Rare Disease Q&A - Page 17

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Seeking Answers: Unexplained Symptoms of a Rare Illness

Unknown etiology A student is currently hospitalized elsewhere, but the cause of their illness remains undetermined. The symptoms are generally as follows: 1. Incoherent expression (repetitive, non-fluent, but with intact comprehension; sentences are fragmented and mixed with o...


Dr. Chen Shunsheng Reply:
Your classmate's neurological examination presents the following features: 1. Recurrent neurological symptoms 2. Abnormalities affecting multiple areas of the nervous system: occipital lobe, temporal lobe, frontal lobe, visual or auditory pathways, etc. 3. Symptoms particula...

[Read More] Seeking Answers: Unexplained Symptoms of a Rare Illness


What to Do If Your Toddler Isn't Talking Yet? Expert Advice Inside

What should I do if my child at home has not started to speak yet? Our child is one year and five months old and has not yet started to talk (not even saying "mom" or "dad"). What should we do? If we need to take them to see a doctor, which specialty should we...


Dr. Lin Guanglin Reply:
Pediatric Neurology

[Read More] What to Do If Your Toddler Isn't Talking Yet? Expert Advice Inside


Effective Treatments for Tourette Syndrome in Children: A Guide

Tourette syndrome Is there a medical remedy for Tourette syndrome? My child is 13 years old, and I would like to know how to help with symptoms such as facial tics, shoulder shrugging, and vocalizations.


Dr. Lin Guanglin Reply:
Considering the severity of the condition, most medication treatments only require an understanding of the illness and providing psychological support. For any questions, please call the Tourette Syndrome Association at 03-3281200 ext 8246.

[Read More] Effective Treatments for Tourette Syndrome in Children: A Guide


Does Immunoglobulin Treatment Affect Vaccine Efficacy in Rare Diseases?

Will the effect of administering immunoglobulin and vaccines become ineffective? Dear Dr. Hsieh, After administering immunoglobulin, does it diminish the effectiveness of vaccines received within the previous six months? Our child has Kawasaki disease and received the varicella...


Dr. Xie Kaisheng Reply:
Because immunoglobulins can neutralize live vaccines, rendering them ineffective, if a live attenuated vaccine (including oral polio vaccine, measles vaccine, measles-mumps-rubella (MMR) vaccine, and varicella vaccine) is administered within a certain period before or after recei...

[Read More] Does Immunoglobulin Treatment Affect Vaccine Efficacy in Rare Diseases?


Treatment Options for Churg-Strauss Syndrome: Expert Insights

Treatment of Guillain-Barré Syndrome? Could you please let me know which hospital or physician specializes in the treatment of Shy-Drager syndrome, and if Dr. Yang has specific consultation hours for this condition? Thank you.


Dr. Yang Kunde Reply:
Each medical center's rheumatology and immunology department has outpatient services every day. For example, Dr. Chen Chong-Jen and Dr. Zheng Tian-Cai at Kaohsiung Chang Gung Memorial Hospital are both suitable options.

[Read More] Treatment Options for Churg-Strauss Syndrome: Expert Insights


Understanding Pheochromocytoma: Rarity, Risks, and Recovery Insights

Pheochromocytoma? Pheochromocytoma is indeed considered a rare tumor. The incidence is estimated to be about 2 to 8 cases per million people per year. Your friend's long-standing issues with unstable blood pressure and chest discomfort, which led to a diagnosis of pheochromo...


Dr. Hou Jiawei Reply:
Pheochromocytoma is a rare metabolic disorder that arises from the growth of chromaffin cells in the adrenal gland or the extra-adrenal sympathetic nervous system. Extra-adrenal pheochromocytomas account for 15% of adult cases and 30% of pediatric cases. Patients with pheochromoc...

[Read More] Understanding Pheochromocytoma: Rarity, Risks, and Recovery Insights


Understanding Rare Diseases: Symptoms, Causes, and Prognosis

I would like to ask about the name of the disease and the reasons for contracting it? My friend sometimes inexplicably vomits blood (the amount is not very much, about the same as a mouthful of saliva). It seems to have worsened; now, whenever her emotions fluctuate too much, she...


Dr. Li Zongliao Reply:
According to your description, this condition should be classified as a hematologic disorder rather than a bone disease. The procedure to remove the bone is likely referring to a bone marrow transplant. Please consult with the relevant hematology-oncology department for further i...

[Read More] Understanding Rare Diseases: Symptoms, Causes, and Prognosis


Understanding Muscle Weakness and Brain Control in Rare Disorders

Muscle strength is often difficult to achieve and requires brain control? Currently diagnosed conditions include: 1. Right chest depression, 2. Flat feet, 3. Knee deformity (the physician noted that one leg appears X-shaped while the two legs cannot be aligned like an O shape). I...


Dr. Chen Shunsheng Reply:
The described symptoms are numerous and scattered across various bodily systems, making it difficult to consolidate them into a specific syndrome or disease. It is recommended to visit a nearby hospital with a neurology department for evaluation and treatment by a neurologist.

[Read More] Understanding Muscle Weakness and Brain Control in Rare Disorders


Understanding Behçet's Disease: Genetic Risks and Symptoms to Watch For

Regarding Behçet's disease? Hello Dr. Lin: I have had poor health since childhood, and my mother suffers from Behçet's disease. She is very concerned that I may have inherited her condition. My first question is: Is this disease hereditary? I am now experiencing some si...


Dr. Lin Sixie Reply:
Behçet's disease is an autoimmune disorder characterized by recurrent oral and genital ulcers, uveitis, and arthritis. There have been reports suggesting a possible familial genetic predisposition. If you experience any of these symptoms, it is advisable to consult a rheumat...

[Read More] Understanding Behçet's Disease: Genetic Risks and Symptoms to Watch For


Understanding Elevated Bilirubin Levels in Newborns: When to Seek Further Care

Liver and gallbladder diseases The baby is currently over one month old, but has a high bilirubin level. The first test showed T-BILIRUBIN 7.2, DIRECT-BILIRUBIN 3.8; the second test showed T-BILIRUBIN 7.1, BILIRUBIN 3.6; and the third test showed T-BILIRUBIN 5.6, BILIRUBIN 3.1. I...


Dr. Xie Kaisheng Reply:
Based on your description, your baby is experiencing pathological jaundice, indicating that there is an issue with the production and processing of bilirubin in their body, which requires further evaluation and treatment. Generally, neonatal jaundice should be closely monitored u...

[Read More] Understanding Elevated Bilirubin Levels in Newborns: When to Seek Further Care


Navigating Rare Disease: Insights on Methylmalonic Acidemia in Infants

Rare inquiry Hello Dr. Hou, my sister's child was diagnosed with methylmalonic acidemia during the newborn screening follow-up. However, the child had been drinking formula for three months before going to the hospital and has never shown any symptoms. The growth curve is in...


Dr. Hou Jiawei Reply:
In general, symptoms of vitamin B12 non-responsive methylmalonic acidemia (MMA) are relatively pronounced and severe. Even with dietary management, there may be residual effects. Further understanding is needed to determine whether it is a mild or transient form of MMA. Additiona...

[Read More] Navigating Rare Disease: Insights on Methylmalonic Acidemia in Infants


Medication Options for Managing Restless Leg Syndrome: Sinemet vs. Requip

Medications for Involuntary Movements Hello, doctor. I have been diagnosed with restless legs syndrome and currently prescribed Sinemet 25-100. However, another physician suggested that I switch to Requip FC 0.25 mg (Ropinirole). What is your opinion?


Dr. Lai Xiangrong Reply:
One theory of restless leg syndrome is the abnormality of the dopamine system. Sinemet is a medication that provides dopamine, while Requip is a dopamine receptor agonist, both of which increase the effects of dopamine.

[Read More] Medication Options for Managing Restless Leg Syndrome: Sinemet vs. Requip


Understanding Fat Pad Syndrome: Causes, Symptoms, and Treatment Options

Fat pad syndrome Dear Doctor, could you please explain what fat pad syndrome is and whether it can occur in the soles of the feet? Are there any websites or resources with more in-depth information about this condition? Thank you.


Dr. Chen Shunsheng Reply:
Fat Pad Syndrome This is a condition that is not commonly seen; it is not specific to runners, triathletes, or training in general. However, because it is often misdiagnosed by doctors, I thought it deserved its own page. Essentially, it is a sore heel—the pain is concentrated i...

[Read More] Understanding Fat Pad Syndrome: Causes, Symptoms, and Treatment Options


Understanding Systemic Electric Pain: A Rare Disease Overview

Systemic electric shock-like pain? Symptoms: Hello, I experience a tingling, electric shock sensation and a crawling pain in my limbs and back when exposed to higher temperatures or during times of stress. I have been hospitalized multiple times for tests, including blood tests, ...


Dr. Chen Shunsheng Reply:
Pure sensory polyneuropathy and/or sympathetic autonomic neuropathy. The causes include congenital or hereditary factors, metabolic disorders (such as amyloidosis), toxic factors (such as tropical marine toxins), and immune abnormalities, among others. Please visit the neurology ...

[Read More] Understanding Systemic Electric Pain: A Rare Disease Overview


Understanding Immune System Disorders: Causes, Symptoms, and Treatments

Immune system dysfunction? What is immune system dysfunction? What causes such diseases? How can they be treated?


Dr. Yang Kunde Reply:
Dear readers: 1. The scope of immune system disorders is broad, generally referring to immune deficiency and hyperactive immune responses. Immune deficiency primarily manifests as increased susceptibility to infections, while hyperactive immune responses are typically expressed...

[Read More] Understanding Immune System Disorders: Causes, Symptoms, and Treatments


Potential Treatments for Skin Regeneration in Scleroderma Patients

Patients with scleroderma may be prescribed treatments to promote skin regeneration or the growth of new skin? Dr. Jian: A young girl was diagnosed with scleroderma over six years ago at the age of ten. Throughout this long journey of illness, her physical symptoms have stagnated...


Dr. Jian Yingxiu Reply:
Please consult a physician from the Rehabilitation Medicine, Rheumatology, or Dermatology departments. Thank you.

[Read More] Potential Treatments for Skin Regeneration in Scleroderma Patients


Understanding Fatty Acid Oxidation Disorders: Symptoms, Pathways, and Dietary Considerations

Fatty Acid Oxidation Disorders Hello Dr. Jian: I have a friend who has issues with fatty acid oxidation, so I am curious about what symptoms are associated with fatty acid oxidation disorders. I would also like to ask about the metabolic pathways involved in fatty acid oxidation ...


Dr. Jian Yingxiu Reply:
Fatty acids are an important source of energy for the human body. Fatty acid oxidation occurs in the mitochondria. Disorders of fatty acid oxidation can lead to energy deficiency and metabolic toxicity, resulting in symptoms such as encephalopathy, cardiomyopathy, and myopathy. N...

[Read More] Understanding Fatty Acid Oxidation Disorders: Symptoms, Pathways, and Dietary Considerations


Seeking Guidance for Rare Joint Pain: A Patient's Journey

Inquire about the patient's condition? Dear Dr. Chen, I hope this message finds you well. My wife has been suffering from a persistent illness for the past few years, and we are unsure of how to approach her treatment. I would like to seek your advice on this matter. My wi...


Dr. Chen Shunsheng Reply:
Migratory joint lesions are less common in neurological diseases and may require consultation with rheumatology and dermatology. The neurology department should rule out certain neurological infectious diseases, such as Lyme disease, which is just one of the conditions to conside...

[Read More] Seeking Guidance for Rare Joint Pain: A Patient's Journey


Understanding Rare Chest Conditions: When to Consider Surgery

Chest issues? If the breast is uneven or has a noticeable difference in size or shape, it is important to consult a healthcare professional for an evaluation. Surgical intervention may be considered depending on the underlying cause and the individual's specific situation.


Dr. Lin Xiujuan Reply:
For this non-rare disease, please seek evaluation from a general surgeon.

[Read More] Understanding Rare Chest Conditions: When to Consider Surgery


Understanding Growth Delays: A Guide to Rare Diseases in Children

Failure to thrive? Hello Dr. Hou, my daughter is currently one year and six months old, weighing 7.7 kg and measuring 73 cm in height, with a head circumference of 42 cm. She is not crawling, walking, or saying "daddy." Last year, due to developmental delays, we consult...


Dr. Hou Jiawei Reply:
At 18 months of age, the child's growth parameters show a weight of 7.7 kg, height of 73 cm, and head circumference of 42 cm, indicating growth retardation and microcephaly. Additionally, there are concerns regarding delayed motor and language development, poor appetite, and...

[Read More] Understanding Growth Delays: A Guide to Rare Diseases in Children




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