{"id":34,"date":"2011-03-07T12:38:36","date_gmt":"2011-03-07T20:38:36","guid":{"rendered":"https:\/\/blogs.ubc.ca\/earlychildhoodintervention2\/?p=34"},"modified":"2014-09-23T14:03:09","modified_gmt":"2014-09-23T22:03:09","slug":"children-with-other-genetic-disorders","status":"publish","type":"post","link":"https:\/\/blogs.ubc.ca\/earlychildhoodintervention2\/2011\/03\/07\/children-with-other-genetic-disorders\/","title":{"rendered":"Children with Other Genetic Disorders"},"content":{"rendered":"<p>In this section we describe four genetic disorders that have been identified in young children: Cystic fibrosis, Muscular Dystrophy, Klinefelter Syndrome, and Turner Syndrome. These syndromes affect not only the health and well-being of children, but also impact on their development.<\/p>\n<p>Some parents wonder about prenatal testing for these and other disorders (for example, <a href=\"http:\/\/www.ucdmc.ucdavis.edu\/children\/clinical_services\/cleft_craniofacial\/anomalies\/cornelia.html\" target=\"_blank\">Cornelia De Lange<\/a>, <a href=\"http:\/\/ghr.nlm.nih.gov\/condition\/cri-du-chat-syndrome\" target=\"_blank\">Cri-Du-Chat<\/a> and many other syndromes). Prenatal <a href=\"http:\/\/kidshealth.org\/parent\/system\/medical\/genetics.html\" target=\"_blank\">testing<\/a>\u00a0for genetic or neural tube defects are available for <a href=\"http:\/\/www.perinatalservicesbc.ca\/ScreeningPrograms\/PrenatalGeneticScreening\/default.htm\" target=\"_blank\">women in BC<\/a>.<\/p>\n<p>Physicians and genetic counselors use a patient\u2019s ancestry, family history, and medical history to determine which genetic testing is most likely to be of value.\u00a0 These are some of the tests offered to find out about the most common genetic disorders:<\/p>\n<ul>\n<li>\n<h2><a href=\"https:\/\/blogs.ubc.ca\/earlychildhoodintervention2\/category\/2-7-children-who-are-chronically-ill\/\" target=\"_blank\"><strong>Cystic Fibrosis<\/strong><\/a><\/h2>\n<\/li>\n<\/ul>\n<p>Cystic Fibrosis<sup>1<\/sup> is the most common fatal genetic disease affecting young Canadians. CF is a multi-organ disease that primarily affects the lungs and digestive system. It is estimated that one in every 3,600 children born in Canada has CF. \u00a0At the present time, approximately 3,500 children, adolescents, and adults with cystic fibrosis attend specialized\u00a0cystic fibrosis clinics in North America.<\/p>\n<p>Cystic fibrosis does not affect the child\u2019s development.\u00a0 However, the specific treatment and care requires extensive time that takes away from children\u2019s regular play and school activities for preschool and school-age children. This is why children with cystic fibrosis may qualify for <a href=\"https:\/\/blogs.ubc.ca\/earlychildhoodintervention3\/category\/3-2-the-r-professionals\/\" target=\"_blank\">additional support<\/a> once they enter Kindergarten.<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>Intervention Options<\/strong><\/span><\/p>\n<ul>\n<li><a href=\"http:\/\/www.cysticfibrosis.ca\/advocacy\/newborn-screening\/\" target=\"_blank\">Newborn screening<\/a> is available for early identification of cystic fibrosis<\/li>\n<li><a href=\"http:\/\/www.cysticfibrosis.ca\/bacteria-genetically-evolves-to-live-in-cystic-fibrosis-patients-lungs-evade-antibiotic-treatments-new-study-shows\/\" target=\"_blank\">Treatment<\/a> includes medications, airway treatments, specialized nutrition and transplantation at the end of stage of the disease<\/li>\n<li><a href=\"https:\/\/blogs.ubc.ca\/earlychildhoodintervention3\/\" target=\"_blank\">Early intervention<\/a> in the form of monitoring, provides support for the child and family following up with developmental information, ages and stages, opportunities for play and interaction.<\/li>\n<\/ul>\n<ul>\n<li>\n<h2><strong>Muscular Distrophy<\/strong><\/h2>\n<\/li>\n<\/ul>\n<p>Muscular Dystrophy<sup>2<\/sup> is the name for a group of <a title=\"Neuromuscular refers to a diseases that affects the central nervous system and the control over muscles in the human body.\">neuromuscular<\/a> (see full <a href=\"https:\/\/blogs.ubc.ca\/earlychildhoodintervention1\/files\/2012\/02\/ECI_Glossary.pdf\" target=\"_blank\">Glossary<\/a>) disorders involving progressive weakness and wasting of the voluntary muscles that control body movement. As <a title=\"The layers of muscles covering the bones.\">muscle tissue<\/a> (see full <a href=\"https:\/\/blogs.ubc.ca\/earlychildhoodintervention1\/files\/2012\/02\/ECI_Glossary.pdf\" target=\"_blank\">Glossary<\/a>) (Fig. 1)\u00a0weakens and wastes away, it is replaced by fatty and connective tissue.\u00a0 Forms of <a href=\"http:\/\/www.ninds.nih.gov\/disorders\/md\/md.htm\" target=\"_blank\">muscular dystrophy<\/a> include Duchenne (the most common, with onset around 3 years old and more prevalent in boys), Facioscapulohumeral and Myotonic. <a href=\"http:\/\/www.ninds.nih.gov\/disorders\/sma\/sma.htm\" target=\"_blank\">Spinal muscular atrophy<\/a> is the one usually identified in early infancy. Babies limbs are floppy and trunk is very weak<strong>. <\/strong>Children with this syndrome find it harder and harder to walk, and to do any movements.<\/p>\n<p style=\"text-align: center;\"><a href=\"http:\/\/www.nlm.nih.gov\/medlineplus\/ency\/images\/ency\/fullsize\/19917.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone\" title=\"body tissues\" src=\"http:\/\/www.nlm.nih.gov\/medlineplus\/ency\/images\/ency\/fullsize\/19917.jpg\" alt=\"body tissues\" width=\"280\" height=\"224\" \/><\/a><\/p>\n<h5 style=\"text-align: center;\">Figure 1. Different Types of Body Tissue<\/h5>\n<p>&nbsp;<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>Intervention Options<\/strong><\/span><\/p>\n<ul>\n<li>Children with muscular dystrophy are followed up through specialized teams that may include a <a href=\"https:\/\/blogs.ubc.ca\/earlychildhoodintervention3\/2012\/01\/29\/neurologist\/\" target=\"_blank\">pediatric neurologist<\/a>, <a href=\"https:\/\/blogs.ubc.ca\/earlychildhoodintervention3\/2012\/01\/30\/therapists-mental-health\/\" target=\"_blank\">physiotherapist<\/a>, <a href=\"https:\/\/blogs.ubc.ca\/earlychildhoodintervention3\/2012\/01\/29\/occupational-therapist\/\" target=\"_blank\">occupational therapist<\/a>, and <a href=\"https:\/\/blogs.ubc.ca\/earlychildhoodintervention3\/category\/3-2-the-i-professionals\/\" target=\"_blank\">infant development<\/a> and <a href=\"http:\/\/www.scdp.bc.ca\/\" target=\"_blank\">supported child development<\/a> consultant<\/li>\n<li>Muscular dystrophy symptoms are managed through different therapies as to-date no specific treatment exists for this condition. Resources in British Columbia include the <a href=\"http:\/\/www.bcchildrens.ca\/Services\/Neurosciences\/default.htm\" target=\"_blank\">BC Neurosciences program<\/a> at the BC Children and Women\u2019s Hospital<\/li>\n<\/ul>\n<ul>\n<li>\n<h2><strong>Klinefelter Syndrome<\/strong><\/h2>\n<\/li>\n<\/ul>\n<p>Klinefelter syndrome<sup>3<\/sup> is a term used to describe males who have an extra <a href=\"https:\/\/blogs.ubc.ca\/earlychildhoodintervention2\/2011\/03\/11\/children-with-established-risk-conditions\/\" target=\"_blank\">X<\/a> chromosome in most of their cells. This <a href=\"http:\/\/ghr.nlm.nih.gov\/condition\/klinefelter-syndrome\" target=\"_blank\">syndrome<\/a> mostly affects the boys\u2019 physical, language and social development.<\/p>\n<p><span style=\"text-decoration: underline;\">\u00a0<strong>Intervention Options<\/strong><\/span><\/p>\n<p>Children with Klinefelter Syndrome may require support for:<\/p>\n<ul>\n<li><a title=\"Children with Learning Differences or Learning Disabilities\" href=\"https:\/\/blogs.ubc.ca\/earlychildhoodintervention2\/2011\/02\/03\/children-with-learning-differences\/\" target=\"_blank\">Learning Differences<\/a>\u00a0and work with a <a href=\"https:\/\/blogs.ubc.ca\/earlychildhoodintervention3\/category\/3-2-the-r-professionals\/\" target=\"_blank\">resource teacher<\/a><\/li>\n<li><a title=\"Children with Communication Disorders\" href=\"https:\/\/blogs.ubc.ca\/earlychildhoodintervention2\/2011\/01\/26\/children-with-communication-disorders\/\" target=\"_blank\">Language and Communication<\/a> and work with a a <a href=\"https:\/\/blogs.ubc.ca\/earlychildhoodintervention3\/category\/3-2-the-s-professionals\/\" target=\"_blank\">speech and language therapist<\/a><\/li>\n<\/ul>\n<ul>\n<li>\n<h2><strong>Turner Syndrome<\/strong><\/h2>\n<\/li>\n<\/ul>\n<p>Turner Syndrome (TS)<sup>4<\/sup> is a condition that affects only females. It is caused when all or part of the second X chromosome in some or all of the cells of the body is missing. Physical characteristics may include small stature, puffy hands and feet, extra skin folds at the side and back of the neck, heart abnormalities, recurrent ear infections or hearing problems.<\/p>\n<h3>Description<\/h3>\n<p>Each genetic condition or syndrome has its own unique characteristics, behaviors and challenges. Intervention options need to address how the disability or disease manifests itself for the child.<\/p>\n<h3>Intervention Options<sup>5<\/sup><\/h3>\n<p>A family who has a child with a genetic condition faces many challenges. The family may require <a title=\"Genetic counselors will provide parents who plan to have a baby about their chances to carry genes for certain inherited disorders.\">genetic counseling<\/a> (see full <a href=\"https:\/\/blogs.ubc.ca\/earlychildhoodintervention1\/files\/2012\/02\/ECI_Glossary.pdf\" target=\"_blank\">Glossary<\/a>) to further explore the implications for the genetic condition. The family may also require family support or counseling to deal with the possible strong emotional reactions to the diagnosis. Families may also have concerns and be impacted by the high costs of medications, therapies, multiple treatments, etc.\u00a0This is why families will require a team of interventionists involved in their lives and the life of the child.<\/p>\n<h5>1. Canadian Cystic Fibrosis Foundation <a href=\"http:\/\/www.cysticfibrosis.ca\/en\/index.php\" target=\"_blank\">http:\/\/www.cysticfibrosis.ca\/en\/index.php<\/a><br \/>\n2. Muscular Dystrophy Canada <a href=\"http:\/\/muscle.ca\/\" target=\"_blank\">http:\/\/muscle.ca\/<\/a><br \/>\n3. US National Library of Medicine\/National Institutes of Health <a href=\"http:\/\/www.nlm.nih.gov\/medlineplus\/klinefelterssyndrome.html\" target=\"_blank\">http:\/\/www.nlm.nih.gov\/medlineplus\/klinefelterssyndrome.html<\/a><br \/>\n4. Turner Syndrome Society of Canada <a href=\"http:\/\/www.nlm.nih.gov\/medlineplus\/turnersyndrome.html\" target=\"_blank\">http:\/\/www.nlm.nih.gov\/medlineplus\/turnersyndrome.html<\/a><br \/>\n5. NORD. National Organization for Rare Disorders <a href=\"http:\/\/www.rarediseases.org\/\" target=\"_blank\">http:\/\/www.rarediseases.org\/<\/a><\/h5>\n","protected":false},"excerpt":{"rendered":"<p>In this section we describe four genetic disorders that have been identified in young children: Cystic fibrosis, Muscular Dystrophy, Klinefelter Syndrome, and Turner Syndrome. These syndromes affect not only the health and well-being of children, but also impact on their development. Some parents wonder about prenatal testing for these and other disorders (for example, Cornelia [&hellip;]<\/p>\n","protected":false},"author":430,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[221355],"tags":[],"class_list":["post-34","post","type-post","status-publish","format-standard","hentry","category-2-1-children-with-genetic-disorders-other-genetic-disorders"],"_links":{"self":[{"href":"https:\/\/blogs.ubc.ca\/earlychildhoodintervention2\/wp-json\/wp\/v2\/posts\/34","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.ubc.ca\/earlychildhoodintervention2\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.ubc.ca\/earlychildhoodintervention2\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.ubc.ca\/earlychildhoodintervention2\/wp-json\/wp\/v2\/users\/430"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.ubc.ca\/earlychildhoodintervention2\/wp-json\/wp\/v2\/comments?post=34"}],"version-history":[{"count":36,"href":"https:\/\/blogs.ubc.ca\/earlychildhoodintervention2\/wp-json\/wp\/v2\/posts\/34\/revisions"}],"predecessor-version":[{"id":1176,"href":"https:\/\/blogs.ubc.ca\/earlychildhoodintervention2\/wp-json\/wp\/v2\/posts\/34\/revisions\/1176"}],"wp:attachment":[{"href":"https:\/\/blogs.ubc.ca\/earlychildhoodintervention2\/wp-json\/wp\/v2\/media?parent=34"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.ubc.ca\/earlychildhoodintervention2\/wp-json\/wp\/v2\/categories?post=34"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.ubc.ca\/earlychildhoodintervention2\/wp-json\/wp\/v2\/tags?post=34"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}