guidebook. - Fanconi Anemia Research Fund

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Fanconi Anemia: Guidelines for Diagnosis and Management
differences, which will be a source of discussion and
possible teasing. As congenitally different children
grow, they develop inward and outward coping mechanisms
to handle their anomalies. The physician should
play an active role and serve as part of the child’s
support system with open discussions regarding the
limb differences, including asking questions about peer
discourse. These conversations are often insightful and
revealing to both the physician and family. Difficulties
with peer pressure may require counseling to promote
emotional development.
Transition of Pediatric FA Patients to Adult
FA Patients
Fortunately, many children with FA are living and
prospering as adults. Usually all hand surgery has been
completed and regular follow-up is not necessary. However,
occasional evaluation is recommended to assess
for any developing problems. Many pediatric facilities
do not treat adults, and transition to an adult practice
is necessary. Patients should ask their pediatric hand
surgeon for recommendations for care. Referral to a
hand surgeon with a Certificate of Added Qualification
in Hand Surgery is recommended.
References
Hypoplastic thumb
Clark DI, Chell J, Davis TR. Pollicization of the index finger. A
27-year follow-up study. The Journal of Bone and Joint Surgery
1998; 80B: 631-635.
Graham TJ, Louis DS. A comprehensive approach to surgical
management of the type IIIA hypoplastic thumb. Journal of Hand
Surgery 1998; 23A: 3-13.