiology? Hello, Dr. Lin. Recently, during a health check-up, I found that my platelet count has been continuously decreasing. I went to the hematology-oncology department for tests, but they couldn't identify the cause and only advised me to cont...
Dr. Lin Qingyuan Reply:
Hello: May I ask your age? The reasons may vary depending on your age. Also, could you please let me know what tests you have undergone and their results? Would it be possible for you to come in for a follow-up appointment? Thank you! Dr. Lin Ching-Yuan[Read More] Unexplained Decrease in Platelet Count: Understanding Rare Conditions
Understanding Cat Cry Syndrome: Can Normal Chromosomes Still Lead to Symptoms?
Regarding Cat Cry Syndrome? Because I have observed several characteristics of Cri du Chat syndrome in my baby, such as a weak cry, low birth weight, poor sucking reflex, developmental delays, a flat nasal bridge, a short neck, and a simian line. However, you mentioned that this ...
Dr. Zhu Shaoying Reply:
Concerned Mother: It appears that your child does indeed have some issues, as you mentioned, including a weak cry, low birth weight, poor sucking ability, developmental delays, a flat nasal bridge, a short neck, and simian lines. We are unsure why you underwent early chorionic vi...[Read More] Understanding Cat Cry Syndrome: Can Normal Chromosomes Still Lead to Symptoms?
Understanding Congenital Camptodactyly: Treatment and Care Options
Congenital camptodactyly My son was born with a bent left thumb, and after consulting an orthopedic doctor, it was diagnosed as congenital camptodactyly. The doctor suggested that regular massage could help improve the condition. He is currently four months old, and I have notice...
Dr. Li Zongliao Reply:
In response to the inquiry from Mao CC, the issue of a newborn presenting with a bent thumb may have several potential causes. These include deformities due to fetal positioning that result in thumb flexion or inward bending, while other causes are less common. Possible reasons c...[Read More] Understanding Congenital Camptodactyly: Treatment and Care Options
Understanding Xeroderma Pigmentosum: Symptoms, Causes, and Treatment Options
Xeroderma pigmentosum Is xeroderma pigmentosum considered a rare disease? What symptoms does it have? What causes this condition? Is it treatable?
Dr. Yang Kunde Reply:
Xeroderma pigmentosa is a genetic mutation that prevents epidermal cells from self-repairing, leading to symptoms such as sunburn, the appearance of spots, and skin cancer. It is classified as a rare disease due to its incidence rate of less than 1 in 100,000. However, it must be...[Read More] Understanding Xeroderma Pigmentosum: Symptoms, Causes, and Treatment Options
Understanding Galloway-Mowat Syndrome: Insights and Information
Galloway-Mowat syndrome Hello Dr. Lin: I would like to gain a better understanding of this condition (Galloway-Mowat syndrome) because I have a friend who has a baby with this disease. I have searched extensively online and in books for information related to this condition, but ...
Dr. Lin Xuanpei Reply:
Galloway-Mowat syndrome is a severe congenital kidney disease associated with microcephaly and brain development abnormalities, often characterized by unique facial features. Many affected children have long, slender fingers and toes, and it is classified as an autosomal recessiv...[Read More] Understanding Galloway-Mowat Syndrome: Insights and Information
Confusion Over Rare Skin Condition: Seeking Answers from Multiple Specialists
The hematologist suspects that I have vasculitis, while the dermatologist suspects erythema nodosum? I have noticed swollen, red, and warm spots on my calves. They are inflamed! The smaller ones are about the size of a ten-dollar coin, while two areas are larger, roughly the size...
Dr. Lin Sixie Reply:
The symptoms you described are indeed more consistent with erythema nodosum. Its clinical presentation is often acute, painful, with poorly defined borders, and consists of non-ulcerative red nodules, typically found on the extensor surfaces of the lower limbs, and is more common...[Read More] Confusion Over Rare Skin Condition: Seeking Answers from Multiple Specialists
Understanding Congenital Megacolon: Is It a Rare Disease and Is It Hereditary?
Congenital megacolon Hello, Director Hsu. Is congenital megacolon considered a rare disease? (The pediatric medical center diagnosed it as aganglionic congenital megacolon.) Is this condition hereditary? Thank you.
Dr. Xu Shanjing Reply:
Congenital megacolon, also known as Hirschsprung's disease, is currently not considered a rare disease in Taiwan, with an incidence of approximately 1 in 4,000 to 5,000 individuals (rare diseases are defined domestically as those affecting fewer than 1 in 10,000). The etiolo...[Read More] Understanding Congenital Megacolon: Is It a Rare Disease and Is It Hereditary?
Understanding Citrullinemia: Key Precautions Before Test Results
"Argininemia" - What should be noted while waiting for the report to come out? My colleague's baby has been diagnosed with an abnormality in arginine metabolism. During the waiting period for the report, what should she pay special attention to? If the final test r...
Dr. Jian Yingxiu Reply:
For disease introduction, please refer to http://nbs.mc.ntu.edu.tw/explain-MS-citulline.html. It is important to note that communication with the parents should have already taken place. Please monitor whether the baby shows signs of loss of appetite or decreased activity levels.[Read More] Understanding Citrullinemia: Key Precautions Before Test Results
Understanding Cat Cry Syndrome: Coping Strategies for Affected Families
Cat Cry Syndrome Have you heard of Cri du Chat syndrome? How should I handle it? I gave birth to a baby with Cri du Chat syndrome this June, and it has been a significant blow for me. What should I do?
Dr. Zhu Shaoying Reply:
Dear Ms. Hsiao-Mei's mother, please do not be anxious. Since we are unsure of your location, our recommendations for your concerns are as follows: 1. Please seek a nearby genetic counseling center for detailed consultation. You can find the nearest genetic counseling cente...[Read More] Understanding Cat Cry Syndrome: Coping Strategies for Affected Families
Best Treatment Options for Congenital Adrenal Hyperplasia in Children
Where is the best place to receive treatment for congenital adrenal hyperplasia? Hello Dr. Jian, My child is a boy, currently 5 years and 8 months old, attending kindergarten. He is not yet six years old. Due to his height growth, we recently took him to the hospital for an exa...
Dr. Jian Yingxiu Reply:
You can seek treatment at hospitals with pediatric endocrinology departments, such as Dr. Li Yen-Chin at Mackay Memorial Hospital, Dr. Tsai Wen-Yo at National Taiwan University, Dr. Tong Yi-Ching, Dr. Yang Chen at Taipei Medical University, and at Beirong or other hospitals. Plea...[Read More] Best Treatment Options for Congenital Adrenal Hyperplasia in Children
Understanding Congenital Cajal Cell Hyperplasia and Hirschsprung's Disease
Congenital Cajal cell hyperplasia associated with intestinal neuronal developmental abnormalities? Hello Director Lin, is the rare disease coded as ICD-9-CM 750.5 Hirschsprung's disease? Is congenital megacolon considered a rare disease? Thank you for your response.
Dr. Lin Xuanpei Reply:
No, the two are not the same disease.[Read More] Understanding Congenital Cajal Cell Hyperplasia and Hirschsprung's Disease
Understanding and Managing Sudden Aggressive Behaviors in Children
Children's temper and behavior? Hello Dr. Lin, I would like to discuss some concerning behaviors exhibited by my child. For instance, there was an incident at my sister's house where, while playing with cousins, my child suddenly hit his cousin in the face with a comput...
Dr. Lin Guanglin Reply:
You can first go to a pediatric mental health assessment to determine if the impulsive behavior is indicative of Attention-Deficit/Hyperactivity Disorder (ADHD).[Read More] Understanding and Managing Sudden Aggressive Behaviors in Children
Understanding Mitochondrial Disorders: Treatment Options for Children
Mitochondrial pathology Hello Dr. Hou, my son is currently five years old, weighing 9 kilograms and measuring 90 centimeters in height. He has been diagnosed with mitochondrial disease and has poor kidney development at birth, along with renal tubular acidosis. He is currently on...
Dr. Hou Jiawei Reply:
Mitochondrial dysfunction is one of the causes of primary renal tubular acidosis, which can lead to growth and developmental delays. Renal tubular acidosis can be classified into distal and proximal types. Distal renal tubular acidosis occurs when the kidneys are unable to excret...[Read More] Understanding Mitochondrial Disorders: Treatment Options for Children
Differentiating Between Nodules and Congenital Hernias in Infants
Neonatal nodules Doctor: I have a question to ask. How can we differentiate between a nodule and congenital neonatal hernia in a 2-month-old female infant, considering that the abdominal ultrasound examination was normal at birth?
Dr. Jian Yingxiu Reply:
A nodule is a manifestation of the skin or superficial tissue beneath the skin. Congenital neonatal hernias primarily occur in the inguinal region, and it is advised to take the infant to a pediatrician for evaluation.[Read More] Differentiating Between Nodules and Congenital Hernias in Infants
Navigating Life with an Unnamed Rare Disease: A Family's Journey
Illnesses without a specific diagnosis? Hello Doctor, I would like to ask you a question. My nephew was born in 2003. When he was 2 to 3 months old, we noticed some abnormalities, and my sister took him to the hospital for examination. The result showed that he has an extra half ...
Dr. Jian Yingxiu Reply:
Your condition is classified as a chromosomal abnormality disease, which primarily affects the brain, heart, gastrointestinal tract, or other internal organs. The specifics depend on whether there are any deficiencies in the chromosomal genetic material and whether the connection...[Read More] Navigating Life with an Unnamed Rare Disease: A Family's Journey
Understanding Propionic Acidemia: A Mother's Concerns and Testing Options
Propionic acidemia I have a two-month-old baby who was born on July 21. He has gas and a swollen belly; should we do further examinations? His newborn screening sent to National Taiwan University Hospital indicated propionic acidemia, and they asked us to do a second test. Since ...
Dr. Xu Shanjing Reply:
Ms. Hsiao-Yi, metabolic disorders can yield slightly different results depending on the severity, the child's age, and various conditions such as whether they have eaten or are ill. Screening results are typically categorized into three levels: suspicious positive (which may...[Read More] Understanding Propionic Acidemia: A Mother's Concerns and Testing Options
Understanding Tyrosinemia: Causes, Treatment, and Growth Impact in Children
Tyrosinemia I gave birth to a child who was diagnosed with tyrosinemia after screening. She is currently on a special formula for treatment. Will this condition improve? The doctor mentioned that my daughter's condition is mild. Why does my child have this disease when both ...
Dr. Jian Yingxiu Reply:
Tyrosinemia is an autosomal recessive genetic disorder, where parents are carriers and do not exhibit symptoms. Please discuss your baby's condition regarding tyrosinemia further with your physician. If the increase in tyrosine levels is not due to immature liver function, t...[Read More] Understanding Tyrosinemia: Causes, Treatment, and Growth Impact in Children