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Genomics Precision Diagnostic > Connective Tissue Disorder

Connective Tissue Disorder

Ehlers-Danlos syndrome gene panel
  • Overview
  • Indications
  • Genes & Associated Diseases
  • Ehlers-Danlos Syndromes (EDS) are a group of inherited disorders that affect different parts of the body specifically the connective tissue. Connective tissue is the tissue that helps the body grow and holds together the body’s cells and organs. The two main types of EDS are classic EDS and vascular EDS. There are several different classification of classic EDS, these classifications are based on specific clinical criteria that has been assigned. there is overlap between all the different types of EDS. Patients with EDS often present with joint hypermobility and skin hyper-extensibility. EDS conditions are inherited in both an autosomal dominant and an autosomal recessive manner.
  • Specialties involved – rheumatology, orthopedics, dermatology, physical therapy

Classic EDS:

  • Overly flexible joint
  • Stretchy and fragile skin
  • Features depending on the subtype that need to be diagnosed

Vascular EDS:

  • Distinct facial features
  • Heart weakness
  • Weakens in the walls of the uterus or large intestines

Associated Diseases

  • Classic EDS
  • Vascular EDS

For More Information Call our Geneticist: 800 50342

Marfan syndrome gene panel
  • Overview
  • Indications
  • Genes & Associated Diseases
  • Marfan syndrome is a genetic condition that is caused by a problem in the body’s connective tissue, this is the tissue helps the body grow and holds together the body’s cells and organs. Individuals with Marfan syndrome can present with several features including problems with the heart, blood vessels and the bones and joints. It is useful to be aware of the signs and symptoms of Marfan syndrome in order to be aware of the risks and complications that are associated with the condition. This condition is associated with autosomal dominant inheritance with a significant number of cases that arise due to a de novo mutation
  • Specialties involved: cardiology, orthopedics, pulmonary, ophthalmology, physical therapy, dentistry, rheumatology

The presentation of Marfan syndrome differs from person to person. Some common symptoms and indications include:

  • Longs limbs, tall and thin body type
  • Flexible joints
  • Crowded teeth
  • Flat feet
  • Curved spine, chest that sticks in or out
  • Heart problems
  • Eye problems
  • Lung/ breathing problems

The symptoms of Marfan Syndrome can be different even within the same family

Associated Diseases

  • Marfan syndrome
  • MASS syndrome
  • Loeys-Dietx Syndrome
  • MSSE syndrome/Ferguson-smith disease

For More Information Call our Geneticist: 800 50342

Cutis Laxa gene panel
  • Overview
  • Indications
  • Genes & Associated Diseases
  • Cutis Laxa refers to a rare disorder that is characterized by loose sagging skin that is lacking in elasticity. This results in parts of the body having a lax or wrinkled condition appearance. Cutis Laxa is also a connective tissue disorder – the connective tissue provides the support and structure of the body’s joints, muscles and organs. This condition affects the connective tissue in all areas of the body and can be inherited in an autosomal dominant, autosomal recessive or X-linked manner. There are several different types of Cutis Laxa that are diagnosed depending on the phenotype presented, the variant present and the clinical indications.
  • Specialties involved (type dependent): dermatology, cardiology, pulmonary, physical therapy, physiotherapy, orthopedics
  • The indication and symptoms of Cutis Laxa vary greatly depending on the individuals and the subtype of the condition that has been diagnosed. The most common symptom/ indication is lax skin

Cutis Laxa

  • Autosomal dominant cutis laxa
  • Autosomal recessive cutis laxa
  • Occipital horn syndrome
  • MACS syndrome

For More Information Call our Geneticist: 800 50342

Sample Requirements

For genetic testing through next generation sequencing, the following sample types are accepted. A thorough labelling of the tube with unique identifying information is suggested, incorrect labelling can lead to rejection of the sample. The minimum required information to identify and accept a sample is – Patient’s full name, Date of birth, Gender and Medical Record Number.

  • Maternal blood sample must be sent with all products of conception, CVS and Amnio samples.
  • Precedence will be given to all prenatal samples.

The ‘informed consent’ form and the ‘test requisition from’ (included within the provided kit) must be properly filled-in and signed by the patient and sent with the samples inside the shipping box or by e-mail to the laboratory. Igenomix will send you all the documents needed for the pick-up and transportation of the appropriate kit to our laboratory

Methodology

Limitations

The probes used for this test are designed to detect known genes in the curated panel. Therefore, this test is unable to detect genes not defined by the NCBI reference genome GRCh37 or non-human genome sequences including viral sequences or non-nuclear DNA that are designated in the specific panel.

In addition, due to the limitations of NGS technologies, the following variants cannot be readily detected: large deletions/duplications greater than 40 base pairs, copy number variations, homopolymer stretches, variants in pseudogene regions, gene fusions, balanced translocations, inversions, ploidy changes, uniparental disomy, and repeat expansion regions.

Furthermore, variants present outside the exons (non-coding region) could be missed; these variants can affect gene activity and protein production which may lead to genetic disorders. This technique does not cover the entire exome, (the % of bases with coverage above 20x is approximately 97%). It may not be possible to resolve certain details about variants such as mosaicism, phasing, or mapping ambiguity.

Analytical limitations may also occur due to the provided clinician information. Accurate and thorough clinical information of the patient(s) and family members is required as incomplete information may lead to false positive or negative results

This list of indications and symptoms is not necessarily a comprehensive list and only covers common symptoms associated with disease, signs and symptoms should be discussed with your physician. If you feel like you are affected by one or more of these syndromes visit a doctor immediately. The information presented in this site is not meant to diagnose any medical or genetic condition rather give an overview of the panels presented and offer guidance as to which panel is most appropriate. The associated diseases listed are not necessarily a comprehensive list – more diseases may be added to this list as new information about the disease and the genes associated with these diseases and panels arises

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