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  1. Adverse fetal growth outcomes (AFGO), primarily characterized by small-for-gestational age (SGA), large-for-gestational age (LGA), low birth weight (LBW) neonates, and macrosomia (Mac), present substantial cha...

    Authors: Bin Zhang, Xusheng Chen, Zhaolong Zhan, Sijie Xi, Yinglu Zhang, He Dong and Xiaosong Yuan
    Citation: Orphanet Journal of Rare Diseases 2025 20:496
  2. Rare diseases are chronic, progressive, and debilitating conditions, affecting 3.5–5.9% of the global population. Clinical research studies are crucial for developing new diagnostic approaches and treatments a...

    Authors: Marina Mordenti, Leonardo Panzeri, Alice Moroni, Manila Boarini, Marta Calzolari, Francesca Gurioli, Chiara Pollicini, Giulia Rogati, Alberto Leardini and Luca Sangiorgi
    Citation: Orphanet Journal of Rare Diseases 2025 20:495
  3. Classic Galactosemia is a rare, autosomal recessive disease in which galactose is not metabolized properly due to severe deficiency/absence of the galactose-1-phosphate uridylyltransferase (GALT) enzyme, conve...

    Authors: Jason A. Randall, Carolyn Sutter, Stella Wang, Evan Bailey, Lydia Raither, Riccardo Perfetti, Shoshana Shendelman and Claire Burbridge
    Citation: Orphanet Journal of Rare Diseases 2025 20:494
  4. Acid sphingomyelinase deficiency (ASMD) is a rare lysosomal storage disorder caused by SMPD1 mutations, resulting in sphingomyelin accumulation and diverse manifestations. Olipudase alfa, an enzyme replacement th...

    Authors: Adel Sabet Morsy, Solomon Mbua, Toni Mathieson, Justin Hopkin and Shaun Bolton
    Citation: Orphanet Journal of Rare Diseases 2025 20:493
  5. Erythropoietic protoporphyria (EPP) and X-linked protoporphyria (XLP) are rare disorders that can negatively affect one’s health-related quality of life (HRQoL) because of pain from phototoxic reactions and th...

    Authors: Hetanshi Naik, Susan D. Mathias, Michelle P. Turner, Megan O’Grady, Chelsea Norregaard, Hilary H. Colwell, William Savage and Melanie Chin
    Citation: Orphanet Journal of Rare Diseases 2025 20:492
  6. Holocarboxylase synthetase (HLCS) deficiency is an autosomal recessive organic acidaemia. This paper aimed to describe the clinical, biochemical and molecular features of four Chinese patients with HLCS defici...

    Authors: Zhenzhu Zheng, Weilin Peng, Yiming Lin, Weihua Lin and Gaoxiong Wang
    Citation: Orphanet Journal of Rare Diseases 2025 20:491
  7. Xanthogranulomatous inflammation is a rare chronic inflammatory condition. It has been described in the long bones, and can affect various organs, including the salivary glands, gallbladder, kidneys, and gastr...

    Authors: Bloch-Maier Kevin, Dridi Sophie-Myriam, Sulukdjian Arek and Ejeil Anne-Laure
    Citation: Orphanet Journal of Rare Diseases 2025 20:488
  8. Metabolic control in the phenylketonuria (PKU) population is challenging. Perceived barriers to treatment adherence have been shown to be associated with metabolic control outcomes. The objective of this study...

    Authors: Katia Irie Teruya, Eduardo Remor and Ida Vanessa Doederlein Schwartz
    Citation: Orphanet Journal of Rare Diseases 2025 20:487
  9. There is no clear guidance on prenatal diagnostic testing strategies for congenital renal anomalies. Therefore, this study aims to investigate the retrospective analysis of ultrasound and genetic diagnostic re...

    Authors: Yayun Qin, Bo Wang, Yuanyuan Zhu, Lijun Liu, Nian Liu, Yanyi Yao, Hui Li, Runhong Xu, Chengcheng Zhang and Jieping Song
    Citation: Orphanet Journal of Rare Diseases 2025 20:486
  10. Pathogenic variations affecting the ryanodine receptor 1 (RYR1) gene may result in a variety of neuromuscular disorders, collectively known as RYR1-related myopathies. Considered the most common form of congenita...

    Authors: Lisa M. K. Chin, Joshua J. Todd, Irene C. Chrismer, Jessica W. Witherspoon, Minal Jain, Melissa Waite, Katherine G. Meilleur, Bart Drinkard and Tokunbor A. Lawal
    Citation: Orphanet Journal of Rare Diseases 2025 20:485
  11. Fragile X syndrome (FXS) is the most common cause of inherited intellectual disability (ID) with comorbid autism and several support requirements. Challenging behaviors are frequently reported as a main concer...

    Authors: María Francisca Miranda, Víctor Faundes, María Angélica Alliende and Lorena Santa María
    Citation: Orphanet Journal of Rare Diseases 2025 20:483
  12. Pancreatic metastasis of gestational trophoblastic neoplasia (GTN) is extremely rare, with only a few reported cases.

    Authors: Xinghan Cheng, Dan Wang, Xiaoyu Wang, Yang Gui, Xiaoyan Chang, Fengzhi Feng, Jun Zhao, Junjun Yang and Yang Xiang
    Citation: Orphanet Journal of Rare Diseases 2025 20:482
  13. Spasticity is a hallmark of hereditary spastic paraplegia (HSP) and contributes to gait impairment. Alpinia zerumbet oil (Ziclague®) is a topical anti-spastic agent approved in Brazil, but not yet explored in HSP...

    Authors: Fabricio Diniz de Lima, Katiane Raisa Servelhere, Maria Fernanda Ribeiro Bittar, Carelis González-Salazar, Alberto Rolim Muro Martinez, Tatiana Benaglia, Benilton de Sá Carvalho, José Luiz Pedroso, Orlando Graziani Povoas Barsottini, Anamarli Nucci and Marcondes Cavalcante França
    Citation: Orphanet Journal of Rare Diseases 2025 20:481
  14. Coronavirus disease 2019 (COVID-19) primarily induces respiratory symptoms. However, some patients develop thrombotic microangiopathies (TMA) during their infection. This study aimed to compare the incidence a...

    Authors: Clémence Merlen, Sandrine Thouzeau-Benghezal, Emmanuelle Pépin, Samuel Guay, Anne-Laure Lapeyraque, Alexandra Cambier, Georges-Etienne Rivard, Stéphan Troyanov and Arnaud Bonnefoy
    Citation: Orphanet Journal of Rare Diseases 2025 20:480
  15. Dystrophic epidermolysis bullosa (DEB) is a rare inherited skin disorder caused by mutations in the type VII collagen gene, leading to mucocutaneous blistering. Subsequent inflammation contributes to chronic w...

    Authors: Meropi Karakioulaki, Nana-Adjoa Kwarteng, Adriani Nikolakopoulou, Hanning Yang, Moritz Hess, Harald Binder, Kilian Eyerich and Cristina Has
    Citation: Orphanet Journal of Rare Diseases 2025 20:479
  16. Authors: Tasha Wainstein, Cyrus Boelman, Connie Ens, William T. Gibson, Kevin Gregory-Evans, Olubayo U. Kolawole, Sheila K. Marshall, Kathryn Selby, Jehannine Austin and Alison M. Elliott
    Citation: Orphanet Journal of Rare Diseases 2025 20:478

    The original article was published in Orphanet Journal of Rare Diseases 2025 20:450

  17. Authors: Lothar Seefried, Ali S. Alzahrani, Carsten A. Wagner, Damian Eade, Danilo Fintini, Dieter Haffner, Hasan Frookh Jamal, Judith S. Bubbear, Laura Guazzarotti, Moira S. Cheung, Noina Abid, Patrícia Costa-Reis, Rui Ferreira Santos, Signe Sparre Beck-Nielsen and Agnès Linglart
    Citation: Orphanet Journal of Rare Diseases 2025 20(Suppl 2):477

    This article is part of a Supplement: Volume 20 Supplement 2

  18. Natural history data show that respiratory function is impaired in SMA patients. Observational studies have shown stabilization of respiratory function in adult SMA patients treated with nusinersen. However, l...

    Authors: Claudia D. Wurster, Benjamin Stolte, Tobias Kessler, Maren Freigang, Bogdan Bjelica, Benjamin Ilse, Jan C. Koch, Isabell Cordts, Alexander Mensch, Daniel Zeller, Zeljko Uzelac, Georges Sam, Hanna Sophie Lapp, Camilla Wohnrade, Annekathrin Rödiger, Mohamad Tareq Muhandes…
    Citation: Orphanet Journal of Rare Diseases 2025 20:476
  19. Sickle cell disease (SCD) is a chronic inherited blood disorder caused by abnormal haemoglobin production, affecting over seven million people worldwide. Although pain—particularly acute bone pain—is the hallm...

    Authors: Alice Gourdin, Damien Oudin Doglioni, Michalina Dannoune, Mélanie Astié, Fanny Hamelin, Sébastien Monnier, Caroline Makowski and Marie-Claire Gay
    Citation: Orphanet Journal of Rare Diseases 2025 20:475
  20. Hereditary transthyretin (ATTRv) amyloidosis is a rare, intractable genetic disorder caused by mutations in the transthyretin (TTR) gene. More than 150 TTR mutations have been identified, along with genotype-phen...

    Authors: Toshiya Nomura, Yohei Misumi, Masayoshi Tasaki, Shiori Yamakawa, Tomoaki Taguchi, Konen Obayashi, Taro Yamashita, Yukio Ando and Mitsuharu Ueda
    Citation: Orphanet Journal of Rare Diseases 2025 20:474
  21. Rett Syndrome (RTT) is a rare, and severe neurodevelopmental disorder that primarily affects females and is primarily (> 96%) due to pathogenic loss-of-function genetic variants of methyl-CpG-binding protein 2...

    Authors: Silvia Boeri, Maria Piai, Silvia Russo, Valentina Alari, Francesca Cogliati, Davide Simonetta, Timothy A. Benke, Lino Nobili and Giulia Prato
    Citation: Orphanet Journal of Rare Diseases 2025 20:473
  22. Peri-and postoperative complications and recurrences are associated with the endoscopic surgical procedures for neuroendocrine tumors of the digestive system. This study aimed to evaluate the long-term outcome...

    Authors: Yuan Si, HongZhi Wu, Chao Wang, ZongXian Niu, Bo Wang and XianHui Zhang
    Citation: Orphanet Journal of Rare Diseases 2025 20:472
  23. Rare genetic disorders are increasingly diagnosed due to advancing genetic technology, whilst, treatment for them is challenging. Therefore, their prevention by prenatal diagnosis is a way forward to reduce th...

    Authors: Jayesh Sheth, Tejasvi Dhondekar, Manali Ajagekar, Chaitanya Datar, Archana Kher, Jigish Trivedi, Swati Thakkar, Ajit Gandhi, Meenakshi Soni, Mayank Chaudhary, Manish Banker, Anil Jalan, Mamta Muranjan, Sujal Munshi, Ami Munshi, Mili Pandya…
    Citation: Orphanet Journal of Rare Diseases 2025 20:471
  24. Facioscapulohumeral muscular dystrophy (FSHD) is characterized by a typical pattern of muscle involvement, yet it encompasses a wide spectrum of phenotypes, including less common features that remain incomplet...

    Authors: Benoît Sanson, Abderhmane Slioui, Jérémy Garcia, Lori Klouvi, Julie Lejeune, Caroline Stalens, Céline Guien, Sitraka Rabarimeriarijaona, Rafaëlle Bernard, Juliette Nectoux, Sharham Attarian, Anne-Laure Bédat-Millet, Françoise Bouhour, François Constant Boyer, Jean-Baptiste Chanson, Ariane Choumert…
    Citation: Orphanet Journal of Rare Diseases 2025 20:470
  25. Primary ciliary dyskinesia (PCD; MIM 244400) is a genetic disorder, and its morbidity has been previously underestimated. Mutations in ciliary proteins underlie the disease, resulting in ciliary dysfunction. D...

    Authors: Rui Zheng, Wenhao Yang, Jierui Yan, Zhuoyao Guo, Weicheng Chen, Lina Chen and Wenming Xu
    Citation: Orphanet Journal of Rare Diseases 2025 20:469
  26. Late-onset Anderson-Fabry disease appears in adulthood, usually with prevalent cardiac involvement. The N215S (p.Asn215Ser) missense mutation represents the most frequent late-onset variant in European countri...

    Authors: Renzo Mignani, Gian Marco Berti, Gisella Vischini, Roberta Di Costanzo, Francesca Ciurli, Daniele Vetrano, Elena Biagini, Serena Serratore, Benedetta Fabbrizio, Gianandrea Pasquinelli, Gaetano La Manna and Irene Capelli
    Citation: Orphanet Journal of Rare Diseases 2025 20:468
  27. Longitudinally extensive transverse myelitis (LETM) is a rare neurological disease. A case series evaluated the predictors of a long-term clinical outcome. However, there is limited data on predictors of funct...

    Authors: Nisa Vorasoot, Pilantana Saichua, Prapassara Sirikarn, Narongrit Kasemsap, Kannikar Kongbunkiat, Somsak Tiamkao, Verajit Chotmongkol and Kittisak Sawanyawisuth
    Citation: Orphanet Journal of Rare Diseases 2025 20:467
  28. Authors: Xhyljeta Luta, Fabio Zanchi, Marco Fresa, Enrica Porceddu, Sanjiv Keller, Judith Bouchardy, Sébastien Déglise, Salah Dine Qanadli, Matthias Kirsch, Grégoire Wuerzner, Andrea Superti-Furga, Giacomo Buso and Lucia Mazzolai
    Citation: Orphanet Journal of Rare Diseases 2025 20:466

    The original article was published in Orphanet Journal of Rare Diseases 2024 19:227

  29. Cellular senescence is a biological process in which the cell cycle is arrested in response to DNA damage caused by different endogenous and exogenous stimuli. In senescent cells, activation of intracellular c...

    Authors: Piera Selvaggio, Esi Taci, Alessandra Barassi, Valentina Massa, Cristina Gervasini, Elena Lesma, Clara Bernardelli and Elisabetta Di Fede
    Citation: Orphanet Journal of Rare Diseases 2025 20:465
  30. Patients with neuromuscular diseases (NMD) have undergone considerable technological progress in terms of diagnosis and treatment over the past few years. Specifically, next-generation sequencing (NGS) has sig...

    Authors: Charlotte Mouraux, Tamara Dangouloff, Margaux Poleur, Laurane Mackels, Laura Vanden Brande, Aurore Daron, Laurent Servais, Alain Maertens de Noordhout and Stéphanie Delstanche
    Citation: Orphanet Journal of Rare Diseases 2025 20:464
  31. Cystinosis is a rare genetic disorder, with the majority of patients suffering from infantile nephropathic cystinosis, the most severe form. If left untreated, cystinosis causes serious morbidity, initially th...

    Authors: Dominic Ledinger, Barbara Nussbaumer-Streit, Brigitte Piso, Andreea Dobrescu, Arianna Gadinger, Irma Klerings, Katharina Hohenfellner and Isolde Sommer
    Citation: Orphanet Journal of Rare Diseases 2025 20:463
  32. Bardet-Biedl Syndrome (BBS) is a rare obesogenic disorder affecting multiple organs. The diagnosis of BBS is usually difficult and delayed due to this syndrome’s wide variety of clinical features. This study a...

    Authors: Karli Shelton, Phu Dang, Courtney McCorkle, Pooja Mallipaddi, Nicholas Hollman, Jeremy Pomeroy and Jesse Richards
    Citation: Orphanet Journal of Rare Diseases 2025 20:462
  33. There is increasing evidence of health outcome disparities due to inequitable healthcare. These inequities are likely compounded in rare disease care and research. We aimed to identify disparities in access to...

    Authors: Gabriella Scott, Ashlee Agundiz, Jeffrey Nelson, Steven Hetts, Marianne Clancy, Helen Kim and Marie E. Faughnan
    Citation: Orphanet Journal of Rare Diseases 2025 20:461
  34. Generalized Pustular Psoriasis (GPP) is a rare but severe form of psoriasis, characterized by flares involving the sudden spread of erythema with sterile pustules, crusting, and scaling.

    Authors: Xin Qian Seah, Siew Chin Ong, Mustapha Mohammed, Mei Ee Tay, Latha Selvarajah, Wooi Chiang Tan, Sook Yee Michelle Voo, Yen Loo Ting, Jyh Jong Tang and Azura Mohd Affandi
    Citation: Orphanet Journal of Rare Diseases 2025 20:460
  35. Niemann–Pick disease type C (NP-C) is a rare autosomal recessive lysosomal storage disorder characterized by progressive neurodegeneration. This study aimed to characterize the clinical features and treatment ...

    Authors: Parvaneh Karimzadeh, Farzad Ahmadabadi, Vahide Zeinali, Sharareh Kamfar, Mahmoud Reza Ashrafi, Ali Reza Tavasoli, Seyed Hassan Tonekaboni and Faezeh Ghanaati
    Citation: Orphanet Journal of Rare Diseases 2025 20:459
  36. Human umbilical cord mesenchymal stem cells (HUMSCs) are effective therapies for inflammatory bowel disease. However, the mechanisms remain unresolved. We found HUMSCs express CD126 (IL-6 receptor), which indi...

    Authors: Yanxia Fu, Bingchen Xie, Yinyin Wang, Jianqiu Sheng, Zhijie Chang, Xiaojue Qiu, Dongliang Yu and Junfeng Xu
    Citation: Orphanet Journal of Rare Diseases 2025 20:458
  37. To described clinical and genetic characteristics of 4 patients presenting A20 haploinsufficiency (HA20) treated at Children’s hospital affiliated to Zhengzhou university from 2015 to 2024.

    Authors: Fumin Xue, Chao An, Zhi Lei, Shijie Dong, Yaqiong Guo, Jiangshan Hou, Jing Yu and Yuesheng Wang
    Citation: Orphanet Journal of Rare Diseases 2025 20:457
  38. Vanishing White matter (VWM) is one of the more prevalent leukodystrophies, caused by biallelic pathogenic variants in any of the EIF2B1–5 genes. It is characterized by chronic progressive neurological deteriorat...

    Authors: Romy J. van Voorst, Daphne H. Schoenmakers, Irene van Beelen, Francesco Gavazzi, Alexandra Chapleau, Adeline Vanderver, Geneviève Bernard, Ingeborg Krägeloh-Mann and Marjo S. van der Knaap
    Citation: Orphanet Journal of Rare Diseases 2025 20:456
  39. This analysis was aimed to characterize cutaneous manifestations associated with tuberous sclerosis complex (TSC) and management of facial angiofibroma in the United States from a patient/caregiver perspective...

    Authors: Sreedevi Boggarapu, Gabrielle Rushing, Ashley Pounders, Steven L. Roberds and Eric Beresford
    Citation: Orphanet Journal of Rare Diseases 2025 20:455
  40. Lysosomal storage diseases (LSDs) is a large group of genetically heterogeneous inherited metabolic disorders that affect the functions of the lysosomes in various human tissues. Mucopolysaccharidosis type III...

    Authors: Ekram Fateen, Soha S. Nosier, Nahla N. Abdel Aziz, Amira M. Radwan and Eman E.A. Mohammed
    Citation: Orphanet Journal of Rare Diseases 2025 20:454
  41. Friedreich ataxia (FRDA), the most common autosomal recessive ataxia, is characterized by degeneration of the large sensory neurons and spinocerebellar tracts, cardiomyopathy, and an increased incidence of dia...

    Authors: Marta Talaverón-Rey, Diana Reche-López, Suleva Povea-Cabello, Mónica Álvarez-Córdoba, David Gómez-Fernández, Ana Romero-González, Paula Cilleros-Holgado, José Manuel Romero-Domínguez, Alejandra López-Cabrera, Rocío Piñero-Pérez, Susana González-Granero, José Manuel García-Verdugo and José A. Sánchez-Alcázar
    Citation: Orphanet Journal of Rare Diseases 2025 20:453
  42. There are no validated measures to assess hyperphagia associated with rare MC4R pathway diseases, such as Bardet-Biedl Syndrome (BBS). Symptoms of Hyperphagia© (SoH) and Impacts of Hyperphagia© (IoH) are novel...

    Authors: Jeremy Pomeroy, Usha G. Mallya, Min Yang, Caroline Huber, Alexandra Greatsinger, Ella Hagopian and Andrea M. Haqq
    Citation: Orphanet Journal of Rare Diseases 2025 20:452
  43. Late-onset Pompe disease (LOPD) is a rare inherited genetic condition caused by deficiency of acid α-glucosidase (GAA) and accumulation of lysosomal glycogen. LOPD causes progressive muscle dysfunction and dam...

    Authors: Mark Corbett, Chinyereugo Umemneku-Chikere, Sarah Nevitt, Nyanar Jasmine Deng, Matthew Walton, Helen Fulbright, Chong Yew Tan, Robin Lachmann, Rachel Churchill and Robert Hodgson
    Citation: Orphanet Journal of Rare Diseases 2025 20:451
  44. Genetic counselling for adolescents necessitates an approach distinct from that used with adults. Developing best practices is crucial, considering the growing number of disabled adolescents worldwide and incr...

    Authors: Tasha Wainstein, Cyrus Boelman, Connie Ens, William T. Gibson, Kevin Gregory-Evans, Olubayo U. Kolawole, Sheila K. Marshall, Kathryn Selby, Jehannine Austin and Alison M. Elliott
    Citation: Orphanet Journal of Rare Diseases 2025 20:450

    The Correction to this article has been published in Orphanet Journal of Rare Diseases 2025 20:478

  45. Familial Mediterranean Fever (FMF) is an auto inflammatory disease often accompanied by fever and serositis attacks in which peritoneum, pleura, synovium, and rarely pericardium are spared. In the study, the e...

    Authors: Rahime Nur Demir, Ramazan Kiraç and Fatma Çiftçi Kiraç
    Citation: Orphanet Journal of Rare Diseases 2025 20:449
  46. cblC deficiency is the most common organic acidemia in China. Hydroxocobalamin (OHCbl) is the main important therapeutic approach, while no approved protocols on its dosage during stable periods exist. This st...

    Authors: Si Ding, Yuxin Deng, Yi Ding, Lili Hao, Wenjuan Qiu, Huiwen Zhang, Lili Liang, Ting Chen, Xia Zhan, Peng Xu, Chiju Yang, Hui Zou, Yongxing Chen, Shengnan Wu, Yufeng Wang, Min Yang…
    Citation: Orphanet Journal of Rare Diseases 2025 20:448
  47. Lafora disease (LD) is an ultra-rare, autosomal recessive neurodegenerative disorder characterized by the accumulation of Lafora bodies in the brain, leading to drug-resistant epilepsy, myoclonus, progressive ...

    Authors: Giuseppe d’Orsi, Maria Teresa Di Claudio, Antonella Liantonio, Paola Imbrici, Cosimo Damiano Altomare, Orazio Palumbo, Pietro Palumbo, Mario Benvenuto, Nicola Gambacorta, Graziano Lolli and Massimo Carella
    Citation: Orphanet Journal of Rare Diseases 2025 20:447