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  1. Genetic porphyrias, namely in their homozygous form, may cause a neurodevelopmental disorder which may even be the clinically dominant feature. But few cases have been described so far. The majority of neurode...

    Authors: Nadja Kaiser, Janine Magg, Thomas Nägele, Nicole Wolf and Ingeborg Krägeloh-Mann
    Citation: Orphanet Journal of Rare Diseases 2025 20:139
  2. Naxos disease variant (Carvajal syndrome) is a cardiocutaneous genetic disease caused by Plakoglobin and Desmoplakin gene mutation, and usually manifests with woolly hair, palmoplantar keratoderma, and cardiom...

    Authors: Maha Binfadel, Mohamed Umair Aleem, Mohammed Alhabdan, Nadiah Alruwaili, Zuhair AlHassnan, Olga Vriz, Sahar Tulbah and Dimpna Calila Albert-Brotons
    Citation: Orphanet Journal of Rare Diseases 2025 20:137
  3. Duchenne muscular dystrophy (DMD) patients are monitored periodically for cardiac involvement, including cardiac MRI with gadolinium-based contrast agents (GBCA). Texture analysis (TA) offers an alternative ap...

    Authors: Mary Luz Mojica-Pisciotti, Tomáš Holeček, Věra Feitová, Lukáš Opatřil and Roman Panovský
    Citation: Orphanet Journal of Rare Diseases 2025 20:136
  4. Urea cycle disorders (UCDs) are rare inborn errors of metabolism which impact the body’s ability to detoxify ammonia produced during protein metabolism. In the UK, there is a nationally adopted guideline for t...

    Authors: Karolina M. Stepien, Melanie McSweeney, Antonio Ochoa-Ferraro, Roshni Vara, Paul Riley and Megan Smith
    Citation: Orphanet Journal of Rare Diseases 2025 20:135
  5. Gorham-Stout disease (GSD) is a rare complex lymphatic malformation. Since its initial description in 1838, only approximately 400 patients have been documented. There is currently no consensus on the diagnost...

    Authors: Zilong Zhou, Tong Qiu, Jiangyuan Zhou, Zixin Zhang, Xue Gong, Xuepeng Zhang, Yuru Lan, Congxia Yang, Yujia Zhang, Shanshan Xiang and Yi Ji
    Citation: Orphanet Journal of Rare Diseases 2025 20:134
  6. Primary sclerosing cholangitis (PSC) is a rare, chronic cholestatic disease that can progress to cirrhosis and liver failure. The natural history of PSC is variable as liver enzymes and liver symptoms fluctuat...

    Authors: Christopher Bowlus, Cynthia Levy, Kris V. Kowdley, Nandita Kachru, Sushanth Jeyakumar, Yael Rodriguez-Guadarrama, Nathaniel Smith, Andrew Briggs, Mark Sculpher and Daniel Ollendorf
    Citation: Orphanet Journal of Rare Diseases 2025 20:133
  7. Phelan–McDermid syndrome (PMS) is a neurodevelopmental disorder, caused by haploinsufficiency of the SHANK3 gene. In addition to global developmental delay (GDD)/intellectual disability (ID) and autism spectrum d...

    Authors: Odelia Chorin, Lior Greenbaum, Shelly Lev-Hochberg, Neta Feinstein-Goren, Aviva Eliyahu, Hagit Shani, Elon Pras, Tal Weissbach, Yoav Bolkier, Gali Heimer, Dorit Lev, Marina Michelson, Miriam Regev, Sagi Josefsberg, Nurit Assia Batzir, Adel Shalata…
    Citation: Orphanet Journal of Rare Diseases 2025 20:132
  8. This study seeks to elucidate the clinical and biochemical features of Ornithine transcarbamylase deficiency (OTCD), a pleomorphic congenital hyperammonemia disorder with a non-specific clinical phenotype. Add...

    Authors: YinChun Zhang, Xia Gu, Congcong Shi, Hui Xiong, DongFan Xiao, ZhiRong Deng, Lu Wang, XiMei Yang, Tao Wei, PuPing Liang and Hu Hao
    Citation: Orphanet Journal of Rare Diseases 2025 20:131
  9. Mutations in the TK2 gene are strongly associated with mitochondrial DNA depletion syndrome (MDS), a severe condition with high mortality and poor outcomes. Although many MDS cases are reported, those linked to T...

    Authors: Duoling Li, Yixin Shi, Hanhan Sun, Chuanzhu Yan and Yan Lin
    Citation: Orphanet Journal of Rare Diseases 2025 20:130
  10. The rarity of pregnancies in women with arthrogryposis multiplex congenita (AMC) could lead to healthcare providers having limited exposure to these cases. Consequently, they may be less familiar with the poss...

    Authors: Arda Arduç, Johanna I. P. De Vries, Maria B. Tan-Sindhunata, Femke Stoelinga, Remco Jansen and Ingeborg H. Linskens
    Citation: Orphanet Journal of Rare Diseases 2025 20:129
  11. Recessive dystrophic epidermolysis bullosa (RDEB) is a rare and severe mucocutaneous fragility disorder due to mutations in the COL7A1 gene encoding collagen VII, the major constituent of anchoring fibrils essent...

    Authors: May El Hachem, Andrea Diociaiuti, Domenico Bonamonte, Michela Brena, Lucia Lospalluti, Cristina Magnoni, Iria Neri, Ketty Peris, Gianluca Tadini and Giovanna Zambruno
    Citation: Orphanet Journal of Rare Diseases 2025 20:128
  12. Bardet–Biedl syndrome (BBS) is a rare nonmotile ciliopathy characterized by retinal dystrophy, polydactyly, obesity, genital anomalies, renal dysfunction, and learning difficulties. The objectives were to desc...

    Authors: Cecilie Fremstad Rustad, Ragnheidur Bragadottir, Kristian Tveten, Hilde Nordgarden, Jeanette Ullmann Miller, Pamela Marika Åsten, Gisela Vasconcelos, Mari Ann Kulseth, Øystein Lunde Holla, Hanne Gro Olsen, Charlotte von der Lippe and Solrun Sigurdardottir
    Citation: Orphanet Journal of Rare Diseases 2025 20:127
  13. Down Syndrome Regression Disorder (DSRD) is an acute or subacute neurocognitive regression in individuals with Down syndrome (DS), characterized by a loss of previously acquired cognitive, adaptive, and social...

    Authors: Katherine Chow, Panteha Hayati Rezvan, Lilia Kazerooni, Lina Nguyen, Natalie K. Boyd, Benjamin N. Vogel, Maeve C Lucas, Ruth Brown, Eileen A. Quinn, Saba Jafarpour and Jonathan D. Santoro
    Citation: Orphanet Journal of Rare Diseases 2025 20:126
  14. Clinical trials for rare diseases pose unique challenges warranting alternative approaches in demonstrating treatment efficacy. Such trials face challenges including small patient populations, variable onset o...

    Authors: Connor J. Lewis, Jean M. Johnston, Silvia Zaragoza Domingo, Gilbert Vezina, Precilla D’Souza, William A. Gahl, David A. Adams, Cynthia J. Tifft and Maria T. Acosta
    Citation: Orphanet Journal of Rare Diseases 2025 20:125
  15. 46, XY disorders of sex development (DSD) and aceruloplasminaemia (ACP) are very rare genetic disorders, and no cases of the coexistence of both disorders have been reported. In ACP patients, iron overload in ...

    Authors: Yanju Li, Mei Zhao, Yang Liu, Lan Wang, Yi Huang and Feiqing Wang
    Citation: Orphanet Journal of Rare Diseases 2025 20:124
  16. Fabry disease is characterized by an X sex chromosome gene mutation caused by α-galactosidase A deficiency, resulting in the accumulation of globotriaosylceramide and globotriaosylsphingosine in various organs...

    Authors: Wei Chu, Min Chen, Xiaoqin Lv, Sheng Lu, Changyan Wang, Limin Yin, Linyan Qian and Jiana Shi
    Citation: Orphanet Journal of Rare Diseases 2025 20:123
  17. Propionic acidemia (PA) is a severe organic acidemia that can result in multi-organ damage and is potentially fatal. The rarity of this disease and the limited number of reported cases contribute to a lack of ...

    Authors: Shunan Wang, Lulu Li, Yulan Ma, Haihe Yang, Yuting Sang, Yue Tang, Lifei Gong, Jinqi Zhao, Lijin Gu, Yuanyuan Kong and Xinmei Mao
    Citation: Orphanet Journal of Rare Diseases 2025 20:122
  18. Multiple acyl-coenzyme A (CoA) dehydrogenase deficiency (MADD) is an autosomal recessive disorder resulting from mutations in the ETFDH gene. It is characterized by a wide spectrum of clinical symptoms, of which ...

    Authors: Bijun Zhang, Dongyang Zhang, Feiyue Sun, Xinxin Si, Meng Luan and Rong He
    Citation: Orphanet Journal of Rare Diseases 2025 20:121
  19. Living with children with disabilities has a significant impact on parental health-related quality of life (HRQoL) and family functioning. Barth syndrome (BTHS) is a rare, X-linked disorder that primarily affe...

    Authors: Yoonjeong Lim, Ickpyo Hong and Areum Han
    Citation: Orphanet Journal of Rare Diseases 2025 20:120
  20. To explore the natural history of protrusio acetabuli (PA) in adults with Marfan syndrome (MFS) via a prospective 10-year follow-up study.

    Authors: Tordis Böker, Eva Kirkhus, Are Hugo Pripp, Svend Rand-Hendriksen, Benedicte Paus, Hans-Jørgen Smith and Rigmor Lundby
    Citation: Orphanet Journal of Rare Diseases 2025 20:118
  21. The current development of gynecology services for children and adolescents seeks to meet needs both in the overall population and in patients with rare diseases. In France, the referral center for rare gyneco...

    Authors: Iphigénie Cavadias, Magali Viaud, Marie Falampin, Alaa Cheikhelard, Karinne Gueniche, Chloé Ouallouche, Dinane Samara-Boustani, Damien Bonnet, Nadia Bahi-Buisson, Pierre Quartier-dit-Maire, Smaïl Hadj-Rabia, Laurence Heidet, Slimane Allali, Pascale de Lonlay, Jeanne Amiel, Rima Nabbout…
    Citation: Orphanet Journal of Rare Diseases 2025 20:117
  22. This cross-sectional study investigated mental health conditions, physical functioning, and health-related quality of life (HRQOL) in adults with short-statured skeletal dysplasia conditions across three centr...

    Authors: Elisabeth Fagereng, Su Htwe, Sam McDonald, Chloe Derocher, Marta Bertoli, Erin Carter, Anne-Mette Bredahl, Taran Blakstvedt, Micheal Wright, Cathleen Raggio and Svein Fredwall
    Citation: Orphanet Journal of Rare Diseases 2025 20:116
  23. Myasthenia gravis (MG) is a rare autoimmune disorder. Several new treatment concepts have emerged in recent years, but access to these treatments varies due to differing national reimbursement regulations, lea...

    Authors: Abderhmane Slioui, Giulia Tammam, Fiammetta Vanoli, Adela Della Marina, Stanislav Vohanka, Nils Erik Gilhus, Isabella Moroni, Maria Isabel Leite, Fredrik Piehl, Carlo Antozzi, Jonathan Pini, Frauke Stascheit, Shahram Attarian, Ernestina Santos, Jan Verschuuren, Lou Canonge…
    Citation: Orphanet Journal of Rare Diseases 2025 20:115
  24. Achondroplasia is one of the most prevalent forms of skeletal dysplasia. Lifelong follow-up by an experienced multidisciplinary team is required, particularly during the first 2 years. In 2021, international c...

    Authors: Encarna Guillen-Navarro, Moeenaldeen AlSayed, Inês Alves, Tawfeg Ben-Omran, Silvio Boero, Valérie Cormier-Daire, Brigitte Fauroux, Svein Fredwall, Melita Irving, Philip Kunkel, Christian Lampe, Ekkehart Lausch, Mohamad Maghnie, Klaus Mohnike, Geert Mortier, Zagorka Pejin…
    Citation: Orphanet Journal of Rare Diseases 2025 20:114
  25. As new therapies for Duchenne muscular dystrophy (DMD) are entering the market, shared decision making (SDM) will become increasingly important. Therefore, this study aimed to understand (1) Belgian stakeholde...

    Authors: Elise Schoefs, Thomas Desmet, Evelyn Lerinckx, Liesbeth De Waele, Sam Geuens, Conny Pelicaen, Luc Meeus, Steven Simoens, Chantal Van Audenhove, Mieke Mommen, Rosanne Janssens and Isabelle Huys
    Citation: Orphanet Journal of Rare Diseases 2025 20:113
  26. Rare and complex diseases can have a significant impact on family life, and managing the reproductive aspects of patients of childbearing age with rare diseases is often difficult and complex.

    Authors: Dina Zucchi, Diana Marinello, Chiara Tani, Giovanni Fulvio, Silvia Aguilera, Alexandra Benachi, Ruth Biller, Ignacio Blanco, Petra Borgards, Marie-Claude Boiteux, Maria Luisa Brandi, Ester Costafreda, Joao E. Fonseca, Micaela Fredi, Violeta Iotova, Simone Louisse…
    Citation: Orphanet Journal of Rare Diseases 2025 20:112
  27. Post-infectious bronchiolitis/bronchitis obliterans (PIBO) is a chronic irreversible obstructive lung disease that results in obstruction and/or obliteration of small airways. Previous reports have indicated t...

    Authors: Yuhong Guan, Xiaoyan Zhang, Xiaolei Tang, Haiming Yang and Shunying Zhao
    Citation: Orphanet Journal of Rare Diseases 2025 20:111
  28. Cognitive deficits related to frontotemporal dysfunction are common in Amyotrophic Lateral Sclerosis (ALS). Visuospatial deficits, related to posterior cerebral regions, are often underestimated in ALS, though...

    Authors: Minoo Sharbafshaaer, Mattia Siciliano, Carla Passaniti, Valeria Sant’Elia, Marcello Silvestro, Antonio Russo, Sabrina Esposito, Gioacchino Tedeschi, Luigi Trojano and Francesca Trojsi
    Citation: Orphanet Journal of Rare Diseases 2025 20:110
  29. Despite the considerable burden that hereditary hemorrhagic telangiectasia (HHT) imposes, few studies have investigated its effect on health-related quality of life (HRQoL). We aimed to assess the impact of HH...

    Authors: Anna J. Gong, Marisabel Linares Bolsegui, Emerson E. Lee, Matthew R. Tan, Yong Zeng, Jianqiao Ma, Prateek C. Gowda, Tushar Garg and Clifford R. Weiss
    Citation: Orphanet Journal of Rare Diseases 2025 20:109
  30. Pathogenic HSD17B10 gene variants cause HSD10 mitochondrial disease (HSD10 MD), which results in a wide spectrum of symptoms ranging from mild to severe. Typical symptoms include intellectual disability, choreoat...

    Authors: Tao Jiang, Wenxian Ouyang, Haiyan Yang and Shuangjie Li
    Citation: Orphanet Journal of Rare Diseases 2025 20:108
  31. Patients with classical homocystinuria (HCU) are unable to metabolize homocysteine and rely on dietary treatment to reduce their risk of complications (e.g., thromboembolism, cognitive impairment). Little is k...

    Authors: Robin Pokrzywinski, Danaé Bartke, Claudine Clucas, Kathy Machuzak and Lionel Pinto
    Citation: Orphanet Journal of Rare Diseases 2025 20:106
  32. Skeletal dysplasias are rare disorders affecting bone growth and development that impact functional performance. In Australia, the National Disability Insurance Scheme (NDIS) was rolled out in 2016 to support ...

    Authors: Jun Hei Jeremy Lai, Penelope Ireland, Daphne Nguyen, Ashley Woodbury and Verity Pacey
    Citation: Orphanet Journal of Rare Diseases 2025 20:105
  33. Inherited metabolic disorders (IMDs) are heritable conditions that affect up to 125:100,000 people worldwide. In addition to severe disabling forms that require continuous and costly assistance in both pediatr...

    Authors: Livia Lenzini, Sara Bianconi, Giorgia Gugelmo, Vincenza Gragnaniello, Simone Messerotti Benvenuti, Gian Paolo Fadini and Nicola Vitturi
    Citation: Orphanet Journal of Rare Diseases 2025 20:104
  34. This retrospective study aims to evaluate the relative representation of individual types of developmental odontogenic cysts (DOCs), especially from the perspective of syndromic and non-syndromic multiple DOCs...

    Authors: David Szaraz, Albert J. Ksinan, Ctirad Machacek and Petra Borilova Linhartova
    Citation: Orphanet Journal of Rare Diseases 2025 20:103
  35. Pulmonary Alveolar Proteinosis (PAP) is a rare interstitial lung disease with diverse clinical manifestations and outcomes. However, there are limited data on the heterogeneity of PAP, as well as its prognosis...

    Authors: Junfeng Huang, Shuojia Xie, Yuewen Gao, Zikai Lin, Zhe Xu, Jinsheng Lin, Linzhi He, Gengjia Chen, Ziwen Zheng, Zhixing Xu, Jingyan Chen, Jiaming Guo, Zhile Wu, Ailing Duan, Weizhan Luo, Xinyu Song…
    Citation: Orphanet Journal of Rare Diseases 2025 20:102
  36. The POMT2 gene, which encodes protein O-mannosyltransferase 2, is essential for α-dystroglycan glycosylation. Variants in POMT2 cause various disorders, including the relatively rare presentation of limb-girdle m...

    Authors: Guiguan Yang, Xiaoqing Lv, Wenjing Wu, Guangyu Wang, Mengqi Yang, Yifei Feng, Chuanzhu Yan, Meirong Liu and Pengfei Lin
    Citation: Orphanet Journal of Rare Diseases 2025 20:99
  37. Primary ciliary dyskinesia (PCD), a rare ciliopathy disorder, is caused by variants in multiple genes, with DNAH5 being one of the most frequently implicated. However, the precise relationship between variant typ...

    Authors: Meihua Dong, Xu Shi, Yawen Zhou, Jielin Duan, Li He, Xiaonan Song, Zhiwen Huang, Ruchong Chen, Jing Li and Nan Jia
    Citation: Orphanet Journal of Rare Diseases 2025 20:97
  38. Oxytocin (OT) plays an important role in modulating behavior, social interactions and feeding. Prader–Willi syndrome (PWS), a rare genetic neurodevelopmental disorder, is a model of hypothalamic disorder inclu...

    Authors: Marion Valette, Gwenaelle Diene, Mélanie Glattard, Julie Cortadellas, Catherine Molinas, Sandy Faye, Grégoire Benvegnu, Kader Boulanouar, Pierre Payoux, Jean-Pierre Salles, Catherine Arnaud, Sophie Çabal and Maithé Tauber
    Citation: Orphanet Journal of Rare Diseases 2025 20:96
  39. Hereditary transthyretin amyloidosis (ATTRv) should be considered in patients diagnosed with intravenous immunoglobulin (IVIg)-resistant chronic inflammatory demyelinating polyradiculoneuropathy (IVIg-NR CIDP)...

    Authors: Yann Péréon, David Adams, Jean-Philippe Camdessanché, Jean-Baptiste Chanson, Pascal Cintas, Laurent Magy, Aïssatou Signaté, Guilhem Solé, Juliette Svahn, Céline Tard, Cyrla Hababou and Shahram Attarian
    Citation: Orphanet Journal of Rare Diseases 2025 20:95
  40. There has been concern that individuals living with Hereditary Hemorrhagic Telangiectasia (HHT) could be at higher risk for poor outcomes if infected with SARS-CoV2, the virus that causes COVID-19 disease. As ...

    Authors: Christopher M. Tarulli, Xiayi Ma, Kamalprit Chokar, Nicholas T. Vozoris, Marianne S. Clancy and Marie E. Faughnan
    Citation: Orphanet Journal of Rare Diseases 2025 20:94
  41. Acute hepatic porphyria (AHP) constitutes a class of rare diseases caused by reduced function in enzymes of the heme-biosynthetic pathway. AHP includes acute intermittent porphyria (AIP), hereditary coproporph...

    Authors: Magnus Emil Ulrich Wagner, Morten Frost and Jan Frystyk
    Citation: Orphanet Journal of Rare Diseases 2025 20:93
  42. Titin truncating variants (TTNtv-s) are the most common genetic cause of dilated cardiomyopathy (DCM). Only rare TTNtv-s in the constitutively expressed exons of the A-band of the protein titin are associated wit...

    Authors: Nina Vodnjov, Andraž Cerar, Aleš Maver, Borut Peterlin and Karin Writzl
    Citation: Orphanet Journal of Rare Diseases 2025 20:92
  43. Spinal muscular atrophy (SMA) is a severe genetic neuromuscular disease caused by insufficient functional survival motor neuron protein (SMN). The SMN expression level in the spinal cord is highest during the ...

    Authors: Noriko Otsuki, Tamaki Kato, Mamoru Yokomura, Mari Urano, Mari Matsuo, Emiko Kobayashi, Kazuhiro Haginoya, Hiroyuki Awano, Yasuhiro Takeshima, Toshio Saito and Kayoko Saito
    Citation: Orphanet Journal of Rare Diseases 2025 20:91
  44. Achondroplasia, a disease characterized by disproportionate short stature and increased morbidity, affects daily function and quality of life over the lifetime of the individual. However, data are limited on i...

    Authors: Nadia Merchant, Jose Alvir, Paulette Negron Ericksen, Jane Loftus, Jose Francisco Cara, Alison Slade, Michael P. Wajnrajch and Christine L. Baker
    Citation: Orphanet Journal of Rare Diseases 2025 20:90
  45. Disorder-related variants in the STXBP1 gene are increasingly detected in children with severe developmental disorders. It is commonly acknowledged that developmental disorders significantly impact family life, b...

    Authors: Sietske A. L. van Till, Sybren Sybesma, Hilgo Bruining, Matthijs Verhage and Eline M. Bunnik
    Citation: Orphanet Journal of Rare Diseases 2025 20:89