Explain the scan and the transplant decision to the parents of a boy with cerebral adrenoleukodystrophy — OSCE

Candidate brief

You are the paediatric registrar caring for this boy. The task is to explain, in plain language, that the son's decline is caused by an inherited inflammatory condition of the brain's white matter called cerebral adrenoleukodystrophy - not cancer - in which the immune system attacks the brain's wiring, and that a bone-marrow transplant can halt the attack when it is performed early. You must address the parents' fear that the dye means cancer, explain why the school problem became a transplant decision so quickly, and convey honest urgency without abandoning hope. Agree a clear next-step plan with a named coordinator. ^{[1] [2]}