Progeria (patient information): Difference between revisions

Jump to navigation Jump to search
No edit summary
 
(10 intermediate revisions by 2 users not shown)
Line 5: Line 5:
{{CMG}};  Jinhui Wu, MD
{{CMG}};  Jinhui Wu, MD


{{EJ}}
==Overview==
[[Image:Hutchinson-Gilford Progeria Syndrome.png|200px|thumb|left|
In HGPS patients, the cell nucleus has dramatically aberrant morphology (bottom, right) rather than the uniform shape typically found in healthy individuals (top, right)]]


==What is progeria?==
Hutchinson-Gilford Progeria Syndrome (HGPS), was named after the doctors who first described it in England in 1886 by Dr. Jonathan Hutchinson and in 1897 by Dr. Hastings Gilford. It is a rare, fatal genetic condition characterized by a characteristic facial appearance and slow growth in children. They may suffer from symptoms typically seen in much older people, such as [[coronary artery disease]], [[cataract]]s, [[osteoarthritis]] and [[stroke]]. Death occurs on average at age 13, usually from [[heart attack]] or [[stroke]]. Now a genetic test makes it possible for doctors to diagnose a child at a younger age and try to treat them early in the disease process.


==How do I know if my child have progeria and what are the symptoms of progeria?==
==What are the symptoms of progeria?==
Children with progeria usually look normal at birth and in early infancy. However, within a year, affected children grow slowly and become much shorter and weigh much less than peers. They appear a characteristic facial appearance, including the following:  
Children with progeria usually look normal at birth and in early infancy. However, within a year, affected children grow slowly and become much shorter and weigh much less than peers. They appear a characteristic facial appearance, including the following:  


:*Prominent eyes, a thin nose with a beaked tip, thin lips, a small chin, and protruding ears.  
:*Prominent eyes, a thin nose with a beaked tip, thin lips, a small chin, and protruding ears.  
:*Baldness, aged-looking skin, a loss of fat under the skin   
:*Bald, aged-looking skin, a loss of fat under the skin   
:*Hair loss  
:*Hair loss  
:*Joint abnormalities
:*Joint abnormalities
Line 19: Line 21:
Also, they suffer from symptoms typically seen in much older people, such as [[coronary artery disease]], [[cataract]]s,[[osteoarthritis]] and [[stroke]]. Death occurs on average at age 13, usually from [[heart attack]] or [[stroke]].
Also, they suffer from symptoms typically seen in much older people, such as [[coronary artery disease]], [[cataract]]s,[[osteoarthritis]] and [[stroke]]. Death occurs on average at age 13, usually from [[heart attack]] or [[stroke]].


==Who is at risk for progeria?==
==Who is at highest risk?==
Progeria is a very rare disease in the world. The cause is not clear. Researchers found that [[mutation]]s in the LMNA [[gene]] may be associated with progeria. The LMNA gene provides instructions for making lamin A protein, which is the structural scaffolding that holds the nucleus of a cell together. Researches demonstrate that the defective Lamin A protein makes the nucleus unstable.
Progeria is a very rare disease in the world. The cause is not clear. Researchers found that [[mutation]]s in the LMNA [[gene]] may be associated with progeria. The LMNA gene provides instructions for making lamin A protein, which is the structural scaffolding that holds the nucleus of a cell together. Researches demonstrate that the defective Lamin A protein makes the nucleus unstable.


==How to know your child have progeria?==
==Diagnosis==
In the past, doctors diagnosed progeria solely on physical symptoms, such as [[skin]] changes and a failure to gain weight. It was availble only when the child appear signs at their age of one or two years. Now, a [[genetic test]] makes it possible for doctors to diagnose a child at a younger age and try to treat them early in the disease process.
In the past, doctors diagnosed progeria solely on physical symptoms, such as [[skin]] changes and a failure to gain weight. It was availble only when the child appear signs at their age of one or two years. Now, a [[genetic test]] makes it possible for doctors to diagnose a child at a younger age and try to treat them early in the disease process.


==When to seek urgent medical care?==
==When to seek urgent medical care?==
Some children with progeria suffer from symptoms of [[coronary artery disease]] and [[stroke]], which often appear in old people. These diseases may be severe and fatal. If your child experience either of the following symptoms, seeking urgent medical care as soon as possible:
:*[[Chest pain]]
:*[[Shortness of breath]]
:*[[Palpitation]]
:*[[Diaphoresis]]
:*[[Headache]]
:*[[Hemiplegia]] and muscle [[weakness]] of the face
:*[[Numbness]]
:*Reduction in sensory or vibratory sensation
:*[[Loss of consciousness]]


==Treatment options==
==Treatment options==
 
No treatments have been proven effective. Most treatment focuses on signs and symptoms.
==Diseases with similar symptoms==
:*[[Vitamin]] B and E may be helpful for bald skin.
:*Good lifestyle, low-dose [[aspirin]] and [[heart bypass]] can be used to treat [[complication]] such as [[cardiovascular disease]].
:*Growth hormone treatment has been attempted for insufficient children.


==Where to find medical care for progeria?==
==Where to find medical care for progeria?==
Line 35: Line 49:


==Prevention of progeria==
==Prevention of progeria==
For parents of children with progeria, a [[genetic test]] may be needed to asses the possibility to have a future offspring with the same condition.


==What to expect (Outook/Prognosis)?==
==What to expect (Outook/Prognosis)?==
Prognosis of children with progeria is very poor. They may suffer from diseases such as [[coronary artery disease]], [[cataract]]s, [[osteoarthritis]] and [[stroke]]. Death occurs on average at age 13, usually from [[heart attack]] or [[stroke]].


==Copyleft Sources==
==Sources==
http://www.progeriaresearch.org/progeria_101.html
http://ghr.nlm.nih.gov/condition=hutchinsongilfordprogeriasyndrome
http://www.genome.gov/11007255


http://ghr.nlm.nih.gov/condition=hutchinsongilfordprogeriasyndrome
[[Category:Patient information]]
[[Category:Aging]]
[[Category:Gerontology]]
[[Category:Genetic disorders]]
[[Category:Rare diseases]]
[[Category:Congenital disorders]]
[[Category:Congenital disorders patient information]]


http://www.genome.gov/11007255


{{WH}}
{{WH}}
{{WS}}
{{WS}}
[[Category:Patient Information]]

Latest revision as of 16:34, 2 August 2011

For the WikiDoc page for this topic, click here

WikiDoc Resources for Progeria (patient information)

Articles

Most recent articles on Progeria (patient information)

Most cited articles on Progeria (patient information)

Review articles on Progeria (patient information)

Articles on Progeria (patient information) in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Progeria (patient information)

Images of Progeria (patient information)

Photos of Progeria (patient information)

Podcasts & MP3s on Progeria (patient information)

Videos on Progeria (patient information)

Evidence Based Medicine

Cochrane Collaboration on Progeria (patient information)

Bandolier on Progeria (patient information)

TRIP on Progeria (patient information)

Clinical Trials

Ongoing Trials on Progeria (patient information) at Clinical Trials.gov

Trial results on Progeria (patient information)

Clinical Trials on Progeria (patient information) at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Progeria (patient information)

NICE Guidance on Progeria (patient information)

NHS PRODIGY Guidance

FDA on Progeria (patient information)

CDC on Progeria (patient information)

Books

Books on Progeria (patient information)

News

Progeria (patient information) in the news

Be alerted to news on Progeria (patient information)

News trends on Progeria (patient information)

Commentary

Blogs on Progeria (patient information)

Definitions

Definitions of Progeria (patient information)

Patient Resources / Community

Patient resources on Progeria (patient information)

Discussion groups on Progeria (patient information)

Patient Handouts on Progeria (patient information)

Directions to Hospitals Treating Progeria (patient information)

Risk calculators and risk factors for Progeria (patient information)

Healthcare Provider Resources

Symptoms of Progeria (patient information)

Causes & Risk Factors for Progeria (patient information)

Diagnostic studies for Progeria (patient information)

Treatment of Progeria (patient information)

Continuing Medical Education (CME)

CME Programs on Progeria (patient information)

International

Progeria (patient information) en Espanol

Progeria (patient information) en Francais

Business

Progeria (patient information) in the Marketplace

Patents on Progeria (patient information)

Experimental / Informatics

List of terms related to Progeria (patient information)

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Jinhui Wu, MD

Overview

In HGPS patients, the cell nucleus has dramatically aberrant morphology (bottom, right) rather than the uniform shape typically found in healthy individuals (top, right)

Hutchinson-Gilford Progeria Syndrome (HGPS), was named after the doctors who first described it in England in 1886 by Dr. Jonathan Hutchinson and in 1897 by Dr. Hastings Gilford. It is a rare, fatal genetic condition characterized by a characteristic facial appearance and slow growth in children. They may suffer from symptoms typically seen in much older people, such as coronary artery disease, cataracts, osteoarthritis and stroke. Death occurs on average at age 13, usually from heart attack or stroke. Now a genetic test makes it possible for doctors to diagnose a child at a younger age and try to treat them early in the disease process.

What are the symptoms of progeria?

Children with progeria usually look normal at birth and in early infancy. However, within a year, affected children grow slowly and become much shorter and weigh much less than peers. They appear a characteristic facial appearance, including the following:

  • Prominent eyes, a thin nose with a beaked tip, thin lips, a small chin, and protruding ears.
  • Bald, aged-looking skin, a loss of fat under the skin
  • Hair loss
  • Joint abnormalities

Also, they suffer from symptoms typically seen in much older people, such as coronary artery disease, cataracts,osteoarthritis and stroke. Death occurs on average at age 13, usually from heart attack or stroke.

Who is at highest risk?

Progeria is a very rare disease in the world. The cause is not clear. Researchers found that mutations in the LMNA gene may be associated with progeria. The LMNA gene provides instructions for making lamin A protein, which is the structural scaffolding that holds the nucleus of a cell together. Researches demonstrate that the defective Lamin A protein makes the nucleus unstable.

Diagnosis

In the past, doctors diagnosed progeria solely on physical symptoms, such as skin changes and a failure to gain weight. It was availble only when the child appear signs at their age of one or two years. Now, a genetic test makes it possible for doctors to diagnose a child at a younger age and try to treat them early in the disease process.

When to seek urgent medical care?

Some children with progeria suffer from symptoms of coronary artery disease and stroke, which often appear in old people. These diseases may be severe and fatal. If your child experience either of the following symptoms, seeking urgent medical care as soon as possible:

Treatment options

No treatments have been proven effective. Most treatment focuses on signs and symptoms.

Where to find medical care for progeria?

Directions to Hospitals Treating progeria

Prevention of progeria

For parents of children with progeria, a genetic test may be needed to asses the possibility to have a future offspring with the same condition.

What to expect (Outook/Prognosis)?

Prognosis of children with progeria is very poor. They may suffer from diseases such as coronary artery disease, cataracts, osteoarthritis and stroke. Death occurs on average at age 13, usually from heart attack or stroke.

Sources

http://ghr.nlm.nih.gov/condition=hutchinsongilfordprogeriasyndrome http://www.genome.gov/11007255


Template:WH Template:WS