ATHENS, GREECE- A life-changing procedure enabled a six-year-old girl to walk for the very first time. Emma Timofte lost her mobility at a young age after being identified as being afflicted with the rare genetic condition, known as Incontinentia Pigmenti (IP0).
Stefania, 35, and Narcis, 32, Emma's parents, started a campaign to fund £20,000 for a procedure in Greece to give Emma her independence.
After receiving $5,000 from the general public and the remaining $6,000 from family, they reached their goal. To the joy of her family, Emma has since taken her first steps. After she spent seven days throughout the summer in Athens, Greece's Isas Pediatric Hospital, she was able to do this.
To avoid having to witness her daughter's suffering any longer, her mother Stefania, of Hemel Hempstead, Hertford, flew her to Greece on June 9, 2022, for a 45-minute procedure. According to her, the SPML procedure was a relatively intrusive treatment designed to relieve her muscles' stiffness, as reported by Mirror.
Emma's muscles that are currently impacted by spasticity will be lengthened using SPML (selective percutaneous myofascial lengthening) by administering small infusions into the surrounding nerves.
Ground Zero of IP0
Following the report from National Organization for Rare Disorders (NORD), the skin, hair, teeth, microvasculature, and central nervous system are all affected by the inherited ectodermal dysplasia, known as Incontinentia pigmenti (IP). The first of the four stages of progressive skin changes appear in the first few months of life or may even be present from birth. IKBKG gene alterations (mutations) are the genetic basis of IP, an X-linked dominant illness.
IP was given its name from how the skin looked under a microscope in the final stages of the illness. The most recognizable and frequent signs of IP are skin alterations. They are broken down into four stages. The lesions manifest in all phases as lines on the legs and arms or a jumbled formation on the torso.
Emma has begun her road to recovery, and her initial steps have delighted the family. After the surgery, the physicians stated she must put forth a lot of effort to build strength, as her mom remarked. Emma's leg muscles are already relaxed, but they are still weak because she didn't have any muscle strength previously.
The condition involves the skin, hair, teeth, and central nervous system and is more prevalent in women. With approximately 900 to 1,200 known cases, it is deemed as a rare condition.
Regardless of the challenges Emma encounters daily, her family describes her as a cheerful young lady who enjoys singing, playing alongside her friends, and attending school. She could now be seen moving about on a tricycle as she regains her lost confidence.
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Diagnosis and Treatment
IP is diagnosed through clinical assessment, detailed physical history gathering, and molecular DNA analysis for IKBKG genetic variations. The sole gene known to be linked to IP is IKBKG, and a specific reduction within the gene is present in 65% of cases. Gene sequencing has discovered mutations in another 20% or so of them. Given the accessibility and accuracy of molecular genetic testing, a skin biopsy for female patients to confirm their diagnosis may be clinical but can be viewed as a supplementary or follow-up test. In a female with equivocal or doubtful findings with whom molecular genetic screening has not revealed a disease-causing variant, skin biopsies may be useful in determining the diagnosis.
With the use of several medications and/or medical equipment, neurological problems including seizures, spasms in the muscles, or immobility may be managed. Individualized therapy and support in the classroom should be done to treat cognitive problems and/or intellectual disabilities as necessary.
Retinal neovascularization, which increases the risk of retinal detachment, may be treated using cryotherapy as well as laser photocoagulation in affected patients.
Although they are typically not serious, hair issues may necessitate a dermatologist's care. Those who are afflicted and their families are advised to seek genetic counseling. A different type of treatment is supportive and symptomatic, as stated by Cleveland Clinic report.
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