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FANCA<br />

85318<br />

FATF<br />

8310<br />

separately ordered: -LDLRS/81013 Familial Hypercholesterolemia, LDLR Full Gene Sequence<br />

-LDLM/89073 Familial Hypercholesterolemia, LDLR Large Deletion/Duplication, Molecular Analysis<br />

-APOB/89097 Apolipoprotein B-100 Molecular Analysis, R3500Q and R3500W See Familial/Autosomal<br />

Dominant Hypercholesterolemia Diagnostic Algorithm in Special Instructions.<br />

Useful For: Aiding in the diagnosis of familial hypercholesterolemia defective apoB-100 in individuals<br />

with elevated, untreated LDL cholesterol concentrations Distinguishing the diagnosis of autosomal<br />

dominant hypercholesterolemia from other causes of hyperlipidemia, such as familial combined<br />

hyperlipidemia Genetic evaluation of hypercholesterolemia utilizing a cost-effective, reflex-testing<br />

approach<br />

Interpretation: An interpretive report will be provided.<br />

Reference Values:<br />

An interpretive report will be provided.<br />

Clinical References: 1. Hobbs H, Brown MS, Goldstein JL: Molecular genetics of the LDL receptor<br />

gene in familial hypercholesterolemia. Hum Mut 1992;1:445-466 2. Goldstein JL, Hobbs H, Brown MS:<br />

Familial hypercholesterolemia. In The Metabolic Basis of Inherited Disease. Edited by CR Scriver, AL<br />

Beaudet, D Valle, WS Sly. New York, McGraw-Hill Book Company, 2006 pp 2863-2913 3. Whitfield<br />

AH, Barrett PHR, Van Bockxmeer FM, Burnett JR: Lipid disorders and mutations in the APOB gene.<br />

Clin Chem 2004;50:1725-1732 4. Innerarity TL, Mahley RW, Weisgraber KH, et al: Familial defective<br />

apolipoprotein B100: a mutation of apolipoprotein B that causes hypercholesterolemia. J Lipid Res<br />

1990;31:1337-1349<br />

Fanconi Anemia C Mutation Analysis, IVS4(+4)A->T and<br />

322delG<br />

Clinical Information: Fanconi anemia is an aplastic anemia that leads to bone marrow failure and<br />

myelodysplasia or acute myelogenous leukemia. Physical findings include short stature; upper limb, lower<br />

limb, and skeletal malformations; and abnormalities of the eyes and genitourinary tract. The proteins<br />

encoded by the genes associated with Fanconi anemia may work together to repair DNA damage.<br />

Mutations in several genes have been associated with Fanconi anemia, although 1 mutation,<br />

IVS4(+4)A->T in the FANCC gene has been shown to be common in the Ashkenazi Jewish population.<br />

The carrier rate in the Ashkenazi Jewish population is 1/89 and the detection rate for this mutation using<br />

this assay is >99%. A second FANCC mutation, 322delG, is overrepresented in patients of Northern<br />

European ancestry.<br />

Useful For: Carrier screening for individuals of Ashkenazi Jewish ancestry Prenatal diagnosis for<br />

at-risk pregnancies Confirmation of suspected clinical diagnosis of Fanconi anemia in individuals of<br />

Ashkenazi Jewish ancestry<br />

Interpretation: An interpretive report will be provided.<br />

Reference Values:<br />

An interpretive report will be provided.<br />

Clinical References: 1. Gross SJ, Pletcher BA, Monaghan KG; Carrier screening in individuals of<br />

Ashkenazi Jewish descent. Genet Med 2008 Jan;10(1):54-6 2. Kutler DI, Auerbach AD: Fanconi anemia<br />

in Ashkenazi Jews. Fam Cancer 2004;3(3-4):241-248<br />

Fat, Feces<br />

Clinical Information: Fecal lipids include monoglycerides, diglycerides, triglycerides,<br />

phospholipids, glycolipids, soaps, sterols, cholesteryl esters, and sphingolipids. Steatorrhea (increased<br />

fecal excretion of fat) may reflect a number of pancreatic or intestinal disorders, including chronic<br />

pancreatitis with or without stone obstruction, cystic fibrosis, neoplasia, Whipple disease, regional<br />

enteritis, tuberculous enteritis, gluten-induced enteropathy (celiac disease), Giardia-associated<br />

Current as of January 4, 2013 7:15 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong><strong>Laboratories</strong>.com Page 716

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