RT Journal Article SR Electronic T1 It wasn’t Witchcraft—It was Huntington Disease! JF The Journal of the American Board of Family Medicine JO J Am Board Fam Med FD American Board of Family Medicine SP 115 OP 116 DO 10.3122/jabfm.2011.01.100145 VO 24 IS 1 A1 Eribeth Penaranda A1 Angel Garcia A1 Lisa Montgomery YR 2011 UL http://www.jabfm.org/content/24/1/115.abstract AB Huntington disease (HD) is an autosomal-dominant, incurable, progressive disorder that manifests with chorea and behavioral and cognitive impairment. The disease usually occurs during the fourth or fifth decade of life; however, it may present at any age. Clinical suspicion is confirmed by genetic testing. Death occurs, on average, 15 to 20 years after the onset of symptoms. Here we report about a Hispanic woman and her family who were affected by the disease; this case illustrates the role of cultural values and beliefs in the decision-making process, as well as the importance of the physician's cultural competency in fostering a trusting relationship that may lessen the burden of catastrophic diseases on individuals, families, and society at-large.