Finn's Take· TL;DRImagine being told you have a disease so rare that you might be the only person in your entire state who has it — and that the disease itself feels like several of life's most feared illnesses rolled into one. That is the reality facing a young woman from Davis County, Utah, who has been diagnosed with a rare, degenerative condition that doctors believe may make her the sole confirmed case in the state.
The symptoms of Huntington's disease are described as having ALS, Parkinson's, and Alzheimer's — simultaneously. It is that kind of staggering, compounding cruelty that makes the condition so difficult to comprehend, let alone live with. HD is a fatal genetic disorder that causes the progressive breakdown of nerve cells in the brain, deteriorating a person's physical and mental abilities — usually during their prime working years — and has no cure.
Huntington's disease is a genetic brain disease that causes the gradual breakdown of nerve cells in the brain and is a progressive disorder that gets worse over time. It doesn't announce itself all at once. It chips away — at movement, at memory, at personality — until the person afflicted can no longer function independently. One of the worst parts of this disease, according to medical experts, is that many people live what look like perfectly healthy lives into their 30s and 40s before they realize they have it.
This means that most patients have already started families by the time they learn they have a 50/50 chance of passing a fatal disease onto their children. That hereditary dimension adds a layer of grief that extends beyond the patient. Each child of a parent with HD has a 50/50 chance of inheriting the faulty gene that causes Huntington's disease. For a young woman at the beginning of her adult life, that reality is almost impossible to process.
Being the only known person in Utah with a diagnosis carries a particular kind of loneliness. There are no local support groups of people who truly understand. There are no nearby specialists who have seen dozens of cases. There is no community of neighbors who have walked the same road. Many who live with rare diseases face reduced quality of life due to the lack or loss of autonomy caused by the chronic, progressive, degenerative, or life-threatening aspects of many rare diseases.
Rare diseases are defined as conditions affecting fewer than 200,000 individuals in the United States, and there are approximately 7,000 such rare diseases, with at least 25–30 million Americans affected by these rare disorders. The numbers sound large in aggregate, but for any individual patient with an ultra-rare diagnosis, the experience is one of profound isolation. Individuals diagnosed with a rare disease at a young age are likely to require medical care and incur greater medical expenses over a lifetime. That financial burden compounds the medical one, often falling on families who are already emotionally overwhelmed.
There is currently no cure. But the research landscape is not standing still. UC Irvine professor Leslie Thompson, who has been researching Huntington's disease for 35 years, said that while there is currently no cure, there is hope: "I think it's on the horizon that we will have at least treatments that delay the disease or delay onset and with time, hopefully a cure." Clinical trials are ongoing, and the science of gene-targeting therapies has advanced significantly in recent years, giving patients and their families something to hold onto.
For the young Davis County woman at the center of this story, the path forward is uncertain. But the act of sharing her story publicly matters — not just for her, but for the broader conversation about rare disease awareness, research funding, and the human cost of conditions that medicine has not yet solved. Huntington's disease is a fatal genetic disorder that causes the progressive breakdown of nerve cells in the brain, deteriorating a person's physical and mental abilities during their prime working years with no cure — but every story told publicly is one more reason for researchers, lawmakers, and communities to pay attention. In that sense, speaking out may be one of the most powerful things a patient can do.