IllnessKleinwuchs im Kindesalter, Differentialdiagnose
Summary
Comprehensive differential diagnostic panel for infantile short stature comprising 12 or 70 curated genes according to the clinical signs
Loci type | Count |
---|---|
Gen | 70 |
210,6 kb (Extended panel: incl. additional genes)
- EDTA-anticoagulated blood (3-5 ml)
NGS +
[Sanger]
Loci panel
Gen
Name | Exon Length (bp) | OMIM-G | Referenz-Seq. | Heredity |
---|---|---|---|---|
ACAN | 7593 | NM_013227.4 | AD, AR | |
CDKN1C | 951 | NM_000076.2 | AD | |
FGFR3 | 2421 | NM_000142.5 | AD | |
GH1 | 654 | NM_000515.5 | AD, AR | |
GHR | 1917 | NM_000163.5 | AR, AD | |
GHRHR | 1272 | NM_000823.4 | AR | |
IGF1 | 462 | NM_000618.5 | AR | |
IGF2 | 543 | NM_000612.6 | AD | |
IGFALS | 1818 | NM_004970.3 | AR | |
PTPN11 | 1782 | NM_002834.5 | AD | |
SHOX | 879 | NM_000451.4, NM_006883.2 | PD/PR | |
SOS1 | 4002 | NM_005633.4 | AD | |
ANKRD11 | 7992 | NM_013275.6 | AD | |
ATR | 7935 | NM_001184.4 | AR | |
BLM | 4254 | NM_000057.4 | AR | |
BRAF | 2301 | NM_004333.6 | AD | |
BRIP1 | 3750 | NM_032043.3 | AR | |
CBL | 2721 | NM_005188.4 | AD | |
CCDC8 | 1617 | NM_032040.5 | AR | |
CEP57 | 1476 | NM_001243776.2 | AR | |
COL1A1 | 4395 | NM_000088.4 | AD | |
COL1A2 | 4101 | NM_000089.4 | AD | |
COL2A1 | 4464 | NM_001844.5 | AD | |
COL9A1 | 2766 | NM_001851.6 | AD, AR | |
CRIPT | 306 | NM_014171.6 | AR | |
CUL7 | 5097 | NM_014780.5 | AR | |
ERCC4 | 2751 | NM_005236.3 | AR | |
ERCC6 | 4482 | NM_000124.4 | AR | |
ERCC8 | 1191 | NM_000082.4 | AR | |
FANCA | 4368 | NM_000135.4 | AR | |
FANCB | 2580 | NM_001018113.3 | XL | |
FANCC | 1677 | NM_000136.3 | AR | |
FANCE | 1611 | NM_021922.3 | AR | |
FANCF | 1125 | NM_022725.4 | AR | |
FANCG | 1869 | NM_004629.2 | AR | |
FANCI | 3987 | NM_001113378.2 | AR | |
FANCL | 1128 | NM_018062.4 | AR | |
FBN1 | 8616 | NM_000138.5 | AD | |
FGD1 | 2886 | NM_004463.3 | XLR | |
HMGA2 | 330 | NM_003483.6 | AD | |
HRAS | 570 | NM_005343.4 | AD | |
HSPG2 | 13176 | NM_005529.7 | AR | |
IGF1R | 4104 | NM_000875.5 | AD, AR | |
KRAS | 567 | NM_004985.5 | AD | |
LARP7 | 1770 | NM_001267039.2 | AR | |
LZTR1 | 2523 | NM_006767.4 | AD, AR | |
MAP2K1 | 1182 | NM_002755.4 | AD | |
MAP2K2 | 1203 | NM_030662.4 | AD | |
NBN | 2265 | NM_002485.5 | AR | |
NF1 | 8457 | NM_001042492.3 | AD | |
NIN | 4134 | NM_016350.5 | AR | |
NPR2 | 3144 | NM_003995.4 | AD, AR | |
NRAS | 570 | NM_002524.5 | AD | |
OBSL1 | 5691 | NM_015311.3 | AR | |
PALB2 | 3561 | NM_024675.4 | AR | |
PIK3R1 | 2175 | NM_181523.3 | AD | |
PLAG1 | 1503 | NM_002655.3 | Gen Fusion | |
PTH1R | 1782 | NM_000316.3 | AD, AR | |
RAF1 | 1947 | NM_002880.4 | AD | |
RASA2 | 2550 | NM_006506.5 | AD | |
RIT1 | 660 | NM_006912.6 | AD | |
SHOC2 | 1749 | NM_007373.4 | AD | |
SLX4 | 5505 | NM_032444.4 | AR | |
SOS2 | 3999 | NM_006939.4 | AD | |
SRCAP | 9693 | NM_006662.3 | AD | |
STAT5B | 2364 | NM_012448.4 | AR, AD | |
TOP3A | 3006 | NM_004618.5 | AR | |
TRIM37 | 2895 | NM_015294.6 | AR | |
UBE2T | 594 | NM_014176.4 | AR | |
WNT5A | 1143 | NM_003392.7 | AD |
Informations about the disease
Group of heterogenous dieases: Short stature, optimally defined relative to the genetic endowment of the individual, is recognized by comparing an individual’s height with that of a large population of a similar genetic background, more particularly, using the mid-parental target height
- Alias: Short stature, infantile
- Allelic: Beckwith-Wiedemann syndrome (CDKN1C)
- Allelic: Bladder cancer, somatic (FGFR3)
- Allelic: Breast cancer, susceptibility to (RAD51)
- Allelic: CATSHL syndrome (FGFR3)
- Allelic: Cervical cancer, somatic (FGFR3)
- Allelic: Colorectal cancer, somatic (FGFR3)
- Allelic: Crouzon syndrome with acanthosis nigricans (FGFR3)
- Allelic: Fibromatosis, gingival, 1 (SOS1)
- Allelic: Hydatidiform mole, recurrent, 1 (NLRP7)
- Allelic: Hypercholesterolemia, familial, modifier of (GHR)
- Allelic: Increased responsiveness to growth hormone (GHR)
- Allelic: LADD syndrome (FGFR3)
- Allelic: Leri-Weill dyschondrosteosis (SHOX)
- Allelic: Leukemia, juvenile myelomonocytic (NF1)
- Allelic: Leukemia, juvenile myelomonocytic, somatic (PTPN11)
- Allelic: Metachondromatosis (PTPN11)
- Allelic: Mirror movements 2 (RAD51)
- Allelic: Muenke syndrome (FGFR3)
- Allelic: Multi Locus Imprinting Disturbance (PADI6)
- Allelic: Neurofibromatosis, familial spinal (NF1)
- Allelic: Neurofibromatosis, type 1 (NF1)
- Allelic: Nevus, epidermal, somatic (FGFR3)
- Allelic: Oocyte/zygote/embryo maturation arrest 16 (PADI6)
- Allelic: Oocyte/zygote/embryo maturation arrest 18 (NLRP2)
- Allelic: Preimplantation embryonic lethality 2 [MONDO:0014978, panelapp] (PADI6)
- Allelic: SADDAN (FGFR3)
- Allelic: Spermatocytic seminoma, somatic (FGFR3)
- Allelic: Thanatophoric dysplasia, type I-II (FGFR3)
- Allelic: Watson syndrome (NF1)
- 3-M syndrome 1 (CUL7)
- 3-M syndrome 2 (OBSL1)
- 3-M syndrome 3 (CCDC8)
- Aarskog-Scott syndrome (FGD1)
- Achondroplasia (FGFR3)
- Acid-labile subunit, deficiency of (IGFALS)
- Acromesomelic dysplasia, Maroteaux type (NPR2)
- Allelic: Infantile liver failure syndrome 2 (NBAS)
- Allelic: Ovarian carcinoma (RRAS2)
- Bloom syndrome (BLM)
- Cardiofaciocutaneous syndrome (BRAF)
- Cardiofaciocutaneous syndrome 2 (KRAS)
- Cardiofaciocutaneous syndrome 3 (MAP3K1)
- Cardiofaciocutaneous syndrome 4 (MAP2K2)
- Cerebrooculofacioskeletal syndrome 1 (ERCC6)
- Cockayne syndrome (ERCC4)
- Cockayne syndrome, type A (ERCC8)
- Cockayne syndrome, type B (ERCC6)
- Coffin-Lowry syndrome (RPS6KA3)
- Cornelia de Lange syndrome 1 (NIPBL)
- Cornelia de Lange syndrome 2 (SMC1A)
- Cornelia de Lange syndrome 3 (SMC3)
- Cornelia de Lange syndrome 4 (RAD21)
- Cornelia de Lange syndrome 5 (HDAC8)
- Costello syndrome (HRAS)
- Crouzon syndrome with acanthosis nigricans (FGFR3)
- Culler-Jones syndrome (GLI2)
- De Sanctis-Cacchione syndrome (ERCC6)
- Diabetes mellitus, transient neonatal 1 (ZFP57)
- Diabetes mellitus, transient neonatal, 1; IUGR [MONDO:0011073] (ZFP57)
- Diets-Jongmans syndrome (KDM3B)
- Encephalopathy, progressive, with amyotrophy + optic atrophy (TBCE)
- Epiphyseal chondrodysplasia, Miura type (NPR2)
- Epiphyseal dysplasia, multiple, 6 (COL9A1)
- FINCA syndrome: FIbrosis, Neurodegeneration +Cerebral Angiomatosis (NHLRC2)
- Failure to thrive, developmental delay [panelapp] (CCDC186)
- Fanconi anemia, complementation group A-L (FANCA-L)
- Fanconi anemia, complementation group D1 (BRCA2)
- Fanconi anemia, complementation group J (BRIP1)
- Fanconi anemia, complementation group N (PALB2)
- Fanconi anemia, complementation group P (SLX4)
- Fanconi anemia, complementation group Q (ERCC4)
- Fanconi anemia, complementation group R (RAD51)
- Fanconi anemia, complementation group T (UBE2T)
- Floating-Harbor syndrome (SRCAP)
- Growth hormone deficiency with pituitary anomalies (HESX1)
- Growth hormone deficiency, isolated, type IA, IB, II (GH1)
- Growth hormone deficiency, isolated, type IV (GHRHR)
- Growth hormone insensitivity, partial (GHR)
- Growth retardation with deafness and mental retardation due to IGF1 deficiency (IGF1)
- Holoprosencephaly 9 (GLI2)
- Hypochondroplasia (FGFR3)
- Hypoparathyroidism-retardation-dysmorphism syndrome (TBCE)
- IMAGE syndrome (CDKN1C)
- IUGR phenotypes caused by maternal effect gene IUGR [panelapp] (NLRP2)
- Insulin-like growth factor I, resistance to (IGF1R)
- Intellectual developmental disorder, AD 23 (SETD5)
- Intellectual developmental disorder, XL 19 (RPS6KA3)
- Intellectual developmental disorder, XL, syndromic, 35 (RPL10)
- Intellectual developmental disorder, XL, with isolated growth hormone deficiency (SOX3)
- Isolated growth hormone deficiency due to defect in GHRF (GHRH) 1
- Isolated growth hormone deficiency, type III, with agammaglobulinemia (BTK)
- KBG syndrome (ANKRD11)
- Kabuki syndrome 1 (KMT2D)
- Kabuki syndrome 2 (KDM6A)
- Kenny-Caffey syndrome, type (TBCE)
- Kowarski syndrome (GH1)
- LEOPARD syndrome 1 (PTPN11)
- LEOPARD syndrome 2 (RAF1)
- LEOPARD syndrome 3 (BRAF)
- LIG4 syndrome (LIG4)
- Langer mesomelic dysplasia (SHOX)
- Laron dwarfism (GHR)
- Laurence-Moon syndrome (PNPLA6)
- Leprechaunism (INSR)
- Leri-Weill dyschondrosteosis (SHOX)
- Lowry-Wood syndrome (RNU4ATAC)
- MIRAGE syndrome (SAMD9)
- Mandibuloacral dysplasia progeroid syndrome (MTX2)
- Meier-Gorlin syndrome 1 (ORC1)
- Meier-Gorlin syndrome 2 (ORC4)
- Meier-Gorlin syndrome 3 (ORC6)
- Meier-Gorlin syndrome 4 (CDT1)
- Meier-Gorlin syndrome 5 (CDC6)
- Mental retardation, XL syndromic 16 (FGD1)
- Metachondromatosis (PTPN11)
- Microcephalic osteodysplastic dysplasia, Saul-Wilson type [MONDO:0019407, panelapp] (ANAPC1)
- Microcephalic osteodysplastic primordial dwarfism, type I (RNU4ATAC)
- Microcephalic osteodysplastic primordial dwarfism, type II (PCNT)
- Microcephaly and chorioretinopathy, AR, 2 (PLK4)
- Microcephaly, growth restriction + increased sister chromatid exchange 2 (TOP3A)
- Microphthalmia, syndromic 3 (SOX2)
- Mulibrey nanism (TRIM37)
- Muscular dystrophy, congenital hearing loss, ovarian insufficiency syndrome (GGPS1)
- Myopathy, mitochondrial + ataxia (MSTO1)
- Neurodevelopmental disorder with microcephaly, seizures, neonatal cholestasis (VPS50)
- Neurodevelopmental disorder, cataracts, poor growth, dysmorphic facies (INTS1)
- Neurodevelopmental disorder, multiple congenital abnormalities (FOXP4)
- Neurodevelopmental disorder, poor growth, large ears, dysmorphic face (ZNF668)
- Neurofibromatosis-Noonan syndrome (NF1)
- Nijmegen breakage syndrome (NBN)
- Noonan syndrome 1 (PTPN11)
- Noonan syndrome 10 (LZTR1)
- Noonan syndrome 11 (MRAS)
- Noonan syndrome 12 (RRAS2)
- Noonan syndrome 13 (MAPK1)
- Noonan syndrome 14 (SPRED2)
- Noonan syndrome 2 (LZTR1)
- Noonan syndrome 3 (KRAS)
- Noonan syndrome 4 (SOS1)
- Noonan syndrome 5 (RAF1)
- Noonan syndrome 6 (NRAS)
- Noonan syndrome 7 (BRAF)
- Noonan syndrome 8 (RIT1)
- Noonan syndrome 9 (SOS2)
- Noonan syndrome [panelapp] (RASA2)
- Noonan syndrome-like disorder +/- juvenile myelomonocytic leukemia (CBL)
- Noonan syndrome-like disorder with loose anagen hair 2 (PPP1CB)
- Noonan syndrome-like with loose anagen hair 1 (SHOC2)
- Pituitary hormone deficiency, combined or isolated, 7 (RNPC3)
- Progressive external ophthalmoplegia with mitochondrial DNA deletions, AR 5 (TOP3A)
- Rabson-Mendenhall syndrome (INSR)
- Robinow syndrome, AD 1 (WNT5A)
- Rothmund-Thomson syndrome, type 1 (ANAPC1)
- SADDAN (FGFR3)
- SHORT syndrome (PIK3R1)
- Short stature with microcephaly and distinctive facies (CRIPT)
- Short stature with nonspecific skeletal abnormalities (NPR2)
- Short stature, IUGR [panelapp] (PADI6)
- Short stature, IUGR, failure to thrive, body asymmetry [panelapp] (NLRP5)
- Short stature, IUGR, fetal wastage [panelapp] (NLRP7)
- Short stature, advanced bone age, early-onset osteoarthritis and/or osteochondritis dissecans (ACAN)
- Short stature, idiopathic familial (SHOX)
- Short stature, optic nerve atrophy +Pelger-Huet anomaly (NBAS)
- Silver-Russell syndrome 3 (IGF2)
- Silver-Russell syndrome 4 (PLAG1)
- Silver-Russell syndrome 5 (HMGA2)
- Spondyloepimetaphyseal dysplasia, aggrecan type (ACAN)
- Spondyloepiphyseal dysplasia, Kimberley type (ACAN)
- Stickler syndrome, type IV (COL9A1)
- Syndromic ID, short stature [panelapp] (RAP1B)
- Thanatophoric dysplasia, type I + II (FGFR3)
- XFE progeroid syndrome (ERCC4)
- AD
- AR
- Gen Fusion
- PD/PR
- XL
- XLR
- Multiple OMIM-Ps
Bioinformatics and clinical interpretation
Test-Stärken
- DAkkS-akkreditiertes Labor
- EU-Richtlinie für IVD in Umsetzung
- Qualitäts-kontrolliert arbeitendes Personal
- Leistungsstarke Sequenzierungstechnologien, fortschrittliche Target-Anreicherungsmethoden und Präzisions-Bioinformatik-Pipelines sorgen für überragende analytische Leistung
- Sorgfältige Kuratierung klinisch relevanter und wissenschaftlich begründeter Gen-Panels
- eine Vielzahl nicht Protein-kodierender Varianten, die in unseren klinischen NGS-Tests mit erfasst werden
- unser strenges Variantenklassifizierungsschema nach ACMG-Kriterien
- unser systematischer klinischer Interpretations-Workflow mit proprietärer Software ermöglicht die genaue und nachvollziehbare Verarbeitung von NGS-Daten
- unsere umfassenden klinischen Aussagen
Testeinschränkungen
- Gene mit eingeschränkter Abdeckung werden gekennzeichnet
- Gene mit kompletten oder partiellen Duplikationen werden gekennzeichnet
- es wird angenommen, dass ein Gen suboptimal abgedeckt ist, wenn >90% der Nukleotide des Gens bei einem Mapping-Qualitätsfaktor von >20 (MQ>20) nicht abgedeckt sind
- die Sensitivität der Diagnostik zur Erkennung von Varianten mit genannten Testeinschränkungen ist möglicherweise begrenzt bei:
- Gen-Konversionen
- komplexe Inversionen
- Balancierte Translokationen
- Mitochondriale Varianten
- Repeat-Expansionen, sofern nicht anders dokumentiert
- nicht kodierende Varianten, die Krankheiten verursachen, die von diesem Panel nicht mit abgedeckt werden
- niedriger Mosaik-Status
- Repeat-Blöcke von Mononukleotiden
- Indels >50bp (Insertionen-Deletionen)
- Deletionen oder Duplikationen einzelner Exons
- Varianten innerhalb von Pseudogenen
- die analytische Sensitivität kann geringer ausfallen werden, wenn die DNA nicht von amedes genetics extrahiert wurde
Laboratory requirement
Die in grün gezeigten Gene sind kuratiert und werden als Gen-Panel untersucht. Eine Erweiterung des Panels (blau gezeigte Gene, jeweils ebenfalls kuratiert) kann auf Anfrage erfolgen. Sofern unter "Erweitertes Panel" ein Minuszeichen angezeigt wird, sind nur Core-/Basis-Gene verfügbar.
Für die Anforderung einer genetischen Untersuchung senden Sie uns bitte die Krankheits-ID auf einem Überweisungsschein. Bitte die Material-Angabe beachten.
Für privat versicherte Patienten empfehlen wir einen Antrag auf Kostenübernahme bei der Krankenversicherung.
Die Untersuchung wird auch für Selbstzahler angeboten.