ALEX M

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“Alex is utterly amazing. He faces such challenges in life yet he is a happy little boy who loves nothing more than watching cbeebies and playing with his brother”.

“He is very social and loves interacting with people, in fact he is an outrageous flirt with the ladies! Everyone who meets him just adores him and he has the most infectious laugh which takes over his whole body when something amuses him.”

We met with Alex and his family to talk about their experience of living with Alex’s rare condition.

“He doesn’t like being on his own (unless he can watch TV) and although he cannot talk, he is very expressive when he wants something! He absolutely loves books, especially noisy books and his current favourite is the Gruffalo and The Tiger who Came to Tea. I love that he is interested in the same TV programmes and books as other children of the same age but it breaks my heart to see other children grow and develop all their physical skills (feeding themselves, potty training, dressing etc) as I know that Alex is unlikely to ever be able to do those things”.

Alex has Glutaric Aciduria Type 1. It is an inherited metabolic disorder (a genetic disease) which, if left untreated, can lead to brain damage. Screening for GA1 is now included in the national screening programme but unfortunately Alex was born before this was introduced in the UK

We had no idea he had the disease. In fact, his first 6 months of life were completely ‘normal’.

“At 6 months old, he fell ill with a sickness bug and he then suffered an encephalitic crisis (i.e. brain damage) which has left him with little control over his body and an associated movement disorder called dystonia which forces his body into unnatural postures which can be very painful. It was heartbreaking in the beginning to know that the brain damage could easily have been avoided had we known about the disease, especially as many countries across the world have been testing for the disease at birth for a long time before Alex was born. It’s too painful to think about ‘what could have been’ had we known about Alex’s disease before he had the crisis so we have to accept what has happened and try to give Alex the best life he can possibly have. Alex has a rambunctious 5 year old brother who is a constant reminder of what he might have achieved and unfortunately every milestone his brother meets is bittersweet as we know that Alex will never do the same things (like riding a bike or scoring a goal)”.

“We used to feel so embarrassed when people would look at Alex but in order to stay sane we have to just ignore people’s glances and get on with our day. We have all had to develop a thicker skin since Alex’s crisis which is liberating in a way because we just cannot allow ourselves to be affected by what others think. I think people usually feel sorry for him and for us which I appreciate but I also find the pitying glances hard to deal with it as it’s a reminder of how pathetic the situation is and that is very hard to deal with”.

“We wanted to take part in the Rare Project because raising awareness and understanding of rare diseases is so important for us - like every family in the land, all we want is the best for our children. We want our son to be happy, to have friends and to have opportunities to fulfil his potential as much as he possibly can. This will only happen once more people are better informed about rare diseases and can be more understanding about those who are different from the ‘norm’”.

“Alex needs our support with every activity - washing, feeding, dressing, playing etc. The movement disorder also causes his body to be very stiff at times which is painful for him so we give him medication to keep his body in a relaxed and comfortable state. His diet is an extremely strict low protein diet so all of his food is monitored and weighed and he has a very busy schedule; he sees therapists on an almost daily basis and is constantly at appointments for various treatments and therapies. He doesn’t sleep very well so my husband and I take it in turns to attend to him in the night because it’s impossible to function when your sleep is interrupted night after night”.

 
 
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FIND OUT MORE

Alex’s parents mentioned several charities to us that they have been supported by during their experience of rare disease. By clicking on their names below you can learn more about them.

  • Homestart (They are a national charity that match volunteers with families who need some respite time).

  • Carer support (They are a wonderful small charity who organise regular support meetings and educational sessions for parent carers in our area)

  • Small Steps (They are a truly wonderful charity offering physio and sensory development sessions)

  • White Lodge centre (Another truly wonderful charity offering a range of services for people with disabilities)

Glutaric aciduria type 1

Glutaric aciduria type 1 (GA1) is a rare but serious inherited condition. It means the body can't process certain amino acids ("building blocks" of protein), causing a harmful build-up of substances in the blood and urine. Normally, our bodies break down protein foods like meat and fish into amino acids. Any amino acids that aren't needed are usually broken down and removed from the body.

Babies with GA1 are unable to break down the amino acids lysine, hydroxylysine and tryptophan. Normally, these amino acids are broken down into a substance called glutaric acid, which is then converted into energy. Babies with GA1 don't have the enzyme that breaks down glutaric acid, leading to a harmfully high level of this and other substances in the body.

Without treatment, severe and life-threatening symptoms can develop, including seizures (fits) or falling into a coma. Some children with untreated GA1 are also at risk of brain damage, which can affect muscle movement. This may lead to problems with walking, talking and swallowing.

Around 1 in 100,000 children worldwide are thought to be affected by GA1.

For more information on GA1, click here.

Source: https://www.nhs.uk/conditions/glutaric-aciduria/

For more information on inherited metabolic diseases like GA1 you can contact Metabolic Support UK via their website (https://www.metabolicsupportuk.org/).

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