{"id":160537,"date":"2024-02-27T18:34:54","date_gmt":"2024-02-27T18:34:54","guid":{"rendered":"https:\/\/tecscience.tec.mx\/en\/?p=160537"},"modified":"2024-12-10T17:17:44","modified_gmt":"2024-12-10T23:17:44","slug":"hurler-syndrome","status":"publish","type":"post","link":"https:\/\/tecscience.tec.mx\/en\/health\/hurler-syndrome\/","title":{"rendered":"The difficult (and necessary) path to diagnosing rare diseases"},"content":{"rendered":"\n<p>Treating <strong>rare diseases<\/strong> is not easy. In general, they are not well known, so diagnosing them accurately \u2013and in time\u2013 and having the needed medications or interventions can be complicated.<\/p>\n\n\n\n<p><a href=\"https:\/\/research.tec.mx\/vivo-tec\/display\/PID_1584\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Consuelo Cant\u00fa<\/strong><\/a>, a researcher and doctor specialized in <strong>clinical genetics<\/strong> at the <a href=\"\/en\/tag\/school-of-medicine-and-health-sciences\/\" target=\"_blank\" rel=\"noreferrer noopener\">School of Medicine and Health Sciences<\/a> of Tec de Monterrey, experienced this firsthand when, together with a multidisciplinary team, she cared for a nine-month-old patient who was diagnosed with <strong>mucopolysaccharidosis type I (MPS I)<\/strong>, also known as <strong>Hurler Syndrome<\/strong>.<\/p>\n\n\n\n<p>\u201cThe syndrome is part of a group of diseases where lysosomes fail,\u201d explains Cant\u00fa in an interview with<strong><em> TecScience<\/em><\/strong>.<\/p>\n\n\n\n<p><strong>Lysosomes<\/strong> are compartments within cells responsible for breaking down molecules and other elements. When these fail, the molecules can accumulate and cause different symptoms.<\/p>\n\n\n\n<p>In Hurler Syndrome, what is missing is an enzyme called alpha-L-iduronidase, which is responsible for breaking down a type of sugars called glycosaminoglycans, which are present in some foods, such as egg whites.<\/p>\n\n\n\n<p>\u201cWhen they can&#8217;t be broken down, they accumulate in different organs and cause damage,\u201d explains Cant\u00fa. The main organs <strong>or systems affected are the central nervous system<\/strong>, the <strong>cardiovascular<\/strong> system, the liver, the spleen, the spine, the joints, and the skin.<\/p>\n\n\n\n<p>The disease can generally be mild or severe and has multiple symptoms. In the case of the little boy who was diagnosed by the team, these were breathing difficulties, macrocephaly, a pronounced growth on the head, an enlarged liver, an umbilical hernia, and a spinal disorder that causes people to slouch.<\/p>\n\n\n\n<p><strong>\u201cDiagnosing and treating him was a battle,\u201d<\/strong> says Cant\u00fa.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Hurler syndrome [Type IH MPS ] clinical case- Key points\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/UDoLinenMPE?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-hurler-syndrome-and-other-rare-diseases-the-importance-of-an-early-diagnosis\"><strong>Hurler Syndrome<\/strong> <strong>and Other<\/strong> <strong>Rare Diseases: The Importance of an Early Diagnosis<\/strong><\/h2>\n\n\n\n<p>The little boy was treated by an interdisciplinary group of health experts, including Cant\u00fa, Diana Laura Vazquez, H\u00e9ctor Cruz, and Arlette Narv\u00e1ez, who published his case to provide scientific evidence of the need to provide timely diagnosis and treatment for this type of condition. <\/p>\n\n\n\n<p>After making an accurate diagnosis, the team was able to get him a suitable treatment, which consisted of an enzyme replacement, an intravenous transfusion of blood containing the missing enzyme\u2013 and a bone marrow transplant.<\/p>\n\n\n\n<p>\u201cThe transplant was successful, with more than 100% chimerism, meaning it was compatible and accepted by the patient,\u201d says Cant\u00fa.<\/p>\n\n\n\n<p><strong>Today, he is an almost eight-year-old boy who has improved physically, goes to school and can communicate with others.<\/strong><\/p>\n\n\n\n<p>However, although the case was successful, and Cant\u00fa thanked her team, the patient, and his parents for all their work, the diagnosis could have come sooner.<\/p>\n\n\n\n<p>\u201cThe peculiar thing about this disease is that children are born with good weight; they cry and breathe at birth, not showing any signs that they could be sick,\u201d she says.<\/p>\n\n\n\n<p>It is necessary to perform an expanded metabolic screen for 76 diseases to detect it. This test involves taking a blood sample from the newborn to detect congenital illnesses.<\/p>\n\n\n\n<p>\u201cIn the case of this little boy, they had screened him for only 69 diseases, so we detected it (MPS I) until the disease was manifesting itself,\u201d says Cant\u00fa. If it had been detected earlier, <strong>his treatment could have started before any symptoms appeared.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-rare-diseases-in-mexico-and-the-world\"><strong>Rare Diseases in Mexico and The World<\/strong><\/h2>\n\n\n\n<p>According to the World Health Organization (WHO), rare diseases occur in fewer than five people per 10,000 inhabitants. Around 7,000 are recognized worldwide, and 20 are in Mexico.<\/p>\n\n\n\n<p>It is estimated that about 8% of the world&#8217;s population suffers from them, and some examples include Turner Syndrome, hemophilia, spina bifida, cystic fibrosis, and congenital hypothyroidism.<\/p>\n\n\n\n<p>Although their name refers to the fact that they are infrequent, these conditions are much more than that. \u201cThey are accompanied by many shortcomings, such as specific treatments or well-defined diagnostic tests,\u201d says Cant\u00fa.<\/p>\n\n\n\n<p>According to the researcher, these diseases tend to be severe, chronic, and progressive, sometimes affecting multiple organs and systems.<\/p>\n\n\n\n<p>This and the pharmaceutical companies&#8217; lack of interest in creating specific medications for them complicates their treatment. This is why it is essential that early diagnosis becomes a priority.<\/p>\n\n\n\n<p>\u201cIt is important that as health specialists, we do our part to allow people who suffer from them to find treatment in a timely manner,\u201d says Cant\u00fa.<\/p>\n\n\n\n<p>For her, the case of the little boy they treated symbolizes the need to ensure that the right to have complete screening at birth is exercised in Mexico, regardless of whether the baby is born in a private or public hospital.<\/p>\n\n\n\n<p>Also, doctors and pediatricians should be sensitized to perform these and other tests at birth to achieve timely detection of any diseases they may have.<\/p>\n\n\n\n<p>\u201cWe could be facing a case where early diagnosis and treatment are the only opportunity to improve their quality of life,\u201d she concludes.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>There are more than 7,000 conditions worldwide whose low frequency and peculiarities complicate their diagnosis and treatment.<\/p>\n","protected":false},"author":12,"featured_media":160540,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_eb_attr":"","footnotes":""},"categories":[86],"tags":[224,138],"class_list":["post-160537","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","tag-health","tag-school-of-medicine-and-health-sciences"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.0 (Yoast SEO v27.3) - 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