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Interdisciplinary CompetenceMolecular Diagnostics
Know how in the analysis of genetic material.
For the benefit of patients.

IllnessMarfan syndrome, differential diagnosis

Summary

Short information

Comprehensive differential diagnostic panel for Marfan syndrome comprising 5 or altogether 15 curated genes according to the clinical signs

ID
MP0500
Number of genes
15 Accredited laboratory test
Examined sequence length
14,4 kb (Core-/Core-canditate-Genes)
54,4 kb (Extended panel: incl. additional genes)
Analysis Duration
on request
Material
  • EDTA-anticoagulated blood (3-5 ml)
Diagnostic indications

NGS +

[Sanger]

 

Gene panel

Selected genes

NameExon Length (bp)OMIM-GHeredity
FBN18616AD
SMAD31278AD
TGFB21245AD
TGFBR11512AD
TGFBR21704AD
CBS1656AR
COL3A14401AD
COL5A15517AD
COL5A24500AD
FBN28739AD
FLNA7920XL
PLOD12184AR
SKI2187AD
SLC2A101626AR
TGFB31239AD

Informations about the disease

Clinical Comment

Marfan syndrome (MFS) is a systemic disease of the connective tissue with variously combined symptoms of the heart, circulation, muscles, skeleton, eyes and lungs. The age at which it first manifests is variable; the first symptoms can occur at any age. Cardiovascular involvement is characterised by (i) progressive dilatation of the aorta with increased risk of prognostic aortic dissection and aortic valve insufficiency; and (ii) mital insufficiency with arrhythmias, endocarditis and heart failure. Skeletal involvement (including regrowth, arachnodactyly, hyperextensible joints, scoliosis) is often the first sign of disease. Symptoms of eye involvement include axial myopia (with the risk of retinal detachment) and lens shift (ectopy or luxation). Other possible symptoms include skin (striae), a risk of pneumothorax and dura-ectasia. The "classic" MFS is caused by mutations in the FBN1 gene (approx. 95% mutation detection probability in patients who meet the clinical criteria for MFS). Important differential diagnoses are MASS syndrome, Shprintzen-Goldberg syndrome, mitral valve prolapse, Ehlers-Danlos syndrome and other diseases with aortic aneurysm, e.g. Loeys-Dietz syndromes.

Reference: https://www.ncbi.nlm.nih.gov/books/NBK1335/

 

Synonyms
  • Allelic: Acromicric dysplasia (FBN1)
  • Allelic: Anterior segment dysgenesis 2, multiple subtypes (FOXE3)
  • Allelic: Arrhythmogenic right ventricular dysplasia 1 (TGFB3)
  • Allelic: Cardiac valvular dysplasia, XL (FLNA)
  • Allelic: Cataract 34, multiple types (FOXE3)
  • Allelic: Colorectal cancer, hereditary nonpolyposis, type 6 (TGFBR2)
  • Allelic: Congenital short bowel syndrome (FLNA)
  • Allelic: Deafness, AD 13 (COL11A2)
  • Allelic: Deafness, AD 37 (COL11A1)
  • Allelic: Deafness, AR 53 (COL11A2)
  • Allelic: Ectopia lentis, familial (FBN1)
  • Allelic: Esophageal cancer, somatic (TGFBR2)
  • Allelic: FG syndrome 2 (FLNA)
  • Allelic: Frontometaphyseal dysplasia 1 (FLNA)
  • Allelic: Geleophysic dysplasia 2 (FBN1)
  • Allelic: Heterotopia, periventricular, 1 (FLNA)
  • Allelic: Intervertebral disc disease, susceptibility to (COL9A3)
  • Allelic: Intestinal pseudoobstruction, neuronal (FLNA)
  • Allelic: Lumbar disc herniation, susceptibility to (COL11A1)
  • Allelic: Macular degeneration, early-onset (FBN2)
  • Allelic: Marfan lipodystrophy syndrome (FBN1)
  • Allelic: Megacystis-microcolon-intestinal hypoperistalsis syndrome 1 (MYLK)
  • Allelic: Megacystis-microcolon-intestinal hypoperistalsis syndrome 2 (MYH11)
  • Allelic: Melnick-Needles syndrome (FLNA)
  • Allelic: Moyamoya disease 5 (ACTA2)
  • Allelic: Multiple self-healing squamous epithelioma, susceptibility to (TGFBR1)
  • Allelic: Multisystemic smooth muscle dysfunction syndrome (ACTA2)
  • Allelic: Otopalatodigital syndrome, type I (FLNA)
  • Allelic: Otopalatodigital syndrome, type II (FLNA)
  • Allelic: Polymicrogyria with or without vascular-type EDS (COL3A1)
  • Allelic: Stiff skin syndrome (FBN1)
  • Allelic: Terminal osseous dysplasia (FLNA)
  • Allelic: Thrombosis, hyperhomocysteinemic (CBS)
  • Allelic: Visceral myopathy 2 (MYH11)
  • Allelic: Weill-Marchesani syndrome 2, AD (FBN1)
  • Aortic aneurysm, familial thoracic 10 (LOX)
  • Aortic aneurysm, familial thoracic 11, susceptibility to (FOXE3)
  • Aortic aneurysm, familial thoracic 4 (MYH11)
  • Aortic aneurysm, familial thoracic 6 (ACTA2)
  • Aortic aneurysm, familial thoracic 7 (MYLK)
  • Aortic aneurysm, familial thoracic 8 (PRKG1)
  • Aortic aneurysm, familial thoracic 9 (MFAP5)
  • Arterial tortuosity syndrome (SLC2A10)
  • Contractural arachnodactyly, congenital (FBN2)
  • Ehlers-Danlos syndrome, classic type, 1 (COL5A1)
  • Ehlers-Danlos syndrome, classic type, 2 (COL5A2)
  • Ehlers-Danlos syndrome, kyphoscoliotic type, 1 (PLOD1)
  • Ehlers-Danlos syndrome, vascular type (COL3A1)
  • Epiphyseal dysplasia, multiple, 2 (COL9A2)
  • Epiphyseal dysplasia, multiple, 3, with or without myopathy (COL9A3)
  • Epiphyseal dysplasia, multiple, 6 (COL9A1)
  • Fibrochondrogenesis 1 (COL11A1)
  • Fibrochondrogenesis 2 (COL11A2)
  • Homocystinuria, B6-responsive and nonresponsive types (CBS)
  • Loeys-Dietz syndrome 1 (TGFBR1)
  • Loeys-Dietz syndrome 2 (TGFBR2)
  • Loeys-Dietz syndrome 3 (SMAD3)
  • Loeys-Dietz syndrome 4 (TGFB2)
  • Loeys-Dietz syndrome 5 (TGFB3)
  • MASS syndrome (FBN1)
  • Marfan syndrome (FBN1)
  • Marshall syndrome (COL11A1)
  • Meester-Loeys syndrome (BGN)
  • Otospondylomegaepiphyseal dysplasia, AD (COL11A2)
  • Otospondylomegaepiphyseal dysplasia, AR (COL11A2)
  • Platyspondylic skeletal dysplasia, Torrance type (COL2A1)
  • SED congenita (COL2A1)
  • SMED Strudwick type (COL2A1)
  • Shprintzen-Goldberg syndrome (SKI)
  • Spondyloepimetaphyseal dysplasia, XL (BGN)
  • Spondyloepiphyseal dysplasia, Stanescu type (COL2A1)
  • Spondyloperipheral dysplasia (COL2A1)
  • Stickler syndrome, type I (COL2A1)
  • Stickler syndrome, type I, nonsyndromic ocular (COL2A1)
  • Stickler syndrome, type II (COL11A1)
  • Stickler syndrome, type IV (COL9A1)
  • Stickler syndrome, type V (COL9A2)
Heredity, heredity patterns etc.
  • AD
  • AR
  • XL
OMIM-Ps
  • Multiple OMIM-Ps
ICD10 Code
Q87.4

Bioinformatics and clinical interpretation

No text defined