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Essay on Marfan Syndrome: The Case of Joey Jones

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Case Report #1
Joey Jones, a 14-year-old African American child who just seems too tall, is referred to genetic clinic. A physical exam revealed the following parameters and features: Height = 6 ft, 4 in Weight = 125 lb Head circumference = 54 cm Arm span = 85 in Upper and lower limbs: Joint laxity and arachnodactyly Chest: Pectus excavatum Heart: Soft systolic murmur at the apex Abdomen: Soft, no hepatosplenomegaly, no masses
An ophthalmologic evaluation showed ectopia lentis and myopia. A cardiologic examination revealed a MVP.
His father was 6 feet, 8 inches tall and died suddenly last year in this 30s. An autopsy showed ruptured aortic aneurysm. A paternal aunt is tall and myopic. Joey’s younger brother is also quite tall …show more content…

The presence of an FBN1 mutation that is associated with cardiovascular disease will confirm the diagnosis of this condition in the patient.
The tests available for this condition are:
1. FBN1 mutation scanning/ Sequence analysis – this test detects sequence variants and has a mutation detection frequency of 70 – 93%.
2. Complementary DNA sequence analysis – This test detects sequence variants and has a mutation detection frequency of 70 – 93%.
3. Deletion/duplication analysis – This test detects exonic and whole gene deletions. The mutation detection frequency for this test is unknown.

The preferred method of testing for this condition is Sequence analysis of FBN1.

Some laboratories that offer this testing are:
1. Mayo Clinic: This laboratory offers FBN1 full sequence analysis. [http://www.mayomedicallaboratories.com/test-catalog/Overview/89308]
2. ARUP laboratories: This laboratory offers FBN1 sequence analysis as well as Deletion/Duplication analysis. [http://ltd.aruplab.com/Tests/Pub/2005584]
3. Quest diagnostics: This laboratory offers FBN1 full gene sequence analysis. [http://www.questdiagnostics.com/testcenter/BUOrderInfo.action?tc=29635&labCode=QDV]
4. Greenwood Genetic Center: This laboratory offers FBN1 sequence analysis. [http://www.ggc.org/diagnostic/tests-costs/test-finder/marfan-syndrome-fbn1-sequencing.html]

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