SMITH-MAGENIS SYNDROME

A fluorescent in situ hybridization (FISH) test is offered to identify the microdeletion on chromosome 17 (p11.2) associated with Smith-Magenis syndrome.

REASONS FOR REFERRAL:

Individuals with mid-face hypoplasia, brachycephaly, brachydactyly, otolaryngologic abnormalities, delayed speech and motor development, moderate to severe mental retardation, self-injurious behavior and sleep disturbances.

TESTING METHODOLOGY:

Fluorescence in situ hybridization (FISH) is the application of fluorescently-labeled DNA probes to metaphase chromosomes or interphase nuclei for the detection of chromosome abnormalities such as aneuploidy, structural rearrangements and microdeletions. Approximately 95% of patients with Smith-Magenis syndrome have deletions detected by FISH. The assay uses a probe located at 17p11.2 and a chromosome 17 control probe. Analysis is based on fluorescent signals present in 10 to 20 labeled metaphases.

SPECIMEN REQUIREMENTS:

            Newborn: minimum 1-2 mL

            Child/Adult: minimum 3-5 mL

TURNAROUND TIME: 10 days

CPT CODES: