Neimann Pick Disease Type C1
What is Neimann Pick Disease Type C1 and how is it Diagnosed?
Neimann Pick Disease Type C1(NPC1) is a rare lipid shortage disorder that can be diagnosed at any point in the individual’s life time(2). It can be passed on recessively from the parent to their offspring. For further evaluation genetic tests can be done on a patient to seek the NPC1 gene that causes the mutation resulting in the lack of cholesterols levels(2). Some of the tests that can be performed are liver and spleen biopsies and cholesterol assay (3).
Symptoms, morbidity and mortality
The symptoms of NPC1 are varied from individual to individual because it can occur at any point. However, some of the symptoms of the disease include neuro-cervical disorders which ultimately affect the lungs, liver, spleen as well as the central and peripheral nervous system (3). These symptoms can result in ataxia, dementia, loss of previously learned speech, seizures and uncontrollable jerks (1,3). If an individual is regularly seen by a health care practitioner the NPC1 gene mutation can be detected early on. Roughly 1 in every 120,000 live birth that will be affected by this gene(3). Children between the ages of 5-15 die and the progression of the symptoms relating to the gene in adults is usually slow(2).
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The NPC1 gene is located on chromosome 18 and it causes 334 defects mutation in the gene, as well as additional splicing and deletions (3). As recessive trait, the parent caring the disease can pass it on to their offspring. However, at times an individual has “25% chance of being the carrier, 50% chance of being asymptomatic and 25% chance of being unaffected or not a carrier”(4). Although this disease can affect any individual, it is best to noticed by its
Family History also is positive for rheumatoid arthritis (Inflammatory changes in the joints causing pain), so we had serology (scientific study of blood or other bodily fluids) run for the erythrocyte sedimentation rate (the rate at which red blood cells settle in one hour used to detect inflammation associated with conditions such as infections, cancers, and autoimmune diseases), and looking for presence of Anti-Nuclear-Antibodies (found in patients whose immune system may be predisposed to cause inflammation against their own body
The reviewer in this case has been asked to address the following concerns related to this member: 1. Is the genetic testing [CPT code 812929 – First Step Dx Plus Testing] that was performed on 02/29/2016 considered experimental and/or investigational? Please explain. 2. Was the genetic testing [CPT code 812929 – First Step Dx Plus Testing], which was performed on 02/29/2016 medically necessary for the treatment of this member’s condition?
The cause of this condition is not known. RISK FACTORS This condition is more likely to develop in: • Children aged 3–15 years. • Boys.
41-year-old male alleged sarcoidosis of skin and lungs, severe depression, lumbar facet syndrome, degenerative joint/disc disease (neck, lower back, bilateral knees). Limited range of motion left shoulder, morbid obesity (6’2” and 291 pounds), chronic lower back pain, lumbar spondylosis, osteoporosis (knee). Insomnia, sleep apnea, asthma, allergic rhinitis. Elevated cholesterol, vitamin B deficiency, gastritis, recurrent folliculitis/prurigo nodularis. Reporting health issues: Had difficulty with all personal care and all activities of
Of course, the condition will most likely involve a heart problem, which is discovered at birth, along with a webbed neck, chest deformities, many birth marks, also known as café-au-lait spots, and a short stature. The features of this syndrome are not fully known, considering the fact that there are numerous characteristics and no two infected individuals have the same exact features. Like in most other disease cases, there are lists of more minor symptoms that can occur in an individual. In infants and newborns, feeding problems are present, due to a poor sucking reflex. Behavioral problems and developmental delays can occur, which causes the individual to achieve milestones slower, such as sitting and walking.
This is mostly called Trisomy 13 which is also called Patau syndrome which is an extra copy of the chromosome 13. This is a chromosomal condition associated with severe cerebral disability and physical abnormalities in many parts of the body. People that have or know someone with trisomy 13 often have heart defects, brain or vertebral irregularities, poorly developed eyes, extra digits , an opening in the lip which is known as cleft lip with or without an opening in the roof of the mouth that is a cleft palate, and weak muscle tone . Due to the actuality of several life-threatening medical complications, many babies with trisomy 13 pass away within their first days or weeks of their
Cri-Du-Chat implies "Cry of the cat" in French. It gets its name from its most trademark highlight in infants were they contain a to a great degree specific deafening, weak, mewing cat like cry in the midst of right on time stages brought on by a sporadic change of the larynx that is regularly characteristic for the issue. This issue has various names to it as the Chromosome 5p-issue, Deletion 5p-issue, 5p short issue, Cat cry issue, and Monosomy 5p however most usually known as the Cri-Du-Chat Syndrome. Frequencies of this issue vary between 1 in each 20,000 - 50,000 live births general and as showed by the 5p less Society, around 50 to 60 adolescents are considered with cri du talk in the United States each year. Dr. Jerome Lejeune in 1963 depicted the issue as a hereditary inalienable issue associated with a midway cancelation of the short arm, or p area in chromosome 5 yet in %90 of patients the deletion is sporadic which infers it could happen subjectively and for it being basically natural is just not the circumstance.
Dyspnea is one of the symptom with patient suffering from heart failure and also experience wheezing. ( chronic obstructive pulmonary disease and chronic heart failure. J Am Coll Cardiol 2007; 49:171.). BNP(B-typ Natriuretic peptide) blood test done on her, to check wether she is suffering from heart failure. Mrs.Smith was monitored closely for signs of deterioration and vitals done regularly.
Paget Disease of Bone Paget disease is a condition that makes the bones grow faster than normal. This leads to bones that are larger and weaker than normal. Healthy bones rebuild themselves by destroying old bone and replacing it with new bone tissue. This process usually slows down as a person gets older.
I chose this article because it interested me in seeing what a disease can do to both children and
This disease also breaks down brain cells, which are imperative for everyday functioning and intelligence. Symptoms of this disease include, developmental mental delay, seizures, stiff limbs, Optic atrophy: wasting of a muscle of the eye, resulting in vision difficulties, deafness, irritability, spasms, and ataxia which is the
al, (2007). Many parents have no idea about the things, causing pain and many other issues that come with having this disease. The most commonly affected population
Given the fact that my grandfather exhibited severe
Review of Symptoms General: denies fever, night sweats, significant weight gain or loss, exercise intolerance, depression, sleep disturbances, or fatigue HEENT: denies dry eyes, irritation, vision changes, difficulty hearing, ear pain, sore throat, runny nose, or sinus pressure Neck: denies swollen glands or stiff neck Pulmonary: denies cough, wheezing, or shortness of breath Cardiovascular: denies chest pain or palpitations Gastrointestinal: denies abdominal pain, nausea, vomiting, diarrhea, constipation, acid reflux, or melena Genitourinary: reports dysuria and vaginal itching, denies incontinence, hematuria, increased frequency, abnormal bleeding, or vaginal odor Musculoskeletal: denies muscle aches, weakness, joint pain, back pain, or edema Integumentary: denies any rashes, lesions, or change in hair Neurological: denies numbness, headache, seizures, tingling or sensation changes Endocrine: denies bruising, excessive sweating, thirst, hunger, heat or cold intolerance Objective Data Physical Exam Vitals: blood pressure - 130/77, heart rate - 97, respiratory rate - 17, temperature – 97.9 , oxygen saturation –97% on room air, weight – 183 pounds, height – 5 feet 4 inches, body mass index –
It is an autosomal recessive lysosomal storage disease (metabolism disorder passed down through families) caused by a deficiency in one of the enzymes needed to break down the glycosaminoglycan heparan sulfate which is found in the extra-cellular matrix and on cell surface glycoproteins. It makes the body unable to properly break down the heparin sulfate sugar chain. The incompletely broken down heparan sulfate remains stored inside cells in the body and begins to build up, causing progressive damage. There are four types of sanflippo syndrome based on the defective gene that encode for the enzyme. Sanfilippo type A: A person does not have a normal working form of the enzyme called heparan N-sulfatase, Sanfilippo type B: Occurs when a person