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Published on: March 6, 2019
Current diagnosis and management of rare pediatric diseases in China
Dan Yang1,2, Xiuzhi Ren3, Yanqin Lu1,2
1Department of Endocrinology, The First Hospital Affiliated with Shandong First Medical University, Ji'nan, China.
Insights
This review details 58 rare pediatric diseases from China's 2018 list, affecting nine organ systems. Early diagnosis and management are crucial for improving outcomes in affected children.
Area of Science:
- Pediatrics
- Rare Diseases
- Genetics
Background:
- China's 2018 First List of Rare Diseases includes 58 pediatric conditions.
- These rare diseases impact nine major organ systems.
- Multisystemic involvement and varied presentations are common in affected children.
Purpose of the Study:
- To categorize and summarize rare pediatric diseases from China's 2018 list.
- To review the status of relatively high-incidence rare pediatric diseases.
- To highlight the importance of early diagnosis and management.
Main Methods:
- Systematic review of diseases included in the 2018 Chinese government list.
- Categorization based on affected organ systems.
- Summary of disease characteristics, including presentation and prognosis.
Main Results:
- 58 rare pediatric diseases identified, affecting musculoskeletal, respiratory, immune, endocrine, metabolic, nervous, cardiovascular, hematological, urinary, and integumentary systems.
- Severe cases present neonatally with high morbidity and mortality risks.
- Early intervention significantly improves disease course and prognosis.
Conclusions:
- The 2018 list provides a framework for understanding rare pediatric diseases in China.
- Prompt diagnosis and management are critical for mitigating severe outcomes.
- Further research and awareness are needed for these complex conditions.
Abstract:
This review categorizes and summarizes the rare pediatric diseases that have been included in the First List of Rare Diseases that was jointly published by the National Health Commission and four other government departments in China in 2018. In total, 58 diseases that develop during childhood are included. These diseases involve nine organ systems, including the musculoskeletal, respiratory, immune, endocrine and metabolic, nervous, cardiovascular, hematological, urinary, and integumentary systems. Affected children often have multiorgan involvement with various presentations. Severe diseases can cause acute symptoms starting in the neonatal period that lead to increased morbidity and mortality without prompt management. Early diagnosis and treatment can significantly change the course of a disease and improve its prognosis. This work systemically reviews the status of rare pediatric diseases with a relatively high incidence in the First List of Rare Diseases.
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