7. Rapid, Significant Weight Loss: A Physical Manifestation of Juvenile Huntington’s Disease
When it comes to Juvenile Huntington’s Disease, one of the most evident physical signs that often causes alarm is rapid, significant weight loss. The reason behind this drastic weight loss in children suffering from JHD is multifaceted. It can be an offshoot of various physical challenges such as difficulties in swallowing and heightened energy expenditure due to uncontrollable physical movements, often termed as ‘chorea’.
The first half of this conundrum involves dysphagia, a term used to describe difficulties in swallowing. This issue is not merely a discomfort but can potentially lead to hazardous situations for the child.
Dysphagia can put the child at risk of choking and can make the intake of food a stressful activity rather than a nourishing one. Not being able to eat sufficient food not only compromises their nutritional intake but can also lead to severe weight loss.
In addition to the swallowing difficulties, JHD children also face another unique challenge – chorea. Chorea, the Greek word for ‘dance’, describes the involuntary, uncontrollable movements commonly seen in individuals suffering from HD.
These erratic movements, unfortunately, consume a considerable amount of energy, often far more than a child can replenish with their regular diet. The result? More weight loss.
To tackle this issue, medical professionals often have to devise a comprehensive plan of action. A key role is played by speech and occupational therapists, who use their specialized knowledge to design strategies and techniques that make swallowing safer and more effective. (7)
