TABLE 3.
Testing | Presenting |
Variant description | Effect | Diagnosis or note | References |
---|---|---|---|---|---|
Neurodegenerative disorders | |||||
HD/Ataxia panel | Chorea | HTT; pathogenic CAG repeat expansion | Polyglutamine tract expansion | Confirmed HD in four individuals | 1 |
HD/Ataxia panel | Ataxia | ATXN3; pathogenic CAG repeat expansion | Polyglutamine tract expansion | Confirmed SCA3 in four individuals | 2,3 |
Fragile X testing (with no other testing) | |||||
Fragile X test | Autism | Normal FMR1 (31 CAG repeats) | – | No further testing | – |
Testing for suspected Down syndrome | |||||
CMA | Down syndrome | – | Confirmed DS in 11 individuals | DS; CMA was the only test we could obtain at this time | 4 |
Karyotype | Down syndrome | 47,XX + 21 and 47,XY + 21 | Trisomy 21 | Confirmed DS in 12 individuals | – |
Karyotype | Unaffected mother | 46,XX/47,XX + 21 mosaic | Trisomy 21 mosaic | Explained recurrent DS in family | 5 |
Karyotype | Unaffected mothers | 46,XX | Unaffected mothers | Confirmed normal karyotype in three unaffected mothers | – |
Karyotype for disorder other than Down syndrome | |||||
Karyotype followed by CMA | Dysmorphology, DD, ID | 46,XY,der(18)t(5;18) (p13.3;q22.3) | Translocation with deletion/duplication | – | – |
References: 1 (Charles et al., 2017), 2 (Yearwood et al., 2018), 3 (Mitchell et al., 2019), 4, (Kruszka et al., 2017), 5 (Sobering et al., 2017).