Survey Methods: A Thoughtful Approach

Much like a kaleidoscope reflects changing patterns through multiple mirrors, the PA Rare Disease Patient Needs Assessment Survey was designed to act as a lens, capturing the intricate and ever-shifting experiences related to rare diseases in Pennsylvania.

Survey Design: A Groundbreaking Endeavor

This survey, believed to be the first statewide study of its kind in the United States undertaken by a Rare Disease Advisory Council independent of other entities, assesses the challenges and needs of those affected by rare disease disorders. It aimed to capture responses directly from rare disease patients in the Commonwealth. Recognizing the complexities and challenges faced by many rare disease patients, the survey facilitated the collection of responses from patients themselves, parents or legal guardians of those under 18 years of age with rare diseases, and family members or other advocates completing the survey on behalf of individuals with rare diseases aged 18 years and younger. The PA Rare Disease Needs Assessment Survey was developed following numerous planning and design sessions to shed light on the difficulties, challenges, and needs of Pennsylvanians affected by rare disease disorders. Former PARDAC member Dr. Connie Deline, a physician and rare disease patient herself, led the initiative in collaboration with PARDAC members, including an epidemiologist, researchers, patients, parents of patients, and physicians. The survey underwent beta-testing, received approval from the Western Institutional Review Board (WIRB), and was conducted using the HIPAA-compliant Survey Monkey platform.

Survey Distribution: Navigating Challenges with Resilience

The internet-based survey was conducted from September 23, 2020, through December 31, 2022. Given the challenges of promoting the survey campaign during COVID-19 and securing funding through a grant to support an awareness and marketing campaign, the Council relaunched the survey campaign in February 2022, concluding on December 31, 2022.To promote the relaunched marketing efforts, The Cullari Group, a Pennsylvania communications firm, was retained to develop and implement a statewide bilingual (English / Spanish) promotional campaign, "While You Wait ©." Their efforts included a stakeholder mapping composed of rare disease stakeholders across Pennsylvania: hospitals, caregivers, support organizations, and those delivering ancillary support to patients living with rare disease and their families. A strategic social media marketing campaign was executed. The social media channels used were Facebook, X, formerly known as Twitter, and Instagram. The marketing campaign targeted patients "while they waited" for their doctor's appointments. 62 of the 67 counties had rare disease patients or caregivers respond to the survey. Below is a map with a county-by-county breakdown of the respondents.

Data Collection and Analysis: A Methodical Approach

The PARDAC internet-based survey was distributed through the Council’s contacts, stakeholder mapping, and marketing efforts by the PARDAC.org site and its social media sites. A Rare Disease Caucus, led by bi-partisan co-chairs representing both chambers in the PA legislature, promoted the survey to the members of their caucus, promoting the survey on their social media sites and in constituent newsletters. Caucus Chairs leaders included retired members Representative Marcy Toepel, Representative Mark Longietti, and Senator John Blake, and is currently led by Senator Judy Ward (R-30), Senator Maria Collett (D-12), and Representative Barbara Gleim (R-199). Additional support came from renowned entities like NORD, EveryLife Foundation, Global Genes, healthcare providers, and media events.

At the Council's request, the Pennsylvania Health Care Cost Containment Council (PHC4), recognized for its expertise in data analysis, undertook comprehensive cleaning and primary analysis using Microsoft Excel, and Survey Monkey with HIPAA-compliant software. With a commitment to inclusivity, the Council utilized various communication channels, avoiding randomized data collection to capture the diversity of rare disease experiences. The 1,222 total responses, meticulously analyzed after excluding blank submissions, unraveled key themes and challenges. Respondents reported over 660 distinct rare diseases and variations, with 75% having a single rare disease and 15% reporting two or more. The tab below provides a listing of the rare diseases that were listed in an open-ended question. Duplications were deleted.

The demographic variables, including age, ethnicity/origin, gender, county of residence, and primary insurance type, serve as crucial markers in understanding the respondent landscape. Age categories were thoughtfully grouped to offer a comprehensive overview, while respondents shared insights into their rare diseases, contributing to the nuanced understanding of their experiences. County of residence was joined with data from the Center for Rural Pennsylvania to assign “Rural” or “Urban” designations used for analysis and primary insurance types provided additional layers to the demographic insights, adding depth to the analysis. Immerse yourself in the graphics below, offering a visual narrative of the diverse and impactful demographics captured by the survey.

How were demographics categorized?

Demographic variables include age, race/ethnicity, gender, county of residence, and primary insurance type. For this analysis, age categories were expanded to reduce the number of categories.

Age
"Birth to 12 months" and "1 to 5 years" were grouped as "0 to 5 years."
"6 to 10 years" and "11 to 20 years" were grouped as "6 to 20 years."
"21 to 30 years" and "31 to 40 years" were grouped as "21 to 40 years."
"41 to 50 years", "51 to 60 years", and "61 to 64 years" were grouped as "41 to 64 years." 

Number of Rare Diseases
Respondents were asked to name their rare disease (s). This open-ended question allowed the participant to provide up to three responses. This question was optional.            
     
County of Residence
County of residence was joined with data from the Center for Rural Pennsylvania to assign "Rural" or "Urban" designations used for analysis. 

Primary Insurance Type
Many respondents reported more than one type of insurance. In these cases, primary insurance was assigned as follows:

  • If employer-sponsored insurance was present, that was made primary and labeled as "Commercial + Secondary."
  • If "self-purchased insurance" was selected, that was made primary and labeled as "Commercial + Secondary."
  • If both "Medicare" and "Medicaid or other government program" were present, "Medicare + Secondary" was assigned as the primary insurer.

    The graphs below represent the responses to the following questions on the survey, "What is the race/ethnicity of the person with the rare disease?" and "What is the gender identification of the person with the rare disease?"
Self Reported Rare Diseases Identified in Survey

1 copy MTHFR gene

14q12 deletion incl FOXG1 Syndrome

14th chromosome

15Q13.3 Microdeletion Syndrome

17q12 deletion

19q13.2dup

1p36 deletion syndrome

22q duplication syndrome

22q11.2 deletion syndrome

3 methylglutaric aciduria

3q microdeletion syndrome

3q29 microdeletion syndrome

47,XYY syndrome

Achalasia

Acoustic neuroma

Acromegaly

Acute Flaccid Myelitis

Acute lymphoblastic leukemia (b-cell)

Acute myeloid leukemia

Addison's Disease (Adrenal Insufficiency)

Adenoid cystic carcinoma

Adhesive Arachnoiditis

ADNP syndrome

Adrenal Insufficiency not Addison's

Adrenocortical Carcinoma

Adrenoleukodystrophy

Adult growth hormone deficiency

Adult onset colpocephaly

Leukoencephalopathy with axonal spheroids and pigmented glia

AL Amyloidosis

Albinism

Allodynia

Alpha thalassemia

Alpha-1 antitrypsin deficiency

Alport Syndrome

ALSP

AML

Amniotic Band Disease

Amyloidosis

Amyotrophic lateral sclerosis

Anal Cancer

Angelman syndrome

Angioedema Urticaria with anaphylaxis

Anhidrosis

Aniridia

Ankylosing Spondylosis

Anti-Iglon 5

Antibody Deficiency Syndrome

Antiphospholipid antibody syndrome

Antisynthetase syndrome relating to j.o.b.3

Antisynthetase Syndrome

AOSD

Aplastic anemia

Appendix cancer

Arachnoid cysts

Arachnoiditis

Arnold Chiari malformation

Arthrogryposis

Asperger's

Asplenia

Ataxia-Telangiectasia

ATP1A3 mutation

Atresia

Atrial septal aneurysm

Auto-Immune Encephalitis CASPR 2

Autoimmune Cerebellar ataxia with AntiGAD Antibodies

Autoimmune disorder

Autoimmune Hepatitis

Autoimmune hereditary hemolytic anemia

Autonomic Dysfunction (POTS)

Autosomal dominant polycystic kidney disease (ADPKD

Avascular Necrosis

AVM

Axenfeld- Rieger syndrome

Babesia

Babesiosis

Bainbridge Ropers Syndrome

Bardet Biedl Syndrome

Barth Syndrome

Bartonella

Batten CLN 6

Behcet's Disease

Benign intracranial hypertension

Benign multi cystic peritoneal mesothelioma

Beta-propeller associated neuro-degeneration

Beta-propeller protein-associated neurodegeneration

Bethlem myopathy

bh4 deficiency / PTPS

Biliary atresia

Biliary Dyskinesia with smooth muscle disorder

BPAN

Bronchiectasis

Bronchiolitis obliterans organizing pneumonia

Bronchomalacia

Brugada Syndrome

Bruton's disease (x-linked agammaglobulinemia)

Budd-Chiari (treated with liver trans)

Bullous Pemphigoid

CREST Syndrome

Cana1

Carcinoid neuroendocrine tumors

Caroli disease

CASK gene mutation

Castleman's Disease

Cauda Equina Syndrome

CBL Syndrome (Noonan Syndrome)

Celiac disease

Cellular mitosis

Central Conducting Lymphatic Anomaly (CCLA)

Central Core Disease

Central Nervous System Vasculitis

Centralized hypothyroidism

Cerebellar Ataxia nonspecific

Cerebral folate deficiency

Cervical Dystonia

Charcot arthropathy

Charcot foot

Charcot-Marie-Tooth disease

CHARGE syndrome

CHD

Chiari Malformation

Chiari malformation Type 1

Childhood Interstitial and Diffuse Lung Disease (chILD)

Cholangiocarcinoma

Choroid melanoma

Chromosomal XY variant

Chromosomal deletions and duplication

Chromosome 22q11.2 deletion syndrome

Chronic autoimmune urticaria

Chronic fatigue Syndrome

Chronic idiopathic neutropenia

Chronic Inflammatory Demyelinating Polyneuropathy

Chronic Intestinal Pseudo obstruction

Chronic Intestinal Pseudo obstruction/Intestinal Failure

Chronic Pericarditis

Chronic Recurrent Multifocal Osteomyelitis

Chronic Thromboembolic Pulmonary Hypertension

Churg-Strauss Syndrome

CIDP Chronic Immune Demyelinating Polyneuropathy

Circulating hematolymphoid neoplasm

Classic Galactosemia

CLOVES Syndrome

Cockayne Syndrome

Cold Agglutinin Disease

Cold Autoimmune Hemolytic Anemia

Cold urticaria

Common Variable Immune Deficiency

Comorbid lupus and ankylosing spondylitis

Complete Agenesis of the corpus callosum

Complex 1 mitochondrial disease

Complex Regional Pain Syndrome (CRPS), formerly RSD

Congenital Adrenal Hyperplasia

Congenital Adrenal Hyperplasia, salt-wasting type

Congenital brain disfunction

Congenital Disorder of Glycosylation

Congenital dyserythropoietic anemia, type 1

Congenital Myotonic Dystrophy

Cornelia de Lange syndrome

Craniocervical Instability

Craniopharyngioma

Craniosynostosis

CREST

Cri Du Chat

Crohn's

Crohn's disease

Crones

Crouzon’s Syndrome

Cryoglobulinemia

Csf leak

Ctcl

CTCL-MF lymphoma

Cushing's Disease

Cushing's Syndrome

cutaneous T-cell lymphoma/mycosis fungoides subtype

Cyclic Vomiting Syndrome

Cystic Fibrosis

Cytomegalovirus

D-bifunctional protein deficiency

D2-HGA

Dandy-Walker

DDX3X

Degenerative bone, disc, and joint at a very young age

Degenerative disc disease

Deletion 22q

Demyelinating disease

Dercum's disease

Dermatomyositis

Desmoid tumors

Desmond fibromatosis

Diabetes Insipidus

DIPNECH

Dopa responsive dystonia

Duchenne Muscular Dystrophy

Dup15q Syndrome

Duplication15q

Dysautonomia

Dysautonomia/POTS

Dystonia

EBF3 HADDS

EGPA

Ehlers Danlos Syndrome, Hypermobility type

Ehlers Danlos, gastroparesis, inter cranial hypertension, POTS

Ehlers-Danlos Syndrome

Ehlers-Danlos type 1 gene

Ehlers-Danlos Type III

Ehrlichiosis

Endometrial Stromal Sarcoma

Endometriosis

Eosinophilic Esophagitis

Epilepsy

Epstein Barr virus

Erythromelalgia

Erythropoietic Protoporphyria

Esophagus atresia

Essential Thrombocythemia

Euthyroid sick syndrome

Fabry Disease

Factor 2 thrombophilia

Factor VII Deficiency

Factor X Deficiency

Familial ALS

Familial Amyloid Polyneuropathy/Cardiomyopathy

Familial Mediterranean Fever

Familial Partial Lipodystrophy type 4- PLN1

Familial pheochromocytoma & paraganglioma

Fat2 gene defect

Fibromatosis

Fibromuscular Dysplasia

Fibromyalgia

Fibromyalgia, secondary type

Fibrosing mediastinitis

Food protein-induced enterocolitis syndrome

Friedreich Ataxia

Fructose Intolerance

Functional Neurological Symptom Disorder With Mixed Symptoms

Galactosemia

Hypogammaglobulinemia

Gastrointestinal Stromal Tumor

Gastroparesis

Gastroparesis/Wernicke encephalopathy

Gaucher Disease

Gaucher Disease Type 1

Generalized lymphatic anomaly

Giant Cell Arteritis (rare for my age)

Giant Congenital Melanocytic Nevus

Gilbert syndrome

Gillespie Syndrome

Glabrata

Glanzmann Thrombasthenia

Global GI Dysmotility

GLUT1 Deficiency Syndrome

Glutaric Acidemia Type 1

Glycogen Storage Disease

Glycogen Storage Disease Type 2 (Pompe)

Glycogen Storage Disease, Type 1a

GNE myopathy

GNE Myopathy aka Hereditary Inclusion Body Myopathy

good syndrome

Gorlin Syndrome

Granulomatosis with Polyangiitis

Granulomatous and lymphocytic interstitial lung disease

Grave's Disease

GRIN1

Grin2B

Guillian-Barre Syndrome

Hashimoto's disease

Hashimoto's Encephalopathy

HATTR-v amyloidosis

HCP Hereditary Copo Porphyria

HD hEDS

Hemochromatosis

Hemiplegic migraine

Hemiplegic migraine (scn1a mutation)

Hemochromatosis

Hemophagocytic Lymphohistiocytosis (Secondary)

Hemophilia A

Hereditary Amyloidosis TTR

Hereditary hemimorphic telangiectasia

Hereditary neuralgic Amyotrophy

Hereditary Pancreatitis

Hereditary Spasticity Paraplegia

Hermansky Pudlak Syndrome

Heterotaxy

HIDS, MVK, hyperimmunoglobulin deficiency

Hirschsprung's Disease

HIVE P2

HLRCC

Hollow visceral myopathy

Homocystinuria

Homozygous Familial Hypercholesterolemia

Horner's Syndrome

Huntington's Disease

Hydrocephalus

Hypermobility spectrum

Hyper-laxity Ehlers Danlos

Hypermobility

hypogammaglobulinemia

Hypokalemia

Hypophosphatasia

Hypoplastic Left Heart Syndrome

IBM

Idiopathic arterial pulmonary hypertension

Idiopathic hypersomnia

Idiopathic Pulmonary Fibrosis

Idiopathic Small Fiber Neuropathy

IgA and IgM deficiencies

IgA Deficiency

IgG selective subclass deficiency

IgG4 related disease

IgM deficiency

IgM Kappa MGUS

IIH

Immune Deficiency

Immune thrombocytopenic purpura

Imperforate anus

Inclusion Body Myositis

Indolent Systemic Mastocytosis

Infant botulism

Infantile spasms

Interstitial cystitis

Intercranial hypertension

Interstitial cystitis

Interstitial lung disease

Interstitial Pneumonitis

Intra cranial arachnoid cyst

Inverted 9th chromosome

Isodicentric Chromosome 15

Total parenteral nutrition

Jackhammer esophagus

Jackhammer/Corkscrew Esophagus (Full length)

JMML

Jobs syndrome

Juvenile Batten Disease

Juvenile Dermatomyositis

Juvenile Idiopathic rheumatoid arthritis

Kabuki Syndrome

Kawasaki Disease

KBG Syndrome

Keratoconus 

Kidney Disease

KIF1A Associated Neurological Disorder

Klinefelter’s Syndrome

Klippel-Feil Syndrome

Klippel-Trenaunay syndrome (KTS)

KMT2E chromosomal microdeletion

L1CAM

Lamb Shaffer Syndrome

Lambert Eaton Myasthenic Syndrome

Langerhan cell histiocytosis

Laryngeal Cleft

Laryngomalacia

LCHAD

Left Ventricular Arrhythmogenic cardiomyopathy

Lennox-Gastaut Syndrome

Leprosy

Leukemia

Leukocytoclastic vasculitis

Leukodystophy

Leukodystrophy: HIKESHI associated (hypomyelinating leukodystrophy Type 13

Levoscoliosis

LGL Leukemia

LHON, and 4th is 19q13.2duplication

Li-Fraumeni Syndrome

Lichen Planopilaris

Lichen planus

Lipedema

Lipodystrophy Type 4/ LMNA-PLN1

Lissencephaly

Liver Transplant - Diagnosis: Hepatitis/Cirrosis of Unknown Origin & Immune Suppression Therapy

Loeys-Dietz type 1

Long Q-T Syndrome

Low immunoglobulin A

Lupus

Lupus Anticoagulant

Lupus erythematosus (discoid) (NOS)

Lymphangioleiomyomatosis (LAM)

Lymphatic malformation

Lymphedema

MADD adrenal tumors

Mal de Debarquement Syndrome

Malignant adenomyoephithelioma

Malignant hyperthermia

Marfan's Syndrome

Marginal zone B-cell lymphoma

Mast Cell Activation Syndrome (MMAS)

Mastocytosis

MCADD

MCAS

MCAS & Dysautonomia

McCune Albright Syndrome with polyostotic fibrous dysplasia

ME/CFS

MeCP2 duplication syndrome

Med13l

Median arcuate ligament syndrome

Medium chain acyl co a dehydrogenase deficiency

Megacystis-microcolon-intestinal hypoperistalsis syndrome

Meniere's Disease

Meningioma

Metachromatic Leukodystrophy

Metastatic pheochromocytoma

Metastatic thyroid papillary carcinoma

Micro Anophthalmia

Micro-deletion 17p13.3

Microcephaly

Microdeletion 15q.11.2

Microdeletion of chromosome 5Q31.2

Microtia

Mitochondrial depletion

Mitochondrial Disease

Mitochondrial Disease- Myoclonic Epilepsy with Ragged Red Fibers (MERRF)

Mitochondrial Disease: MERRF

Mitochondrial Myopathy

Mixed Connective Tissue Disease

MMN

MOGAD

Morphea En coupe de sabre

Mosaic tripling syndrome

Mowat-Wilson syndrome

Moyamoya Disease

MPGN

MRSA

Mulino Fibrosis with Jack 2 mutation

Multifocal Motor Neuropathy

Multiorgan sarcodosis

Multiple Myeloma

Multiple Sclerosis

Multiple system atrophy

Muscle eye brain disease

Myalgic Encephalomyelitis / Chronic Fatigue Syndrome

Myasthenia Gravis

Mycosis Fungoides

myelofibrosis

Myelodysplastic syndromes

Myoclonus and dystonia

Myotonic muscular dystrophy

Nager Syndrome

Nail Patella Syndrome

NAION

Narcolepsy

Narcolepsy type 2

narcolepsy with cataplexy

Necrotizing immune-mediated myopathy

Nephrocalcinosis

Nephrotic syndrome

NET Cancer of the stomach

Neurocutaneous Melanosis

Neuroendocrine tumor

Neurofibromatosis

Neurofibromatosis 1

Neurofibromatosis 2

Neuromyelitis Optica

Neuromyelitis Optica spectrum disorder

Neuropathy

Neuropathy (resulting from Immune Suppressing Drug Therapy)

Nicolaides-Baraitser Syndrome

Nodular Regenerative Hyperplasia of the liver

Nonspecific cold urticaria

Non-specified bleeding disorder

Non-Hodgkin lymphoma Noonan syndrome

Noonan Syndrome 1 LZTR1 mutation

Noonan Syndrome with Multiple Lentigines

NTM

NTM bronchiectasis

Nuero Myelitis Optica

Nutcracker Syndrome

Occipital Neuralgia

Ocular Melanoma

Ocular pemphigoid

Opsoclonus myoclonus ataxia syndrome

Organ transplant

Ornithine transcarbamylase deficiency Orthostatic Hypotension

Osteomalacia

OTC deficiency

Paget's disease

PAH

PAH class #3

Palindromic Rheumatism

pancreatic neuroendocrine tumor

PANDAS

Panhypopituitarism

Papillary carcinoma brain

Papillary carcinoma lungs

Parkinson's

PBC

PCOS

Pediatric Acute Onset Neuropsychiatric Syndrome

Pediatric cancer - neuroepithelial abdominal tumor

Pediatric Onset Multiple Sclerosis

Periodic Fever Disorder

Pernicious anemia

Peroxisomal biogenesis disorder Zellweger spectrum

Perrault syndrome

Perthes

PHACE Syndrome

Pharyngomalacia

Phelan-McDermid syndrome

Phenylketonuria

Pheochromocytoma/Adrenal Cancer

Photophobia

Phototoxic

Pitt Hopkins syndrome

Pitt Hopkins Syndrome (deletion on 18q)

Pityriasis Rubra pilaris

PLXNA3 gene mutation

PNH (Paroxysmal Nocturnal Hemoglobinuria)

Polycythemia Vera

Polymicrogyria

Polymyalgia Rheumatica

Polymyositis

Porphyria

Porphyria Cutanea Tarda

Posterior Cortical Atrophy

Posterior Uveitis

Postural Orthostatic Tachycardia Syndrome

POTS w/ hypotensive drops

PPP1CB

Presumed ocular histoplasmosis

Primary Biliary Cholangitis

Primary Biliary Cirrhosis

Primary Ciliary Dyskinesia

Primary Immune Deficiency - Common Variable Immune Deficiency

Primary Immune Deficiency IgG2 Subclass

Primary immunodeficiency

Primary Lateral Sclerosis

Primary Lymphedema

Primary Sclerosing Cholangitis

Progressive Supranuclear Palsy

Pseudotumor cerebri

Pseudohypoparathyroidism

Psoriatic Arthritis

PTEN hamaratoma tumor syndrome

PTSD Combat

Pulmonary arterial hypertension

Pulmonary Carcinoid Tumors

Pulmonary Fibrosis

Pulmonary hypertension

PVNS/TGCT

Pycnodysostosis

Pyles disease

Pyoderma Gangrenosum

Pyruvate dehydrogenase complex deficiency

Rapid onset Dystonia Parkinsonism

Raynaud's phenomenon

Recurrent Respiratory Papillomatosis

Reflex neurovascular dystrophy

Reflex Sympathetic Dystrophy

Relapsing Polychondritis

RETT syndrome

Rhabdomyosarcoma

Rheumatoid arthritis

Rheumatoid Arthritis (juvenile onset)

Rubinstein-Taybi Syndrome

S Inclusion Body Myositis

SAPHO

SATB2-Associated Syndrome

Scheuermann's Disease

Schizencephaly

Schmidt Syndrome

Schnitzler's Syndrome

Scleroderma

Scn1a/Dravet Syndrome

SCN2A

SCN8A - Related Epilepsy

SDHA Mutation

SDHB gene mutation

Secondary Adrenal Insufficiency

Selective antibody disorder

Semicircular superior canal dehiscence

Serrated Polyposis Syndrome

SETBP1

Shermans Kyphosis

SHOX Deficiency

Sick Sinus Syndrome

Sickle Cell Disease

Sifrim-Hitz Weiss

Situs Inversus

Sjogren's Syndrome

Small fiber neuropathy

Smc1a genetic mutation

Smith-Magenis Syndrome

Solar urticaria

Specific antibody deficiency

Spinocerebellar ataxia type 1 (SCA1)

Spinal Bulbar Muscular Atrophy

Spinal cord injury

Spinal cord tumor, schwannoma

Spinal Muscular Atrophy

Spinal Tarlov Aneurysms

Spontaneous intracranial hypotension

Stargardt's Disease

Steven Johnson syndrome

Stiff person syndrome

Undiagnosed

STXBP1 encephalopathy

Sub mucous cleft palate

Subglottic stenosis

Superior Mesenteric Artery Syndrome

Superior vena cava syndrome

Sweet's Syndrome

Syringomyelia

Systemic involvement of connective tissue, unspecified M35.9

Systemic Juvenile Idiopathic Arthritis

Systemic mastocytosis

Systemic Sclerosis

SYT1 mutation

Takayasu Arteritis

Tardive Dyskinesia

Tardive Dystonia

Tarlov cyst

Trachea-Esophageal Fistula (TEF)

Tethered spinal cord

Tetralogy of Fallot Absent Pulmonary Valve

Thoracic Outlet Syndrome

Thrombocytopenia

Thrombocytopenia absent radius

Thrombocytosis

Thrombotic thrombocytopenic purpura

Thymoma

Thyroid eye disease

Titez Syndrome

TKT deficiency syndrome

Tonsillar Cancer

Tracheomalacia

Transverse Myelitis

Trigeminal Neuralgia

Trisomy X

TUBB2A

Tuberous Sclerosis Complex

Turner Syndrome

Thygeson's Superficial punctate keratitis

Type 1 Gaucher Disease

Unbalanced translocation of chromosomes 6 and 21

Urea cycle disorder

Usher Syndrome

Usher Syndrome Type 2A

Ushers2A

VACTERL Association

Varicella

Vascular Ehlers-Danlos Syndrome

VATER

Vestibular schwannoma

Visual Snow Syndrome

Vitiligo

VLCAD Deficiency

Vogt-Koyanagi-Harada Disease

Von Willebrand disease

WAGR Syndrome

Waldenstrom macroglobulinemia

Wallenberg Syndrome

Washington thyroiditis

Wegener's granulomatosis

Wiedemann-Steiner Syndrome

Williams Syndrome

Wilm's tumor/Frasier syndrome mutation

Wolff Parkinson's White Pattern

Wolff-Parkinson-White (WPW) Syndrome

X-linked severe combined immunodeficiency

XLH rickets

XY chromosome variant

Zellweger Syndrome