ARUP's Laboratory Test Directory

Achondroplasia (FGFR3) 2 Mutations : 0051266
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Additional Technical Information
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Patient History For Molecular Genetic Testing


Mnemonic: AD PCR

Ordering Recommendation: Rule out achondroplasia.
Methodology: Polymerase Chain Reaction/Fluorescence Resonance Energy Transfer
Performed: Mon, Thu
Reported: 2-7 days
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).

Specimen Preparation: Do not freeze. Transport 3 mL whole blood. (Min: 1 mL)

Storage/Transport Temperature: Refrigerated.

Remarks:

Unacceptable Conditions: Serum. Frozen specimens. Hemolyzed specimens.

Stability (collection to initiation of testing): Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable

Reference Interval:
By report
Interpretive Data: Background information for Achondroplasia (FGFR3) 2 Mutations:
Characteristics:
Short stature with disproportionately short arms and legs, a large head, usually normal life span and intelligence; increased risk for death in infancy from compression of spinal cord and/or upper airway obstruction.
Incidence:
1:25,000
Inheritance:
Autosomal dominant; 80 percent arise from de novo mutations.
Penetrance:
100 percent
Cause:
Pathogenic FGFR3 gene mutation
Clinical Sensitivity:
Two mutations, c.1138G>A and c.1138G>C, in the FGFR3 gene account for greater than 99 percent of cases.
Methodology:
PCR and fluorescent hybridization probes.
Analytical Sensitivity and Specificity:
Greater than 99 percent
Limitations:
Mutations other than c.1138G>A and c.1138G>C will not be detected.

This test is performed pursuant to an agreement with Roche Molecular Systems, Inc.



Counseling and informed consent are recommended for genetic testing. Consent forms are available online at www.aruplab.com.

See Compliance Statement C: www.aruplab.com/CS
CPT Code(s): 81401