This list below is presented to the donor when he completes his medical application. For each family member, the donor is asked to select any of the conditions below that are applicable.
Stroke
Heart attack
Congenital heart disease
Other heart diseases
High blood pressure
High cholesterol
Anemia
Sickle-cell anemia/ other hemoglobinopathy
Hemophilia/bleeding problem
Leukemia
Immune deficiency
Polyarteritis nodosa
Severe bleeding tendency
Blood Clots
Hay fever/Seasonal Allergies/Allergic Rhinitis
Asthma
Emphysema
Tuberculosis
Throat Cancer
Lung cancer
Pneumonia
Cystic Fibrosis
Alpha-1 Antitrypsin Deficiency
Other lung disease
Ulcer of stomach/duodenum
Gallstones
Hepatitis A
Hepatitis B
Other liver disease
Ulcerative colitis
Pyloric stenosis
Crohn’s disease
Intestinal cancer
Colon cancer
Inflammatory bowel disease
Irritable Bowel Syndrome
Rectal disorder
Stomach Cancer
Liver Cancer
Any other cancer/problem of digestive system
Diabetes mellitus requiring insulin therapy
Diabetes mellitus not requiring insulin therapy
Hypoglycemia
Thyroid cancer
Thyroid disease
Goiter
Adrenal dysfunction or disorder
PKU or inherited metabolism disorder
Pancreatic Cancer
Progressive kidney disease
Polycystic kidney disease
Kidney Stones
Other disease of the kidney, urinary tract, urethra, bladder, ureter
Undescended testicle
Hypospadias
Prostate cancer
Uterine fibroids
Ovarian cysts
Cancer of cervix, ovaries, or uterus
Testicular Cancer
Miscarriages or stillborn
Herpes simplex virus, genital
Migraines
Mental retardation
Senility or mental deterioration before age 60
Multiple sclerosis
Cerebral palsy
Epilepsy/seizures
Neural tube defects – open spine or hydrocephalus/water on the brain
Disorders of spinal cord
Gaucher’s disease
Wilson’s disease
Creutzfeldt-Jacob disease
Huntington’s disease
Tuberous sclerosis
Neurofibromatosis
Dementia or degenerative disorders
Alzheimer’s
Parkinson’s disease
Brain tumor
Myasthenia gravis
Down Syndrome
Other diseases of the nervous system
Hyperactivity
Autism
Autism Spectrum Disorder
Pervasive Developmental Delay (PDD)
Asperger’s Syndrome
Schizophrenia
Bipolar (manic depressive psychosis)
Attention Deficit Disorder (ADD)
Attention Deficit Hyperactivity Disorder (ADHD)
Suicide or suicide attempts
Anxiety
Panic attacks
Depression
Other mental health disorders
Muscular Dystrophy
Other chronic muscle disease
Loss of muscle coordination
Spinal Muscular Atrophy (SMA)
Systemic lupus
Amyotrophic Lateral Sclerosis (ALS)
Deformity of spine
Osteoporosis
Dwarfism
Hereditary low back disorder
Rheumatoid Arthritis
Osteoarthritis
Reiter’s Disease
Gout
Club foot
Metabolic bone disease
Deafness before age of 60
Deformity of the ear
Cataracts before age of 60
Blindness in both eyes before age of 60
Color blindness
Glaucoma
Deviated septum
Macular Degeneration
Any other sight/sound/smell disorder
Acne
Eczema
Psoriasis
Pigmentation disorders
Albinism
Infectious skin disease
More than 5 purple or coffee-colored spots on the skin-1.5 cm (1/2 inch) or larger
Numerous lumps under the skin
Other skin disorders
Drug abuse, misuse, or addiction
Breast cancer
Any cancer not mentioned above
Cleft palate or cleft lip
Serious birth defects
Inguinal hernia
Early death (less than age 50)
Sarcoidosis
Premature degeneration of any organ system
Obesity
Eating Disorders
Any other condition not mentioned above