Treatment of Rare Diseases in Children

Nicklaus Children’s Hospital is a regional leader in providing diagnosis and care for children with rare diseases.

Families come to us from throughout Florida, the nation and around the world in search of our specialty care excellence.

How are we using Advanced Genomics?

Nicklaus Children's Hospital is one of the first hospitals in the country to pilot whole genome sequencing (WGS) as a new standard of care. Nicklaus Children's is proud to partner with Rady Children's Institute of Genomic Medicine to offer WGS to children where traditional genetic testing may not yield an answer. Many families have benefitted from the diagnostic power of WGS, which can often yield answers for some of our most medically complex cases.

How is WGS performed?

The human genome contains approximately 30,000 genes. WGS analyzes the entire genome and identifies variants that are more likely to be associated with a child's condition. Scientists at Rady Children's then interpret this data, comparing variants to those that have been identified in scientific literature that may explain the child's illness. Our multi-disciplinary clinical team is able to use these clinical results to determine potential changes in medical treatment, offering a tailored care approach for each patient.

Who can benefit from WGS?

WGS is being used in two settings at Nicklaus Children's. We are one of the few hospitals in the country to offer rapid WGS (rWGS). rWGS is an accelerated test, yielding clinical results in as little as 72 hours, depending on the case. This select test is offered in our three intensive care units (neonatal, pediatric, and cardiac) for critically ill children, a population for a fast answer may be crucial for medical management.

WGS is also offered in our outpatient genetics clinic for children that have received previous genetic testing, without definitive answers that may explain their condition. These are often described as being on a diagnostic odyssey. For these patients, WGS can provide long sought answers for a child and their family. Our videos below describe more how WGS is being used in different patient care settings at Nicklaus Children's.

The hospital offers a wide array of specialized programs and clinics to support the care of children with uncommon medical conditions, providing hope and advanced care for those we serve. Many of our specialty clinics bring together a multidisciplinary medical team to collaborate in the care of each individual child. To learn more about individual programs please follow the links below.

Neuroscience Institute

Helen & Jacob Shaham Cancer and Blood Disorders Institute

Orthopedics, Sports Medicine and Spine Institute

Heart Institute

NCPS Services

Gastroenterology and Inflammatory Bowel Disease Center

Brachial Plexus Program

Caring for Matthew: Managing a Very Rare Disease

Matthew was diagnosed with Phelan-McDermid Syndrome (PMS), a rare genetic disorder that affects development, speech, and cognitive ability, and requires extensive medical care and round-the-clock support. Despite his challenges, Matthew radiates love and joy, and his family is advocating for increased awareness of PMS while seeking potential treatments for the condition.
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