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Frequently Asked Questions

Can a woman carrier of ALD/AMN have children who are free from the disease?

Frequently Asked Questions - FAQs
Yes. With each conception, there is a 50-50 chance of passing on the defect on the X chromosome. If the defect is passed on, a female child will be a carrier, and a male child will have the disease. Prenatal testing can identify, during pregnancy. whether the defective gene has been passed on.
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How can a woman find out if she is a carrier of ALD/AMN?

Frequently Asked Questions - FAQs
A screening test can identify carriers of the ALD/AMN gene with 99% accuracy. The test requires only a blood sample. Please contact Kennedy Krieger for more information on having the blood test.
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Can a man with AMN/ALD safely have children who are free from the disease?

Frequently Asked Questions - FAQs
It depends. A man with AMN/ALD does not pass along the mutated gene to his sons, so his sons will be free of the disease. All of his daughters, however, will carry the mutation.
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How can a person (male/female) make certain any future children are born free from ALD/AMN?

Frequently Asked Questions - FAQs
A man who has ALD or AMN will not pass the disease gene to any sons, but all of his daughters will carry the mutation. A woman who carries the mutated gene has a 50-50 chance of transmitting the mutation in each pregnancy. To avoid passing along the gene, there are two options: in vitro fertilization with preimplantation genetic diagnosis, which would avoid implanting embryos with ALD.
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What are ALD and AMN?

Frequently Asked Questions - FAQs
Adrenoleukodystrophy (ALD) describes any of several closely related inheritable disorders that affect the adrenal glands, nervous system, and testes. Adrenoleukodystrophy is transmitted as an X-linked trait (the neonatal form is by autosomal recessive transmission and is a different disease). It results in the accumulation of long chain fatty acids in the nervous system, adrenal gland, and testes.
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If any person in the family has ALD, AMN, or is a carrier, who else in the family should be tested?

Frequently Asked Questions - FAQs
It depends on their relationship to the person who has ALD. For example, if a boy has ALD, his mother should be tested for the mutation, as should all of his siblings. His mother's siblings-especially sisters-should be tested as well, since they may also have inherited the ALD mutation and be at risk for passing it on to their children. Genetic counselors can best advise you as to who in your family should be tested.
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Can a man have ALD/AMN if his mother/aunt/grandmother is not a carrier?

Frequently Asked Questions - FAQs
In rare cases, yes. About 5% to 7% of ALD/AMN cases arise from "de novo" genetic mutations-mutations that were not present in the child's parents.
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Is lupus a woman's disease? Do men and children get lupus?

LupusNY.org - Systemic Lupus Erythematosus Foundation
Yes, lupus is mainly a woman's disease, although men can have lupus. The ratio of women to men is 9 to 1, or 90%. Before puberty, boys and girls have the same ratio; that is 1 to 1.
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Are there any symptoms for women to be aware of for carriers of ALD/AMN?

Frequently Asked Questions - FAQs
Yes. Although women who carry the ALD gene mutation do not develop the brain disease, some display mild symptoms of the disorder. These symptoms usually develop after age 35, and primarily include progressive stiffness, weakness, or paralysis of the lower limbs, numbness, pain in the joints, and urinary problems.
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What research is taking place on ALD and AMN?

Frequently Asked Questions - FAQs
One group at the University of Minnesota has used a combination of stem cell transplantation and therapy with a drug called Mucomyst, approved by the FDA to treat cystic fibrosis and acetaminophen overdose. This was tried on three boys whose disease had already progressed past the point when bone marrow transplant is generally thought to be effective. So far, MRI scans show no further progression of the disease, and the approach is being tried in additional patients.
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How can a man have AMN if his mother/aunt/grandmother is not a carrier?

Frequently Asked Questions - FAQs
In some unusual cases-about 5% to 7% of all cases, according to research published by the late Hugo Moser, M.D., a pioneer in ALD studies-ALD arises from "de novo" mutations-genetic mutations that were not present in the parents.
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How can a boy have ALD if his mother/aunt/grandmother is not a carrier?

Frequently Asked Questions - FAQs
A boy inherits the mutated ALD gene from his mother. However, it is possible for a boy to have ALD if his mother does not carry the mutated gene. This is because s an estimated 5%-7% of cases are de novo mutations, meaning that the gene mutation arose spontaneously in the child when it was not present in the mother.
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If a woman is NOT a known carrier, can she have children who have hemophilia?

FAQ : Hemophilia Federation of America
Yes. More than 1/3 of the newly diagnosed cases of hemophilia have no previous family history and are considered mutations.
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How does a woman know if she is a carrier?

Frequently Asked Questions - FAQs
A simple genetic test can identify carriers of the ALD/AMN gene with 99% accuracy. The test requires only a blood sample.
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How might a carrier for a glycogen storage disease be diagnosed?

FAQ - Frequently Asked Questions
One could also use full-length human cDNA that has the gene sequence for the enzyme in question (e.g. glycogen phosphorylase for McArdle's Disease) as a probe for restriction fragment length polymorphism (RFLP).
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What are the children with Canavan disease like?

Canavan Research Illinois - Frequently Asked Questions About...
All children with Canavan disease are severely disabled... they are unable to hold up their heads, sit, walk, or talk. Even with profound physical challenges these children are like any other children in many ways. They are happy, smart, and love their friends and families.
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Do children get Crohn’s disease?

Crohn's Disease Frequently Asked Questions (FAQs)
IBD is often diagnosed during young adulthood, but about 150,000 of the 1.4 million patients with IBD in the United States are among children under age 17. Pediatric Crohn’s disease presents unique challenges in that it can interfere with a child’s growth and development as well as school, social, and family life. Treatment for pediatric Crohn’s is similar to that of adult Crohn’s.
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How does age affect a woman's ability to have children?

Infertility
More and more women are waiting until their 30s and 40s to have children. Actually, about 20 percent of women in the United States now have their first child after age 35. So age is an increasingly common cause of fertility problems. About one third of couples in which the woman is over 35 have fertility problems.
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A mother is described as a "carrier" for a glycogen storage disease. What does this mean?

FAQ - Frequently Asked Questions
This means she has two copies of a gene that codes for an enzyme involved in glycogen storage; one copy is healthy, the other is defective. She can pass along either copy to her offspring with equal probability. (If the father is also a carrier, their offspring has a 25% chance of inheriting the disease, and a 50% chance of becoming a carrier.)
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Do you normally choose woman who have had children before?

Rosjurconsulting - Frequently Asked Questions - Surrogacy
According to the Order 67 of the Russian Federation Health ministry only women that have had children before can participate in surrogacy programs.
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How should a woman with this condition do a search for breast disease? Is it impossible?

Department of Surgery: Fibrocystic Breast Disease: Frequentl...
Women with a fibrocystic disease should continue to do breast self-examination. By getting to know the texture of your own breast, whether they are lumpy, or nodular, and the location of the areas of tenderness, are all important points. When you do breast self-examination, you are feeling for a change. The analogy that another a physician has used for this is like looking for a rock or a boulder in a gravel road.
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How can someone be an healthy carrier for a genetic disease?

Telethon - Faq
In some genetic disorders called "recessive" two individuals will have the symptoms only if he/she receives copies of the defective gene, one from each parent. The parents, that have both a healthy and a defective copy of the gene, are perfectly normal but are at risk of having affected children. In other words, they are healthy carriers. Cystic Fibrosis is an example of a recessive disease.
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Do children ride free?

Las Vegas Monorail - FAQs
Children five and under ride free and must be able to be carried through the fare gates, accompanied by an adult passenger who has a paid fare. Strollers are permitted. All Monorail stations have accessible elevator service to all levels. There is level boarding from the platform to all trains. The stroller must be placed in the locked position for the duration of the ride. The Monorail system has armed and unarmed security officers posted at every station.
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How Do I Tell My Children I Have Been Diagnosed With A Lung Disease?

Frequently Asked Questions About Lung Diseases - FAQ About L...
Every person has a different way of handling news that a loved one has cancer. Many parents don't want to burden their child or children with worries and fears about their sickness. But even the youngest children can sense when something is wrong. Get some tips about how to tell your children.
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Is Gastro Esophageal Reflux disease is also found in children?

Laparoscopy Hospital - Frequently asked questions about Lapa...
Yes; This problem is quite common in infants and child as well. Most of the time in infants it results due to faulty feeding techniques.
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Why would a woman choose to be a carrier?

Assisted Fertility: Surrogacy, Surrogate Mothers- New York, ...
A carrier provides a very special gift to a couple or individual incapable of bearing children on their own. She is also compensated financially for her time and effort, yet her heartfelt commitment to help others is her primary motive. The ideal carrier is married (or in a committed relationship), is raising at least one child, and does not desire any more children of her own. Her family and friends are very supportive of her choice to be a carrier.
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Aurora Fertility Services -- FAQ
More and more women are waiting until their 30s and 40s to have children. Actually, about 20% of women in the U.S. now have their first child after age 35. So age is an increasingly common cause of fertility problems. About 1/3 of couples in which the woman is over 35 have fertility problems.
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CAN A HIV POSITIVE WOMAN HAVE CHILDREN?

ASHA foundation
Yes, a HIV positive woman can have children. The pregnant HIV positive woman has a 60% chance of delivering a HIV negative child even with no medical intervention. The chance of her delivering a HIV positive child is 40%. This can now be reduced to a 2% chance of delivering a HIV positive child with medical intervention during the last three months of pregnancy, during labor and delivery and by making the right infant feeding choices for the baby.
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