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  1. To identify magnetic resonance imaging (MRI) and clinical characteristics that are closely associated with the progression of haemophilic arthropathy (HA) after different therapies and to establish a predictio...

    Authors: Lu Zhang, Jinxia Guo, Shufang Wei, Jiajia Li, Yincong Dou, Tianming Cheng, Yinghui Ge and Tuo Zhang
    Citation: Orphanet Journal of Rare Diseases 2025 20:190
  2. Primary hypertrophic osteoarthropathy (PHO) is a rare genetic disorder classified into clinical subtypes and genetic subtypes. Previous clinical studies have primarily focused on case reports and family analys...

    Authors: Xilei Cai, Xiujuan Yang, Pengyue Zhang, Ziyue Dou, Zilian Chen, Chongzhi Zhu, Weiwei Xu, Xinchen Wang, Xiaodan Hong and Zhenhua Zhang
    Citation: Orphanet Journal of Rare Diseases 2025 20:188
  3. Disorders of sexual development (DSDs) are a group of rare conditions with a discordance of chromosomal, gonadal, or phenotypic features of the internal and/or external genitalia, which accounts for 0.5% of th...

    Authors: Leilei Ding, Min Luo, Shan Deng, Duoduo Zhang and Qinjie Tian
    Citation: Orphanet Journal of Rare Diseases 2025 20:187
  4. Use of artificial intelligence (AI) in rare diseases has grown rapidly in recent years. In this review we have outlined the most common machine-learning and deep-learning methods currently being used to classi...

    Authors: Dominique P. Germain, David Gruson, Marie Malcles and Nicolas Garcelon
    Citation: Orphanet Journal of Rare Diseases 2025 20:186
  5. Neurofibromatosis 1 (NF1) is a rare, neurogenetic disorder predisposing individuals to multiple tumors and other issues requiring expert care and regular health monitoring. We sought to assess U.S. patients’ a...

    Authors: Vanessa L. Merker, Yidan Ma, Lori B. Chibnik, Heather B. Radtke, Kate Kelts, Kaleb Yohay, Nicole J. Ullrich, Scott R. Plotkin and Justin T. Jordan
    Citation: Orphanet Journal of Rare Diseases 2025 20:185
  6. Treacher Collins syndrome (TCS) is a congenital disorder primarily caused by the mutation in the Treacle Ribosome Biogenesis Factor 1 (TCOF1) gene. However, the significance of many TCOF1 mutations remains uncert...

    Authors: Ying Chen, Run Yang, Xin Chen, Tianyu Zhang, Chenlong Li and Jing Ma
    Citation: Orphanet Journal of Rare Diseases 2025 20:184
  7. Despite several publications covering patients from multiple centers, no international registry covered all patients with red blood cell diseases (RBCD) affected by COVID- 19. The ERN-EuroBloodNet's registry p...

    Authors: Pablo Velasco Puyo, Soteroula Christou, Saveria Campisi, Maria A. Rodríguez-Sánchez, Sara Reidel, Santiago Perez-Hoyo, Miriam Mota, Irene Savvidou, Anna Rekleiti, Alessandra Salvo, Vincenzo Voi, Giovanni Battista Ferrero, Giorgia Mandrile, Carmen Maria Gaglioti, Elena Cela, Beatriz Ponce-Salas…
    Citation: Orphanet Journal of Rare Diseases 2025 20:183
  8. X-linked hypohidrotic ectodermal dysplasia (XLHED) is a severe genetic disorder that may be treatable with short-term protein replacement therapy during fetal development. This is currently being investigated ...

    Authors: Holm Schneider, Michael Schneider, Massimiliano Lia, Dorothy K. Grange, Smail Hadj-Rabia, Angus Clarke, Mary Fete, Agnes Jaulent, Marlene Guiraud, Anthony Odibo and Florian Faschingbauer
    Citation: Orphanet Journal of Rare Diseases 2025 20:182
  9. ATAD3A, a nuclear gene encoding the ATAD3A protein, has diverse roles in mitochondrial processes, encompassing mitochondrial dynamics, mitochondrial DNA maintenance, metabolic pathways and inter-organellar intera...

    Authors: Shlomit Ezer, Nathan Ronin, Shira Yanovsky-Dagan, Shahar Rotem-Bamberger, Orli Halstuk, Yair Wexler, Zohar Ben-Moshe, Inbar Plaschkes, Hadar Benyamini, Ann Saada, Adi Inbal and Tamar Harel
    Citation: Orphanet Journal of Rare Diseases 2025 20:181
  10. Fibrosing mediastinitis is a rare benign disease frequently complicated by pulmonary hypertension. A definitive diagnosis for fibrosing mediastinitis-associated pulmonary hypertension (FM-PH) and its etiologie...

    Authors: Yu Zhang, Han-Xiang Song, Yong-Jia Qi, Nan-Nan Sun, Zan-Sheng Huang, Wan-Lei Fu, Jing Zhang, Felix J. F. Herth and Ye Fan
    Citation: Orphanet Journal of Rare Diseases 2025 20:180
  11. Methylmalonic acidemia (MMA) is a rare autosomal recessive disorder, that causes multisystem damage by accumulating toxic metabolites. These metabolites, particularly affecting nerve cells, contribute to subop...

    Authors: I.-Chih Ling, Dau-Ming Niu, Chia-Feng Yang, Cheng-Yu Lee, Sheng-Bin Liang and Yann-Jang Chen
    Citation: Orphanet Journal of Rare Diseases 2025 20:179
  12. VCP disease, also known as multisystem proteinopathy, is a rare, autosomal dominant, adult-onset, neuromuscular disease that is caused by variants in the valosin-containing protein (VCP) gene. VCP disease may exh...

    Authors: Eiman Abdoalsadig, Merwa Hamid, Allison Peck, Leepakshi Johar and Virginia Kimonis
    Citation: Orphanet Journal of Rare Diseases 2025 20:178
  13. Mitochondrial disease has been linked to mental health disorder in clinical cohorts and post-mortem studies. However, a lack of population-level studies examining the relationship between mitochondrial disease...

    Authors: Laura C. Rosella, Mackenzie Hurst, Emmalin Buajitti, Thomas Samson, L. Trevor Young and Ana C. Andreazza
    Citation: Orphanet Journal of Rare Diseases 2025 20:177
  14. Treatment satisfaction can be described as the patient’s experience in patients with cystic fibrosis (CF). It can be influenced using modulators and clinical characteristics. The aims of this study were to eva...

    Authors: Esen Deniz Akman, Nadir Yalçın, Oğuz Karcıoğlu, Ebru Damadoğlu, Ali Fuat Kalyoncu and Kutay Demirkan
    Citation: Orphanet Journal of Rare Diseases 2025 20:176
  15. Osteogenesis Imperfecta (OI) is a rare genetic disorder characterized by bone fragility and susceptibility to fractures. No curative treatment currently exists, and limited data are available on the effects of...

    Authors: Hayssam Al Arab, Sacha Flammier, Morgane Espitalier, Justine Bacchetta and Marine Fouillet-Desjonqueres
    Citation: Orphanet Journal of Rare Diseases 2025 20:175
  16. Few reports exist that focus on patients with spinal muscular atrophy (SMA) and severe spinal deformity. In this study, we aimed to report surgical outcomes and complications for SMA patients with severe scoli...

    Authors: Heng Sun, Yizhen Huang, Yulei Dong, Zhen Wang, Junduo Zhao, Xuan Huang, Weiyun Chen and Jianxiong Shen
    Citation: Orphanet Journal of Rare Diseases 2025 20:174
  17. The prevalence of mitochondrial diseases is increasing, leading to a significant economic burden on families and society. However, nationwide cost data on their effects on China’s economy remain limited. This ...

    Authors: Chaolong Xu, Dan Zhao, Xin Duan, Zhimei Liu, Tongyue Li, Yunxi Zhang, Zixuan Zhang, Tianyu Song, Ying Zou, Huafang Jiang and Fang Fang
    Citation: Orphanet Journal of Rare Diseases 2025 20:172
  18. Gaucher disease type 3 (GD3) is a lysosomal storage disease characterized by diverse neurological and systemic manifestations. Symptoms of ataxia, cognitive impairment, and other systemic symptoms profoundly i...

    Authors: Raphael Schiffmann, James Turnbull, Robert Krupnick, Ruth Pulikottil-Jacob, Chad Gwaltney, Alaa Hamed, Isabela Batsu, Walter Heine and Eugen Mengel
    Citation: Orphanet Journal of Rare Diseases 2025 20:171
  19. Creutzfeldt–Jakob disease (CJD) is a severe neurodegenerative disorder characterized by the abnormal accumulation of prion proteins. In Israel, a unique epidemiological pattern of CJD has been identified, spec...

    Authors: Alice Anane, Doron Pasternak, Shimon A. Reisner and Victor Novack
    Citation: Orphanet Journal of Rare Diseases 2025 20:170
  20. Individuals living with rare congenital malformations and/or intellectual disability often face challenges in accessing appropriate healthcare. Clinical practice guidelines (CPGs) may serve as a tool to provid...

    Authors: Mirthe Jasmijn Klein Haneveld, Chloé Aymée de Mortier, Anne Hugon, Martina Cornelia Cornel, Charlotte Maria Wilhelmina Gaasterland and Agnies Marguerite van Eeghen
    Citation: Orphanet Journal of Rare Diseases 2025 20:169
  21. Arthrogryposis multiplex congenita (AMC) is a group of rare disorders characterized by multiple joint contractures present at birth. Early rehabilitation is essential to minimize joint contractures and maximiz...

    Authors: Noémi Dahan‑Oliel, Sarah Cachecho, Clarice Araujo, Alicja FÄ…fara, Francis Lacombe, Ani Samargian, Camille Costa, Maureen Donohoe, Ann Flanagan, Bart Kowalczyk, Courtney Krakie, Lisa Wagner, Carolina Navalón, Verity Pacey, Unni Steen, Misha Walker…
    Citation: Orphanet Journal of Rare Diseases 2025 20:168
  22. Angelman syndrome (AS) is a rare genetic neurodevelopmental disorder caused by the absence of a functional UBE3A gene, leading to developmental, behavioral, and medical challenges. Sleep disturbances, includin...

    Authors: Leo Gschwind, Sebastian Camillo Holst, David Nobbs, Florian Lipsmeier, Katalin Buzasi, Ponghatai Boonsimma, Alexander Rotenberg, Vitaliy Kolodyazhniy and Jörg Felix Hipp
    Citation: Orphanet Journal of Rare Diseases 2025 20:167
  23. Rare diseases (RDs) clinical care and research face several challenges. Patients are dispersed over large geographic areas, their number per disease is limited, just like the number of researchers involved. Cu...

    Authors: Paul Landais, Sonia Gueguen, Annick Clement and Serge Amselem
    Citation: Orphanet Journal of Rare Diseases 2025 20:166
  24. Progressive Familial Intrahepatic Cholestasis Type 3 (PFIC3) is a rare inherited liver disease caused by a mutation in the ABCB4 gene, leading to dysfunction of multidrug resistance protein 3 (MDR3). The earli...

    Authors: Jiqiang Hu, Chenyu Yang, Bingqian Tan, Qiang Xiong, Ying Le, Jianyang Hu, Haoming Wang, Xiaoke Dai and Mingman Zhang
    Citation: Orphanet Journal of Rare Diseases 2025 20:164
  25. Rare neurological diseases (RNDs) result in severe health burdens worldwide. Data from China are limited. We aimed to investigate the health burden of 20 RNDs in Guangdong Province (GD), which contains two-thi...

    Authors: Jingjing Li, Shujin Tang, Jiaoxing Li, Xin Huang, Yu Liu, Jinsheng Zeng and Yuhua Fan
    Citation: Orphanet Journal of Rare Diseases 2025 20:163
  26. Hypophosphatasia (HPP) is a rare inherited disorder caused by ALPL gene mutations, with fracture nonunion being a serious complication. This study investigated the effects of teriparatide and asfotase alfa (AA) o...

    Authors: Songqi Wang, Lei Sun, Jing Hu, Qian Zhang, Ou Wang, Yan Jiang, Weibo Xia, Xiaoping Xing and Mei Li
    Citation: Orphanet Journal of Rare Diseases 2025 20:162
  27. GNE myopathy is a rare autosomal recessive distal myopathy caused by mutations in UDP-N-acetylglucosamine 2-epimerase/N-acetylmannosamine kinase (GNE), a bifunctional enzyme critical for sialic acid biosynthes...

    Authors: Yingming Xing, Lingqian Zhao, Renlong Zhao, Qiyun Liu, Juan Wang, Le Wang, Wei Zhang, Junhong Guo, Rongjuan Zhao and Xueli Chang
    Citation: Orphanet Journal of Rare Diseases 2025 20:161
  28. Thiamine metabolism dysfunction syndrome 5 (TMDS5) is a rare inborn error of metabolism caused by variants in TPK1, leading to reduced TPK levels. This enzyme is crucial for the production of thiamine pyrophospha...

    Authors: Alice Dallan, Giuseppe Reynolds, Carlotta Canavese, Diana Carli, Maria Luca, Andrea Gazzin, Marco Spada, Francesco Porta and Alessandro Mussa
    Citation: Orphanet Journal of Rare Diseases 2025 20:160
  29. Multiple acyl-CoA Dehydrogenation Deficiency (MADD) is a hereditary metabolic disorder affecting the metabolism of fatty acids, amino acids, and choline, typically presenting with fat accumulation and mitochon...

    Authors: Sun Yuan, Tang Shuyao, Lyu Jingwei, Wen Bing, Xu Jingwen, Li Busu, Zhao Bing, Ji Kunqian and Yan Chuanzhu
    Citation: Orphanet Journal of Rare Diseases 2025 20:159
  30. The aim of this study was to assess retinal microvascular parameters (RMPs) in Fabry disease (FD) using deep learning, and analyze the correlation with brain lesions related to cerebral small vessel disease (C...

    Authors: Yingsi Li, Xuecong Zhou, Junmeng Li, Yawen Zhao, Yujing Yuan, Bo Yang, Jingjing Xu, Qijie Wei, Xiaoming Yan, Wei Zhang and Yuan Wu
    Citation: Orphanet Journal of Rare Diseases 2025 20:158
  31. The precise etiology of septo-optic dysplasia (SOD) remains elusive, to date a complex interaction between genetic predisposition and prenatal exposure to environmental factors is believed to come into play. B...

    Authors: Ludovica Pasca, Davide Politano, Federica Morelli, Jessica Garau, Sabrina Signorini, Enza Maria Valente, Renato Borgatti and Romina Romaniello
    Citation: Orphanet Journal of Rare Diseases 2025 20:157
  32. Studies in adults with PKU have mainly focused on the neuropsychiatric complications that may arise in individuals who are unable to maintain the recommended lifetime diet. Some recent epidemiological studies ...

    Authors: Yann Dos Santos, Friedrich Trefz, Maria Giżewska, Annemiek M.J. van Wegberg, Bruno Lefort, François Labarthe, Francjan van Spronsen and François Maillot
    Citation: Orphanet Journal of Rare Diseases 2025 20:156
  33. The purpose of this letter to the editor is to illustrate the effect of tofacitinib on psoriatic skin lesions in a patient with Aicardi–Goutières syndrome (AGS) type 7/Singleton-Merten syndrome 1. AGS is chara...

    Authors: Shanice Beerepoot, Lucas Grinwis, Adeline L. Vanderver, Marjo S. van der Knaap and Taco W. Kuijpers
    Citation: Orphanet Journal of Rare Diseases 2025 20:155
  34. Wiedemann–Steiner syndrome (WSS) is a rare, variable neurodevelopmental condition associated with developmental delay, intellectual disability and congenital abnormalities. There are few investigations into be...

    Authors: Nicola Yuill, Camilla Elphick, Jess Marshall, Wendy D. Jones, Jane Waite and Hannah Viner
    Citation: Orphanet Journal of Rare Diseases 2025 20:154
  35. Thalassemia is one of the most prevalent monogenic disorders in tropical and subtropical regions, imposing significant familial and social burdens on local populations. It is caused by point mutations or struc...

    Authors: Zeyan Zhong, Ganwei Zheng, Dina Zhu, Yongqiong Liu, Zezhang Lin, Zhiyang Guan, Fu Xiong, Jianhong Chen and Xuan Shang
    Citation: Orphanet Journal of Rare Diseases 2025 20:153
  36. Trophectoderm (TE) cell biopsy at the blastocyst stage is currently the most common method used in preimplantation genetic testing for monogenic disorders (PGT-M). However, this approach may result in the wast...

    Authors: Jia Chen, Xingwu Wu, Qiang Xu, Tao Ding, Ge Chen, Houyang Chen, Yongyi Zou, Jialyu Huang, Ziyu Zhang, Lifeng Tian, Yan Zhao, Ranhui Duan, Zengming Li, Qiongfang Wu and Yanqiu Liu
    Citation: Orphanet Journal of Rare Diseases 2025 20:152
  37. Interstitial Lung Disease in childhood (chILD) is rare, and little research has been conducted into the experience of fatigue. Fatigue is a complex phenomenon that can be difficult to quantify due to the vario...

    Authors: Carlee Gilbert, Kate M. Bennett, Andrew Bush and Christopher Brown
    Citation: Orphanet Journal of Rare Diseases 2025 20:151
  38. Diagnosing rare diseases is challenging due to their low prevalence, diverse presentations, and limited recognition, often leading to diagnostic delays and errors. This study evaluates the effectiveness of mul...

    Authors: Guangyu Ao, Min Chen, Jing Li, Huibing Nie, Lei Zhang and Zejun Chen
    Citation: Orphanet Journal of Rare Diseases 2025 20:150
  39. Inborn errors of metabolism (IEMs) are rare disorders that are heterogeneous in severity and clinical presentation. Patients with IEMs should receive the vaccination schedule recommended for the whole populati...

    Authors: Anne-Sophie Renous, Lena Damaj, Magali Gorce, Magalie Barth, Antoine Bedu, Elise Sacaze, Delphine Lamireau, Cécile Laroche-Raynaud, Laurent Pasquier, Zoha Maakaroun-Vermesse, Marine Tardieu and François Labarthe
    Citation: Orphanet Journal of Rare Diseases 2025 20:149
  40. Accurate identification of parathyroid lesions in primary hyperparathyroidism (PHPT) patients is essential for minimally invasive surgery during pregnancy.

    Authors: Mengyuan Zhou, Yudi He, Yanwen Luo, Ou Wang, Quan Liao, Yuxin Jiang, He Liu and Qingli Zhu
    Citation: Orphanet Journal of Rare Diseases 2025 20:148
  41. Rhizomelic chondrodysplasia punctata (RCDP) is a rare genetic disorder characterized by symptoms such as respiratory dysfunction, seizures, orthopedic issues, and neurodevelopmental delay. Potential therapeuti...

    Authors: Mousumi Bose, Tahra C. Anglade, Chelsea I. Donlon, Adrian L. Kerrihard, Hila F. Berger, Ariel S. Berkowitz, Shawn A. Ritchie and Tara M. Smith
    Citation: Orphanet Journal of Rare Diseases 2025 20:147
  42. Gaucher disease can have effects on the development of pregnancy, childbirth, and lactation, with impact on health of both the mother and the newborn. Management of pregnancies in Gaucher patients is further c...

    Authors: Enrique J. Calderón, Alicia Rodríguez-Fernández, Irene Calderón-Baturone, Rafael Aporta-Rodríguez, Francisco J. del Castillo, Lutgardo García-Díaz, Antonio González-Meneses, María Lourdes Hermosín-Ramos, Raquel Yahyaoui and Ignacio Marín-León
    Citation: Orphanet Journal of Rare Diseases 2025 20:146
  43. Fabry disease and Gaucher disease are rare genetic disorders characterized by defective degradation of glycosphingolipids caused by enzymatic deficiencies in α–galactosidase A and β–glucocerebrosidase, respect...

    Authors: Shoshana Revel-Vilk, Uma Ramaswami, Guillem Pintos-Morell, Derralynn Hughes, Kathy Nicholls, Ricardo Reisin, Roberto Giugliani, Ozlem Goker-Alpan, Majdolen Istaiti, Aidan Gill, Maurizio Scarpa and Jaco Botha
    Citation: Orphanet Journal of Rare Diseases 2025 20:145
  44. Gallbladder carcinoma (GBC) accounts for 1.3% of cancer incidence and 1.7% of cancer-related deaths which emphasizes the need for comprehensive research in epidemiological trends.

    Authors: Ali Afzal, Yan-Yan Liu, Amara Noureen, Amna Rehman, Mehreen Iftikhar, Hanan Afzal, Fareeha Azam, Umair Ali Khan Saddozai, Tayyba Jan, Zoya Asif, Lei Zhang, Xin-Ying Ji and Muhammad Babar Khawar
    Citation: Orphanet Journal of Rare Diseases 2025 20:143
  45. Hereditary bronchiectasis refers to a subset of bronchiectasis related to genetic mutations, presenting with common clinical features. Historically, diagnosing this condition has been difficult due to the inac...

    Authors: Wangji Zhou, Yixuan Li, Haixia Zheng, Miao He, Miaoyan Zhang, Qiaoling Chen, Christopher Situ, Yaqi Wang, Ting Zhang, Keqi Chen, Jinrong Dai, Shuzhen Meng, Xueqi Liu, Aohua Wu, Yaping Liu, Kai-Feng Xu…
    Citation: Orphanet Journal of Rare Diseases 2025 20:142
  46. Chronic singultus lasting longer than one month is a rare disease. Due to its low prevalence, generating evidence about it is difficult. Patients with chronic diseases struggle with considerable restrictions i...

    Authors: Marco Richard Zugaj, Claudia Busch, Andrea Züger and Jens Keßler
    Citation: Orphanet Journal of Rare Diseases 2025 20:141
  47. Dystrophic epidermolysis bullosa (DEB) is a rare group of genetic skin-fragility conditions resulting in blisters and erosions of the skin and mucosa, evolving into dystrophic and retractile scars. This study ...

    Authors: M. Fournier, E. Bourrat, J. Rapp, D. Vexiau, C. Trastour and C. Chiaverini
    Citation: Orphanet Journal of Rare Diseases 2025 20:140
  48. Adults with rare disorders experience multiple psychosocial risk factors beyond their medical symptoms, including impaired quality of life, social isolation, loneliness, and mental health problems. These risk ...

    Authors: Øyvind Halsøy, Stian Orm, Hugo Cogo-Moreira, Wendy K. Silverman and Krister Fjermestad
    Citation: Orphanet Journal of Rare Diseases 2025 20:138