Showing posts with label Kidney disease. Show all posts
Showing posts with label Kidney disease. Show all posts

29 Jan 2013

Chemo for little Dylan's Nephrotic Syndrome

I wrote a while ago about my nephew, Dylan and his fight against Nephrotic Syndrome, a rare disease that affects his kidneys.
Next week, Dylan, who is four, is starting chemo.
His mum, Sam, will be giving an update about NS, Dylan's treatment and how it affects his education on my Special Needs Jungle site as part of a series of articles in the run up to Rare Disease Day.
In the meanwhile, this is an article in the Flintshire Chronicle about him.

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A BRAVE little boy battling a rare disease that causes his immune system to attack his kidneys is preparing to have chemotherapy.
 Four-year-old Dylan Davies-Abbott, who was diagnosed with Nephrotic Syndrome a year ago, will undergo the eight-week treatment from February 4 with the aim of limiting the number of attacks he has.

 His mum Sam admitted it was a “difficult decision” to go down the chemotherapy route as there is a small risk of Dylan becoming infertile. But having had several relapses at the end of last year, Dylan has now been classified as “steroid dependent”, which is the medication used to treat his condition. Steroid use can have damaging long-term effects on his bones and growth, and could also result in him becoming vitamin B deficient.

Nephrotic Syndrome, which is most common among boys aged two to six, affects about 10,000 people in the UK. When the immune system attacks the kidneys, it damages them and causes large amounts of protein to go from the blood into the urine.

 When this happens, it can cause Dylan to become swollen and very tired, as well as causing scarring to his kidneys which could one day lead to him requiring a transplant.
Sam, from Holywell, North Wales, said: “The ideal scenario with the chemotherapy is that we would get a long period of remission without medication and to get Dylan off the steroids.
 “When he has a relapse he does respond to the steroids within five or six days. “We’re grateful that it works but it’s not a long term solution.”
 She added: “We don’t know if the chemotherapy will work but it’s a better option as it’s a short-term intervention.
 “It’s been a difficult decision. Potentially it could have big effects on him.
“There is a very small risk of him becoming infertile.
 “I know the risk is small but it’s still a risk. It’s impossible to say if the chemotherapy will work, it’s very much trial and error.”

 Sam had taken Dylan to hospital in January last year with a suspected sickness bug – what she wasn't expecting to hear was that her son actually had a rare illness and that he may need a kidney transplant in the future.
“They don’t know what causes it and we don’t know why it was triggered in Dylan because he had no underlying health problems”, she said. “It came as quite a shock to us.
 “The worst case scenario is that he could at some point need a kidney transplant but that wouldn’t cure him long term because the problem isn’t with his kidneys.
 “We hope he might grow out of it in late adolescence – maybe 15 years or so.”
Since Dylan was diagnosed Sam and her husband Ian have been fundraising for the Nephrotic Syndrome Trust who carry out research into the illness.

 On March 17, Ian will run the Liverpool Half Marathon to raise awareness of his son’s condition. Sam said: “When we found out we didn’t know any one who had heard of it.”
 For more information visit nstrust.co.uk/pages/home.
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1 Jul 2012

My nephew, Dylan's daily fight against his rare disease - please help raise awareness

This is a post to highlight a rare disease that has affected my young nephew, Dylan who lives in North Wales. He was diagnosed with a kidney disease, Nephrotic Syndrome, earlier this year and his mum, my cousin Sam Davies-Abbott, is trying to raise awareness and funds to help find a cure. Here Sam's tells their story. 

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My young son was a welcome addition to our family making us the average 2.2 family (make that two cats and no dog) along with his big sister.  Life was full of fun and laughter, along with the usual ups and downs.  
Dylan before he was ill
But things changed significantly for us on 15th January of this year when we took our three year old little boy to hospital as his face and body had begun to swell up.  
The A&E doctor tried to fob us off with it being viral, but a response from myself regarding his non-committal diagnosis soon saw us heading down to the children's ward to see a paediatrician. 
That afternoon, we we were shocked to be told that our son had something called Nephrotic Syndrome - WHAT?  Apparently the filtering system of our son's kidneys does not work properly and allows protein to move from his blood to his urine.  This results in the oedema which had prompted us to be concerned.  
For some unknown reason our son's immune system now attacks this filtering system instead of any infection which has triggered it. The kidneys become scarred when they are attacked and the extent of this can be significant.  The cause of NS is unknown and consequently there is no cure for it.
NS is a rare syndrome with only 10,000 sufferers in the UK, with the majority of them being young children.  There are two main types and we desperately hope that our son has the type called Minimal Change, which would hopefully mean that he will grow out of it in early adulthood and suffer no longer term damage to his kidneys.  The other type FSGS results in dialysis and kidney transplants, often within a relatively short period of time. The ultimate cruelty of this syndrome is that in a high percentage of transplants the NS returns to attack the new kidney.
Our son has already relapsed twice and is now classed as a frequent relapser - we are unsure what this means for the severity of the journey that NS will take him on (and us as a family).  
He is currently prescribed high doses of steroid medication to suppress his immune system and stop it from attacking his kidneys.  If he relapses as the dose reduces, or shortly after he finishes taking it, he will be classed as steriod dependent and will have to undergo chemotherapy to try to remedy this dependence.  As toxic as these treatments are (and as horrific as the side effects can be) we are grateful that he continues to respond to them. The alternative is too scary to contemplate...
Dylan while taking strong steroids to fight his illness
Everyday life feels as though we are walking on egg shells waiting for his next relapse.  There is absolutely nothing that we can do to prevent it.  We all follow a salt-free, low-saturated fat diet (much healthier for us and so much tastier!) to try and help his kidneys to work at their optimum level in the hope that future relapses will be less severe for him.  We are slowly learning to enjoy each day that he is well and we are trying not to spend too much time worrying about about tomorrow may bring. 
We have tried to protect our young son from knowing when he has relapsed, explaining increased medications, injections and hospital visits as preventative treatments rather than reactive to NS.  
A few days ago we were discussing a sponsored walk which we have arranged to raise awareness of NS (with monies raised being donated to the Nephrotic Syndrome Trust and research into a cure) when he suddenly turned to me and said, every matter of fact, that "I might be poorly forever Mum".  My heart shattered into a million pieces.... 
My son's name is Dylan and he is three.

You can find Sam's Just Giving page here
And the Nephrotic Syndrome Trust here

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