Managing Allergic Purpura During Pregnancy: Key Considerations and Risks
What should I do about the purpura I developed during my pregnancy? Hello, I would like to ask a few questions: 1. I have allergic purpura, and this is my second episode. The first one occurred about a year ago. Last time, the doctor prescribed steroids, which helped. However, ...
Dr. Chen Ming Reply:
Hello, allergic purpura can sometimes be associated with your own kidney disease, and in the later stages of pregnancy, there is a possibility of developing gestational hypertension. Therefore, treatment is necessary. For many patients with internal medicine conditions, we do not...[Read More] Managing Allergic Purpura During Pregnancy: Key Considerations and Risks
Post-Surgery Complications of Mandibular Amputation for Malignant Tumors
Complications after mandibulectomy (malignant tumor resection) include: 1. Difficulty in chewing and swallowing. 2. Changes in speech or articulation. 3. Facial asymmetry or changes in appearance. 4. Nerve damage leading to numbness or altered sensation in the lower lip and chi...
Dr. Chen Shunsheng Reply:
Please consult with the oncology or radiation therapy department.[Read More] Post-Surgery Complications of Mandibular Amputation for Malignant Tumors
Understanding Glomerulonephritis: Symptoms, Diagnosis, and Kidney Biopsy Insights
What is glomerulonephritis? Hello Dr. Hong: My mother has recently experienced swelling in her legs and foamy urine. She mentioned that she had previously experienced lower limb edema and foamy urine, but the swelling subsided after a while, and she didn't pay much attention...
Dr. Hong Yaomin Reply:
The primary function of the human kidneys is to facilitate excretion. Each kidney is composed of approximately two million nephrons, which can be simply categorized into the glomerulus, renal tubules, and interstitium. The glomerulus acts like a filter, responsible for filtering ...[Read More] Understanding Glomerulonephritis: Symptoms, Diagnosis, and Kidney Biopsy Insights
Guiding Speech Development in Children with Corpus Callosum Agenesis
Corpus callosum Hello, doctor. Our older brother experienced seizures and had a bluish discoloration of the lips after birth. He was then transferred to a major hospital, where it was discovered that he has unilateral agenesis of the corpus callosum. He is now four years old and ...
Dr. Lin Guanglin Reply:
It is necessary to first confirm whether there are any abnormal electrical discharges in the brain before proceeding to the pediatric rehabilitation department for speech therapy.[Read More] Guiding Speech Development in Children with Corpus Callosum Agenesis
Severe Finger Pain in Winter: Understanding Peripheral Nerve Damage
The tips of my fingers experience severe pain every winter when exposed to cold water or cold wind? Hello Dr. Chen, I have been unable to schedule an appointment with you, so I am reaching out in this way for consultation! My mother is nearly 60 years old and has worked in the t...
Dr. Chen Shunsheng Reply:
In winter, exposure to cold water or cold wind can cause severe pain in the fingertips, which may be indicative of sensory neuropathy or neurovascular disorders. The former has many potential causes, including cold protein deposition, amyloid accumulation, diabetes, and occupatio...[Read More] Severe Finger Pain in Winter: Understanding Peripheral Nerve Damage
Understanding De Quervain's Disease and Rheumatoid Arthritis: Insights and Prevention
De Quervain's Tenosynovitis & Rheumatoid Arthritis Due to the fact that this is an event organized by the school... (the topic is about a teacher who has been experiencing chronic shoulder pain, and after a consultation, the doctor informed her that she has De Quervain...
Dr. Chen Shunsheng Reply:
This issue falls within the realm of rheumatology and immunology, which is not my area of expertise. I recommend consulting a rheumatology and immunology specialist for further inquiries.[Read More] Understanding De Quervain's Disease and Rheumatoid Arthritis: Insights and Prevention
Managing Sleep Breathing Issues in Allergic Children: Effective Solutions
Children with allergies may experience difficulty breathing during sleep? Hello Doctor: My child is currently 4 years old and has a history of allergic conditions. He/she has loud and noisy breathing during sleep and often wakes up crying at night due to nasal congestion. He/she ...
Dr. Lin Sixie Reply:
Your child may be suffering from allergic rhinitis. Allergic rhinitis can be broadly classified into two types: seasonal allergic rhinitis, which occurs during the flowering season of plants, and perennial allergic rhinitis, which is associated with year-round allergens such as d...[Read More] Managing Sleep Breathing Issues in Allergic Children: Effective Solutions
Understanding Severe Constipation in Children: Seeking Solutions
Severe constipation in children? Hello, doctor: I would like to ask about my child's severe constipation, which often requires the use of laxatives to resolve. Sometimes, it takes one to two weeks for a bowel movement. As a result, my child eats very little. Which specialty ...
Dr. Xu Shanjing Reply:
Dear Sir/Madam, Hello! Chronic constipation may be due to congenital structural issues, such as megacolon, or it may be a functional problem. Dr. Lin Jie-Chung from our Pediatric Department has extensive experience, and I highly recommend consulting him. Sincerely, Dr. Hsu S...[Read More] Understanding Severe Constipation in Children: Seeking Solutions
Navigating Down Syndrome Diagnosis: Seeking Guidance for New Parents
Please help me? I gave birth to a baby boy at a well-known hospital in the northern part of Taiwan in October. The attending physician indicated that there is a possibility of Down syndrome based on clinical observation and recommended chromosome screening. The results came back ...
Dr. Lin Xuanpei Reply:
Chromosomal testing techniques have reached a mature stage, and if the results indicate abnormalities in the 21st pair of chromosomes, it is consistent with a diagnosis of Down syndrome. It is essential to clarify whether it is the most common form, "Trisomy 21" (for ex...[Read More] Navigating Down Syndrome Diagnosis: Seeking Guidance for New Parents
Understanding Taste Disorders After Thyroid Surgery: Causes and Solutions
Taste disorder Dear Dr. Chen, My mother underwent surgery for a benign thyroid tumor in her neck a year ago, and since then, her appetite has significantly decreased. She feels that her sense of taste has been greatly altered, and food has become tasteless to her, leading to a g...
Dr. Chen Shunsheng Reply:
Taste function is governed by branches of the facial nerve, and the pathway of the facial nerve is far removed from the location of the thyroid gland, making it unlikely that taste function would be affected by surgical trauma to the taste nerves. Additionally, taste function is ...[Read More] Understanding Taste Disorders After Thyroid Surgery: Causes and Solutions
Understanding Prader-Willi Syndrome: Growth Hormone and Treatment Options
Prader-Willi syndrome, growth hormone, and acromegaly? Hello, doctor! My sister's one-year-old daughter is suspected to have Prader-Willi syndrome or Angelman syndrome. Her hands and feet are very small (around the 3rd percentile). If she is indeed diagnosed, I would like to...
Dr. Cai Wenhui Reply:
Hello Jacky: 1. Growth hormone primarily improves the body composition (such as body fat index) and motor skills of affected children, with no reports of it causing enlargement of hands and feet. 2. The currently used growth hormone is Genotropin (produced by Pfizer), and the ...[Read More] Understanding Prader-Willi Syndrome: Growth Hormone and Treatment Options
Understanding Rare Muscle Pain: Causes and Solutions for Thigh Discomfort
I experience soreness in my thigh muscles when leaning backward at a certain angle? Hello Dr. Chen: When I stand and lean back about 30 degrees, I experience soreness from my right hip down to my knee. This has been going on for almost six months, and it seems to be getting more ...
Dr. Chen Shunsheng Reply:
The symptom description closely resembles spondylolisthesis at the fourth and fifth lumbar vertebrae. There are many causes of low back pain, which vary with age, gender, occupation, and the medical specialty consulted, leading to a phenomenon where different specialties offer di...[Read More] Understanding Rare Muscle Pain: Causes and Solutions for Thigh Discomfort
Is Alopecia a Rare Disease? Understanding Its Prevalence and Impact
Is this a rare disease? Hello: Is "Alopecia" a rare disease? I have a friend who has this condition, please help me answer, thank you.
Dr. Jian Yingxiu Reply:
It is unclear whether there are any associated abnormalities. Alopecia universalis is not a rare condition on its own. However, if there are other associated abnormalities, it may indicate ectodermal dysplasia, which is classified as a rare disease. Please consult the original tr...[Read More] Is Alopecia a Rare Disease? Understanding Its Prevalence and Impact
Understanding Propionic Acidemia: Follow-Up Testing and Positive Rates
Propionic acidemia The rate of positive results in confirmatory testing for suspected propionic acidemia in newborn screening is approximately 50%. Propionic acidemia is a rare inherited metabolic disorder caused by a deficiency of the enzyme propionyl-CoA carboxylase, which is e...
Dr. Jian Yingxiu Reply:
For information on propionic acidemia, please refer to http://ntuh.mc.ntu.edu.tw/gene/genehelp/database/disease/Propionic_acidemia_940429.htm. A positive result in newborn screening does not necessarily indicate that the infant is affected by the disease. Please ensure to follow ...[Read More] Understanding Propionic Acidemia: Follow-Up Testing and Positive Rates
Understanding Rare Congenital Disease: What Does a C2 Value of 53 Mean?
Congenital rare diseases. What is C2? A newborn was tested and found to have a rare disease with a C2 value of 53, while the standard is 50.
Dr. Jian Yingxiu Reply:
C2 refers to C2-acylcarnitine, which is one of the metabolic products of fatty acid organic acid metabolism. In common metabolic disorders, it is usually not expressed solely by an increase in C2 acylcarnitine, but rather in conjunction with elevated levels of other carnitine con...[Read More] Understanding Rare Congenital Disease: What Does a C2 Value of 53 Mean?
Understanding Mitochondrial Diseases: Testing and Genetic Inheritance Concerns
Mitochondrial diseases Hello Dr. Hou, I would like to ask if mitochondrial diseases can always be detected through testing. My daughter underwent clinical observation in neurology and a DNA test, which revealed abnormalities in her DNA, but it could not be definitively diagnosed,...
Dr. Hou Jiawei Reply:
In addition to red blood cells, mitochondria are present in every cell of the body and are responsible for producing the energy necessary for growth and survival. Mitochondria have their own DNA, which is inherited solely from the mother. Therefore, mitochondrial DNA is passed do...[Read More] Understanding Mitochondrial Diseases: Testing and Genetic Inheritance Concerns
Understanding Citrullinemia: Diagnosis, Symptoms, and Treatment Options
Regarding Citrullinemia Hello Doctor: Our baby tested positive in the newborn screening. The retest also came back positive. I would like to understand if this confirms that my child has this condition. Additionally, what symptoms are associated with this condition? Will it have ...
Dr. Lin Xuanpei Reply:
Which item in the newborn screening are you referring to? Is the physician responsible for explaining the results a specialist in Pediatric Genetics and Metabolism or Pediatric Endocrinology? If so, the parent should not be so confused. A positive result in newborn screening typi...[Read More] Understanding Citrullinemia: Diagnosis, Symptoms, and Treatment Options
Unraveling Rare Illness: Seeking Answers for Mysterious Symptoms
Strange illness, please help me, doctor! Dear Doctor, My sister is 39 years old, 163 cm tall, and weighs 73 kg. Over the past decade, she has experienced approximately ten episodes of sudden onset symptoms without any prior warning. During these episodes, she feels as though he...
Dr. Chen Shunsheng Reply:
Aunt Ah Shui: I will first analyze the symptoms: Sudden onset - The episode began suddenly without any warning signs. Initial and seizure symptoms - 1. Absence seizures - There may be a vacant stare, one eye may roll back while the other appears normal, sometimes the eyes ma...[Read More] Unraveling Rare Illness: Seeking Answers for Mysterious Symptoms
Understanding Rare Brain Disorders in Infants: A Mother's Concern
Worried Mother Hello Dr. Lin: My child had a larger head size at birth, and to be cautious, some pediatricians advised us to take him to Chang Gung Memorial Hospital for evaluation. The doctor arranged for an MRI, which revealed that the corpus callosum connecting the left and ri...
Dr. Lin Guanglin Reply:
The corpus callosum is an important pathway connecting the left and right hemispheres of the brain. Congenital brain abnormalities related to intelligence and developmental coordination are associated with the integrity of other structures. Rehabilitation therapy is considered th...[Read More] Understanding Rare Brain Disorders in Infants: A Mother's Concern
Understanding Fabry's Disease: Symptoms, Diagnosis, and Treatment Options
Suspected Fabry disease? I experience intermittent electric shock-like tingling sensations throughout my body (in my back and limbs, including my ankles). I have noticed that these sensations occur when I feel like I need to sweat, when I am anxious, or when I need to have a bowe...
Dr. Jian Yingxiu Reply:
You may consider consulting the Neurology Department at National Taiwan University or Chang Gung Memorial Hospital. Thank you.[Read More] Understanding Fabry's Disease: Symptoms, Diagnosis, and Treatment Options