A rare disease is generally considered to be a disease that affects fewer than 200,000 people in the United States at any given time. Rare diseases are also sometimes called orphan diseases.
There are more than 6,800 rare diseases. Altogether, rare diseases affect an estimated 25 million to 30 million Americans.
The exact cause for many rare diseases remains unknown. Still, for a significant portion, the problem can be traced to mutations (changes) in a single gene. Such diseases are referred to as rare, genetic diseases. Many of these genetic mutations can be passed on from one generation to the next, explaining why certain rare diseases run in families.
It is important to keep in mind that genetics are just one piece of the puzzle. Environmental factors, such as diet, smoking, or exposure to chemicals, also can play a role in rare diseases. Such factors may directly cause disease, or interact with genetic factors to cause or increase the severity of disease.
Examples of rare diseases caused by mutations in single genes include cystic fibrosis, which affects the respiratory and digestive systems (See: Learning About Cystic Fibrosis); Huntington's disease, which affects the brain and nervous system (See: Learning About Huntington's Disease); and muscular dystrophies, which affect the muscles (See: Learning About Duchenne Muscular Dystrophy).
Single genes are also responsible for some rare, inherited types of cancer. Examples of these are the BRCA1 and BRCA2 genes, in which certain mutations increase the risk for hereditary breast and ovarian cancers (See: Learning About Breast Cancer), and the FAP gene, in which mutations increase the risk for hereditary colon cancer (See: Learning About Colon Cancer).
Rare diseases related to environmental factors include uncommon types of anemia caused by vitamin-deficient diets or certain medications. A rare cancer caused by environmental factors is mesothelioma (See: General Information About Malignant Mesothelioma [cancer.gov]), which affects the cells lining the chest cavity. More than 90 percent of mesothelioma cases are caused by exposure to asbestos, a fibrous mineral once widely used in fireproofing and insulation materials.
Researchers have made considerable progress in recent years in figuring out ways to diagnose, treat and even prevent a variety of rare diseases. Still, much more remains to be done because there are no treatments for the vast majority of rare diseases.
The Orphan Drug Act of 1983 provides incentives for drug companies to develop treatments for rare diseases. In the 25 years since the Act was signed into federal law, the U.S. Food and Drug Administration (FDA) has approved more than 340 treatments for rare diseases.
Recently, the National Institutes of Health (NIH) launched a new effort, called the Therapeutics for Rare and Neglected Diseases (TRND) program, to create an integrated research pipeline to jump start the development of new treatments for rare and neglected disorders. The NIH Office of Rare Diseases Research (ORDR) handles oversight and governance of TRND. The laboratory work for TRND will be performed in a facility administered by the intramural program of the National Human Genome Research Institute (NHGRI).
To learn more about TRND, go to the ORDR-TRND Web site at http://rarediseases.info.nih.gov/TRND.
The NIH, which is part of the U.S. Department of Health and Human Services, established the Office of Rare Diseases Reearch (ORDR) to help advance research focused on rare diseases.
To provide patients and their families with timely and reliable information, ORDR and NHGRI have created the online Genetic and Rare Diseases (GARD) Information Center. GARD offers a searchable, frequently updated Web site located at: http://rarediseases.info.nih.gov/GARD. Users can also contact GARD's information specialists directly by e-mail, telephone, FAX, TTY or postal mail.
In addition to GARD, there are many non-profit groups that provide information and support, promote research and advocate for policy issues related to various rare diseases. Among the groups that span a broad range of disorders are the National Organization for Rare Diseases, http://www.rarediseases.org, and the Genetic Alliance, http://www.geneticalliance.org.
Last Reviewed: February 27, 2012