- Hereditary diseases are a category of diseases caused by changes in genes or chromosomes, which can be inherited or associated with somatic cell changes that occur during an individual's lifetime.
- Causes can be divided into single-gene changes, changes in chromosome number or structure, and combinations of multiple genes and environmental factors.
- If genetic changes alter the amount or function of proteins produced, the normal growth, development, and function of cells and organs may be affected.
- Clinical manifestations vary widely depending on the causative gene and the affected organs, potentially appearing as developmental delay, sensory abnormalities, motor problems, or organ dysfunction.
- Family history and inheritance patterns can influence an individual's risk, but even with the same genetic change, disease onset and severity may differ.
- Symptoms may appear at birth or begin in childhood or adulthood, and the course can be progressive, intermittent, or non-progressive.
- Diagnosis is based on symptoms, physical examination, and assessment of personal and family history, and includes laboratory tests and genetic testing as necessary.
- Genetic testing results must be interpreted along with the disease relevance of the variant, the scope of testing, and the family's inheritance pattern; the absence of a detected variant does not always rule out an inherited cause.
- Management consists of a combination of symptom control tailored to the cause and affected organs, prevention and monitoring of complications, rehabilitation, and genetic counseling.
- Treatability varies by disease; while some allow for treatments targeting the cause, in many cases, the current focus of treatment is long-term supportive care and complication management.