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Sorted By Test Name - Mayo Medical Laboratories

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FIXKM<br />

84320<br />

Interpretation: An interpretive report will be provided that includes specimen information, pedigree<br />

information (when appropriate), assay information, whether test results are consistent with a diagnosis or<br />

positive carrier status, and an estimate of residual carrier risk, when appropriate.<br />

Reference Values:<br />

An interpretive report will be provided which will include a risk analysis (probability of being a carrier).<br />

Clinical References: 1. Castaldo G, D'Argenio V, Nardiello P, et al: Haemophilia A: molecular<br />

insights. Clin Chem Lab Med 2007;45(4):450-461 2. Lakich D, Kazazian Jr HH, et al: Inversions<br />

disrupting the factor VIII gene are a common cause of severe hemophilia A. Nature Genetics<br />

1993;5(3):236-241 3. Antonarakis SE, Rossiter JP, Young M, et al: Factor VIII gene inversions in severe<br />

hemophilia A: results of an international consortium study. Blood 1995;86(6):2206-2212<br />

Hemophilia B, Factor IX Gene Known Mutation Screening<br />

Clinical Information: Hemophilia B, factor IX deficiency, is an X-linked recessive bleeding disorder<br />

with an incidence of about 1 per 30,000 live male births. This occurs as a result of mutation(s) in factor IX<br />

(fIX) gene. As many as 1/3 of hemophiliacs have no affected family members, reflecting a high mutation<br />

rate (de novo mutations). Hemophilia B affects males, however, all male offspring will be normal and<br />

although all female offspring will be obligatory carriers, they rarely have symptomatic bleeding. In<br />

contrast, female offspring of carriers of hemophilia B have a 50% chance of being carriers themselves,<br />

and each male offspring has a 50% chance of being affected. Based on factor IX activity, hemophilia B is<br />

classified into severe (factor IX activity

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