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Carrier testing for individuals with a family history of Fanconi anemia
Confirmation of clinical diagnosis of Fanconi anemia
Prenatal diagnosis for at-risk pregnancies
Fanconi anemia is an aplastic anemia that leads to bone marrow failure
and myelodysplasia or acute myelogenous leukemia. Physical findings
include short stature; upper limb, lower limb, and skeletal malformations;
and abnormalities of the eyes and genitourinary tract. The proteins
encoded by the genes associated with Fanconi anemia may work
together to repair DNA damage.
Mutations in 6 genes have been associated with Fanconi anemia,
although 2 mutations within the FANCC gene have been shown to
be common in the Ashkenazi Jewish population: 322delG and
IVS4( 4)A->T. The carrier rate in the Ashkenazi Jewish population is
1/89. The carrier detection rate for these mutations using this assay is
>99%.
An interpretive report which will include a risk analysis (probability
of being a carrier) will be provided.
The report will include specimen information, pedigree (when appropriate),
assay information, test results, and interpretation of test results.
The recommended first tier test for diagnosing Fanconi anemia is
#81332, "Chromosome Analysis, Mitomycin C Stress for Fanconi
Anemia, Blood".
This direct DNA assay will not detect all of the mutations that cause
Fanconi anemia. Therefore, the absence of a detectable mutation
does not rule out the possibility that an individual is a carrier.
Any error in the diagnosis of the proband or in family relationships
provided in the pedigree will lead to an erroneous segregation
pattern and an incorrect interpretation of results.
Medical genetic consultation is recommended for all DNA diagnosis
cases and is particularly indicated in complex cases or in situations
where the diagnosis is atypical or uncertain.
Bone marrow transplants from allogenic donors will interfere with testing.
Call Mayo Medical Laboratories for instructions for testing patients who
have received a bone marrow transplant.
1. Auerbach AD: Fanconi anemia: Genetic testing in Ashkenazi Jews.
Genet Test 1997;1(1):27-33
2. Kutler DI, Auerbach AD: Fanconi anemia in Ashkenazi Jews. Fam
Cancer 2004;3(3-4):241-248