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From Where I Sit


Game-Changing Discovery of Gene Mutation

In 1998 I met Karen Ball.  Karen is the mom of Kaelin, born with a birthmark covering most of her face.  When Kaelin was born, her parents were frustrated by the lack of information available, and by how few doctors really understood her daughter’s rare disease.

I’ve talked about it before, but it bears repeating how I have learned that nearly all of us doing what we do here at Nevus Outreach do it for these same reasons – we are relatives of a patient and we are not satisfied with obviously sketchy information and knowledge, so we set about changing that, because if we don’t do it, nobody will.  The curse of rare diseases is that for the scientists and doctors, usually things that are less rare are far surer career tracks.  Personally, I don’t blame them.

Nobody gets lit up about this stuff more than parents with affected little babies, I think.

Last night I attended the opening ceremony of the International Investigative Dermatology meeting in Edinburgh, Scotland.  I ran into Karen, and she was giddy with anticipation of the pending announcement in the New England Journal of Medicine, that the gene mutation which causes her daughter’s birthmark had been identified.

Karen is President and CEO of the Sturge-Weber Foundation, and her daughter was born with a port-wine stain and Sturge-Weber syndrome.  But when I consider her story, I feel like the day is drawing nearer when we will get to make a similar announcement.

Both rare diseases occur with similar incidences – one case in 20,000 births.  Port-wine stains can occur alone or as part of Sturge-Weber Syndrome (SWS), the same way that large nevi can occur alone or together withneurocutaneous melanocytosis (NCM). There are rarer, life-threatening facets to what is otherwise largely harmless, medically speaking.  Both birthmarks are visual defects with psycho-social impact and they can affect self-esteem ; both carry a slightly elevated risk of being associated with some more dangerous outcome.

Few know this better than I, as my teen daughter has a giant mole covering more than half her body, and neurological problems caused by having deposits of melanin in her brain.  To me, though, it’s a great day to celebrate with our kindred souls affected by port wine stains and Sturge-Weber syndrome.  In my work with both the scientists and the other patient associations, I am confident that it is only a matter of time before we are crowing the same message – that the mutation is confirmed and the quest for therapies is taken to a whole new level.

Congratulations to Karen Ball at the Sturge-Weber Foundation and all the patients affected by port wine stains and Sturge Weber syndrome.

Heather Etchevers, Karen Ball, Mark Beckwith

L to R: Dr. Heather Etchevers, Nevus Outreach-funded scientist; Karen Ball, President and CEO of the Sturge-Weber Foundation; and Mark Beckwith, CEO of Nevus Outreach.

Connecting the Dots

I have on previous occasions remarked about how connecting the dots seems to happen with regularity at Nevus Outreach, and I’m not making a silly joke (although I do personally think a slogan like “Nevus Outreach - Connecting the Dots” would be cute [rant=on] but then I’d get in trouble with some for whom laughing in the face of adversit Read more...

The “Global Nevus Initiative” case study

I use these words about half the time when people ask me what we're up to.  The "International Initiatives" seem to be taking up more and more of my attention these days.  This is a great opportunity to flesh out the idea a little more.

When Nevus Outreach was created, trust me I was there, it was to be a USA organization.  We were a bunch of rag- Read more...

Hard to Write

On the occasion of the deaths of a couple more young people from their various complications with this rare disease we fight at Nevus Outreach, I feel like I should be saying something profound.  Yet the words do not come.  Fully a week after our most recent loss, the sense of powerlessness is all that’s profound within me.

The two stories are di Read more...

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