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Finnish heritage disease

A Finnish heritage disease is any genetic disease or disorder that is significantly more common in people whose ancestors were ethnic Finns, natives of Finland and Northern Sweden (Meänmaa) and Northwest Russia. There are 36 rare diseases regarded as Finnish heritage diseases. The diseases are not restricted to Finns; they are genetic diseases with far wider distribution in the world, but due to founder effects and genetic isolation they are more common in Finns.

Finnish heritage disease types
There are 36 identified Finnish heritage diseases: • Amyloidosis, Finnish typeLethal arthrogryposis with anterior horn cell diseaseAspartylglucosaminuriaAutoimmune polyendocrinopathy syndrome, type I, with or without reversible metaphyseal dysplasia • Cartilage–hair hypoplasiaCeroid lipofuscinosis, neuronal, 1Ceroid lipofuscinosis, neuronal, 3Ceroid lipofuscinosis, neuronal, 5 • Ceroid lipofuscinosis, neuronal, 8, Northern epilepsy variant (Synonyms: Northern epilepsy; Epilepsy, progressive, with intellectual disability) • ChoroideremiaCohen syndromeCornea plana 2Diarrhea 1, secretory chloride, congenitalDiastrophic dysplasiaEpilepsy, progressive myoclonic 1A (Unverricht–Lundborg) • Glycine encephalopathy (Nonketotic hyperglycinemia) • GRACILE syndromeGyrate atrophy of choroid and retinaHydrolethalus syndrome 1 • Infantile-onset spinocerebellar ataxia (Mitochondrial DNA depletion syndrome 7) • Lactase deficiency, congenital • Lethal congenital contracture syndrome 1Lysinuric protein intoleranceMeckel syndromeMegaloblastic anemia-1, Finnish and Norwegian typeMulibrey nanismMuscular dystrophy-dystroglycanopathy (congenital with brain and eye anomalies), type A, 3 • Nephrotic syndrome, type 1 (Finnish congenital nephrosis) • Ovarian dysgenesis 1 • Polycystic lipomembranous osteodysplasia with sclerosing leukoencephalopathy (Nasu–Hakola disease) • Progressive encephalopathy with Edema, Hypsarrhythmia and Optic atrophyRAPADILINO syndromeRetinoschisis 1, X-linked, juvenile • Sialuria, Finnish type (Salla disease) • Tibial muscular dystrophy, tardiveUsher syndrome, type 3A Out of these, three are rare causes of dwarfism: cartilage–hair hypoplasia, diastrophic dysplasia and Mulibrey nanism. Four genetically distinct subtypes of neuronal ceroid lipofuscinosis are found in the Finnish heritage: CLN1, CLN3, CLN5, and CLN8. Names for conditions associated with these subtypes include infantile neuronal ceroid lipofuscinosis, Jansky–Bielschowsky disease and northern epilepsy syndrome. As of 2001, CLN5 and CLN8 had been reported almost exclusively in Finland.), a lethal condition, is known in 48 Finnish families. ==Other genetic diseases==
Other genetic diseases
The European Organization for Rare Diseases (EURORDIS) estimates that there are between 5,000 and 7,000 distinct rare diseases, affecting between 6% and 8% of the population of the European Union. The majority of genetic diseases reported in Finland are not part of the Finnish disease heritage and their prevalence is not higher in Finland than worldwide. Some genetic diseases are disproportionately rare in Finns. These include cystic fibrosis and phenylketonuria. In Finland, about 1 in 80 persons are carriers of a cystic fibrosis mutation, compared with an average of 1 in 25 elsewhere in Europe. ==Genetic history==
Genetic history
Based on molecular data, a population bottleneck among ancestors of modern Finns is estimated to have occurred about 4000 years ago. This bottleneck resulted in exceptionally low diversity in the Y chromosome, estimated to reflect the survival of just two ancestral male lineages. The distribution of Y chromosome haplotypes within Finland is consistent with two separate founding settlements, in eastern and western Finland. The Finnish disease heritage has been attributed to this 4000-year-old bottleneck. ==Etymology==
Etymology
Although the concept is older, the English term "Finnish disease heritage" first appears in the medical literature in the 1990s. One of the earliest uses is in the translated title of a 1994 medical article, soon followed by others. ==See also==
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