Secondary diagnosis: Autistic disorders and other pervasive developmental disorders.
The claimant was a 43-year-old woman.
Alleged disability: learning disability. The claimant did not report any difficulties with activities of daily living. She reported problems with memory and understanding. She was interested in computers, reading books, watching television, and riding horses. She did not eat and did not care about her personal hygiene when drinking alcohol.
The Comparison Point Decision (CPD) date was 01/29/2003. The SSA granted disability benefits because of borderline intellectual functioning and pervasive developmental disorder.
She had a history of Apert’s syndrome …show more content…
Apert syndrome is a genetic disorder that causes abnormal development of the skull; it is caused by a rare mutation on a single gene. Babies with Apert syndrome are born with a distorted shape of the head and face. The defective gene allows the skull bones to fuse together prematurely; the brain continues to grow inside the abnormal skull, putting pressure on the bones in the skull and face.
Abnormal fusion of the bones of the hands and feet (with webbed or mitten-like hands or feet) are also common Apert syndrome symptoms. Some children with Apert syndrome also have heart, gastrointestinal or urinary system problems. Apert syndrome has no cure, but surgery can help correct some of the problems that result.
In the Explanation of Determination, the SSA representative recommended continuance with a 3-year diary since the potential for improvement was unknown. However, the claimant’s physical and mental conditions are permanent. The probability of improvement significant enough to allow the claimant to engage in SGA seems to be low to non-existent.
Medical or mental improvement are not expected; would a 7 year diary be more appropriate in this