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Doretha Ennels

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The What's and Wherefore of:

Huntington's Disease (HD)
By Doretha Ennels
First Appearance: October, 1998 issue of Positive Reflections

What is HD?

Huntington’s Chorea, also called Huntington’s Disease, was first identified in 1872 by Dr. George Huntington, a New York physician. "Chorea", a Greek word for dance, refers to involuntary movements of the head, trunk, and limbs that affect people with Huntington’s, according to the Huntington’s Disease Society of America.

Huntington’s Chorea is a rare hereditary disease of the nervous system and the brain said Dr. Clifford Reed, a Reading Hospital neurologist. It affects all racial and ethnic groups. "It is a terrible disease that does not usually express itself until the fourth or fifth decade", Reed said. Reed also said that the genetic abnormality that cause Huntington’s Chorea appears on the fourth chromosome. Humans have 23 pairs of chromosomes. People who carry the gene will eventually develop Huntington’s Chorea, which is terminal. Doctors prescribe some medications that treat specific symptoms of Huntington’s, but there is no cure for the disease.  People with Huntington’s lose their memory and need to be institutionalized as the disease progresses. Most people who suffer from Huntington’s disease die within 15 years of the onset of the disease according to the Huntington’s Society of American.

Each child of a HD affected parent has a 50% chance of inheriting the disorder and is said to be "at risk". HD usually progresses over a 10 to 25 year period.

Symptoms generally appear between 30 and 50 years of age, but have appeared as young as 2 and as old as 70.

Characteristics/Symptoms:
Personality changes, depressing mood swings
Unsteady gait,
Involuntary moments
Slurred speech
Impaired judgement
Difficulty in swallowing
Intoxicated appearance

Affected Population:
Approximately 30,000 Americans have HD
150,000 are at risk of inheriting HD from a parent
Affects all races and ethnic groups
Affects both sexes

HD does not skip generations, if you do not inherit the gene you cannot pass it on. If you carry the gene, you will develop the disease if you live long enough, and you can pass it on.  It is a challenge to the whole family whether they have the disease or not.   They are challenged emotionally, socially, and economically.

Research breakthroughs:

After a 10 year search, scientists announced in March of 1993 that they have found the gene which causes HD.  Researchers are now trying to determine what the gene’s normal function is  and how the flawed gene causes HD. .  Many avenues of research are being investigated in the search for a treatment or cure for HD. 

Genetic Testing:

The gene discovery has made possible a new predictive test for HD allowing those at risk to find out whether or not they will develop the disease.  The new test requires a blood sample from the person being tested.  Some testing centers request a sample from a parent for confirmation purposes.  Pre– and post test counseling is necessary and important part of the testing procedure.  People wishing to be tested should seek out a specialized HD testing center.

For a list of testing centers, call or write to HDSA (Editor’s note: Address is given at the end of the article)

To Find Out More:

For information about Huntington’s Chorea contact the Huntington’s Disease Society of America Delaware Valley Chapter at 1427 Vine St., MS 950, Philadelphia, PA 19102 or reach them by phone call 215-762-6667.

The National Headquarters of the Huntington’s Disease Society is located at 158 W. 29th St., 7th floor, New York, New York 10001 or call 1-800-345-HDSA

The forerunner of the Huntington’s Society, the Committee to Combat Huntington’s Disease, was founded in 1967 by Marjorie Guthrie, after her husband, folk singer Woody Guthrie, died of the disease. 

 

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