View Article

Abstract

Rare diseases are individually rare but globally affect around 6% of the population, and in over 70% of cases are genetically determined. Their rarity translates into a delayed diagnosis, with 25% of patients waiting 5 to 30 years for one. Living with a rare disease is a challenge and the lack of diagnosis -either because one exists but has not been identified for a particular patient or because the patient has a “syndrome without a name” (SWAN) -is a cause of extreme stress for patients and their families. A recent calculation of the cumulative prevalence at a global level based on the Orphanet epidemiology data file estimates that, regarding the 2017 population, there is a minimum prevalence of 3.5–5.9?fected worldwide. The problem is that each of those patients has a condition that they share with only a small number of individuals locally and sometimes even globally. For this reason, it is difficult to ensure that patients can access the right medical expertise as doctors seldom see such cases, and this fact contributes to a delay in diagnosis. It is essential to raise awareness of patients and clinicians of existing gene and variant-specific therapeutics at the time of diagnosis to avoid that treatment delays add up to the diagnostic odyssey of rare diseases’ patients and their families.

Keywords

Orphan, epidemiology, genetically, Orphanet, diagnosis

Reference

  1. Peipei Song, Jianjun Gao, Yoshinori Inagaki, Norihiro Kokudo, Wei Tang. Rare diseases, orphan drugs, and their regulation in Asia: Current status and future perspectives. Intractable & Rare Diseases Research. 2012; 1(1):3-9.
  2. Report on Orphan Drugs in the Pipeline- presented by america's biopharmaceutical research companies. Available at: http://phrma-docs.phrma.org/sites/default /files/pdf/Rare_Diseases_2013.pdf. (access date 2-5-2023)
  3. Duraiswamy Navaneetham PhD. Rare Diseases and Disorders- Estimated rare diseases population in South Asian countries . Available at: http://www.rarediseasesindia.org.
  4. Rare diseases and orphan drugs J K Aronson Chairman of the Editorial Board, British Journal of Clinical Pharmacology, Br J Clin Pharmacol. 2006 Mar; 61(3): 243–245
  5. Lavandeira A. Orphan drugs: legal aspects, current situation. Haemophilia. 2002;8(3):194–198. [PubMed] [Google Scholar]
  6. National Organization for Rare Disorders. [26 January 2006]. http://www.rarediseases.org/search/rdblist.html.
  7. Office of Rare Diseases. National Institutes of Health. Rare diseases terms. [26 January 2006]. http://rarediseases.info.nih.gov/asp/diseases/diseases.asp?this=Z#toplist.
  8. Hift RJ, Meissner PN. An analysis of 112 acute porphyric attacks in Cape Town, South Africa: evidence that acute intermittent porphyria and variegate porphyria differ in susceptibility and severity. Medicine (Baltimore) 2005;84(1):48–60. [PubMed] [Google Scholar]
  9. Haffner ME, Whitley J, Moses M. Two decades of orphan product development. Nat Rev Drug Discov. 2002;1(10):821–825. [PubMed] [Google Scholar]
  10. Lavandeira A. Orphan drugs: Legal aspects, current situation. Haemophilia 2002;8:194-198.
  11. Campos-Castello J. Orphan drugs and orphan diseases. Rev Neurol 2001;33:216-220.
  12. Loizzo A, Tebano MT. Orphan diseases. Recenti Prog Med 1993;84:786-793.
  13. Yamamoto T. Latent Adrenal Insufficiency: Concept, Clues to Detection, and Diagnosis. Endocr Pract. 2018 Aug;24(8):746-755. [PubMed]
  14. Choudhury S, Meeran K. Glucocorticoid replacement in Addison disease. Nat Rev Endocrinol. 2018 Sep;14(9):562. [PubMed]
  15. Addison’s Disease | ORD India
  16. Burton C, Cottrell E, Edwards J. Addison's disease: identification and management in primary care. Br J Gen Pract. 2015 Sep;65(638):488-490. [PMC free article] [PubMed]
  17. Munir S, Quintanilla Rodriguez BS, Waseem M. Addison Disease. [Updated 2022 Aug 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441994/
  18. (https://ordindia.in/angelman-syndrome/)
  19. Sinha JK, Ghosh S, Raghunath M. Progeria: a rare genetic premature ageing disorder. Indian J Med Res. 2014 May;139(5):667-674. PMID: 25027075; PMCID: PMC4140030.
  20. Baumgart DC, Sandborn WJ. Inflammatory bowel disease: clinical aspects and established and evolving treatments. The Lancet. 2007;369(9573):1641–1657. [PubMed] [Google Scholar]
  21. Gryboski JD. Ulcerative colitis in children 10 years old or younger. J Pediatr Gastroenterol Nutr. 1993;17:24–31. [PubMed] [Google Scholar]
  22. McGovern MM, Desnick RJ. Lysosomal storage diseases. Cecil Textbook of Medicine. In: Goldman L, editor. 21st ed. St. Louis: W.B. Saunders Company; 2000. pp. 1104–1107. [Google Scholar]
  23. Thadhani R, Wolf M, West ML, Tonelli M, Ruthazer R, Pastores GM, et al. Patients with Fabry disease on dialysis in the United States. Kidney Int. 2002;61:249–255. [PubMed] [Google Scholar]
  24. Wani MM, Khan I, Bhat RA, Ahmad M. Fabry's Disease: Case Series and Review of Literature. Ann Med Health Sci Res. 2016 May-Jun;6(3):193-197. doi: 10.4103/2141-9248.183935. PMID: 27398254; PMCID: PMC4924496

Photo
Shweta P. Manapure
Corresponding author

Nagpur College of Pharmacy, Wanadongri, Hingna Road, Nagpur, Maharashtra, India - 441110

Photo
Jayshree R. Khade
Co-author

Nagpur College of Pharmacy, Wanadongri, Hingna Road, Nagpur, Maharashtra, India - 441110

Photo
Tamanna B. Barve
Co-author

Nagpur College of Pharmacy, Wanadongri, Hingna Road, Nagpur, Maharashtra, India - 441110

Photo
Vaibhav P. Uplanchiwar
Co-author

Nagpur College of Pharmacy, Wanadongri, Hingna Road, Nagpur, Maharashtra, India - 441110

Photo
Vinod M. Thakare
Co-author

Nagpur College of Pharmacy, Wanadongri, Hingna Road, Nagpur, Maharashtra, India - 441110

Shweta P. Manapure*, Jayshree R. Khade, Vaibhav P. Uplanchiwar, Vinod M. Thakare, Tamanna B. Barve, Review On : Orphan Diseases And Treatment, Int. J. in Pharm. Sci., 2023, Vol 1, Issue 5, 248-256. https://doi.org/10.5281/zenodo.7955377

More related articles
A Review on Particle Size Reduction of Active Phar...
Saurabh Patara, Snehal Jadhav, Sneha Jankar, Shreya Tondlikar, Pr...
High-Fat Diet-Induced Obesity in Rodents: Dietary ...
Hajera Begum, Dr. Koppala R. V. S. Chaitanya, Mahadev Anitha, Bom...
Biosurfactants as Pharmaceutical Excipients: Emerg...
Shahil Ghadage, Tushar Shelke, Priya Daingade...
Development of Sugar-Free Herbal Syrup of Clerodendrum inerme Using Stevia for D...
Sarthak Nehe, Samiksha Bichave, Sagar Vaidya, Nikita Jadhav, Manish Ahire, Manas Vyavahare, Gaurav P...
A Review on the Safety of Two Single-Inhaler Triple Therapy Regimens: Fluticason...
Jerin. M., Sam Jeeva Kumar, Dr. Shaiju Dharan, Dr. Chintha Chandran, Krishna B....
Related Articles
DNA Barcoding and Molecular Techniques for Authentication of Aloe vera – Revie...
Sumit Kor, Shreyash Pardeshi, Aditya Jamghare, Sahil Shirose, Avadhoot Partole, Raj Dohole, Yash Mul...
Emerging Herbal Strategies for the Management of Hyperpigmentation : Comprehensi...
Shubhangi Kasture, Shrutika Patil, Dnyaneshwar Sutar, Divesh Gavit, Ancy Keerthika, Akash Jambhale...
Clitoria ternatea Flower and ITS Bioactive Compounds;Potential Use as Microencap...
Snehal Jadhav, Sneha Jankar, Shreya Tondlikar, Saurabh Patara, Aditi Bangar, Pratiksha Pandit...
Phytosomes: A NOVEL Approach for HERBAL Drug Delivery – Review Article...
Sahil Shirose, Suyog Vishe, Monika Vinchu, Harshali Shelar, Aditya Jamghare, Avadhoot Partole...
A Review on Particle Size Reduction of Active Pharmaceutical Ingredients (APIs) ...
Saurabh Patara, Snehal Jadhav, Sneha Jankar, Shreya Tondlikar, Pratiksha Pandit, Aditi Bangar...
More related articles
A Review on Particle Size Reduction of Active Pharmaceutical Ingredients (APIs) ...
Saurabh Patara, Snehal Jadhav, Sneha Jankar, Shreya Tondlikar, Pratiksha Pandit, Aditi Bangar...
High-Fat Diet-Induced Obesity in Rodents: Dietary Composition, Adipose Remodelin...
Hajera Begum, Dr. Koppala R. V. S. Chaitanya, Mahadev Anitha, Bommu Vaishnavi...
Biosurfactants as Pharmaceutical Excipients: Emerging Applications...
Shahil Ghadage, Tushar Shelke, Priya Daingade...
A Review on Particle Size Reduction of Active Pharmaceutical Ingredients (APIs) ...
Saurabh Patara, Snehal Jadhav, Sneha Jankar, Shreya Tondlikar, Pratiksha Pandit, Aditi Bangar...
High-Fat Diet-Induced Obesity in Rodents: Dietary Composition, Adipose Remodelin...
Hajera Begum, Dr. Koppala R. V. S. Chaitanya, Mahadev Anitha, Bommu Vaishnavi...
Biosurfactants as Pharmaceutical Excipients: Emerging Applications...
Shahil Ghadage, Tushar Shelke, Priya Daingade...