XomeDxSlice Tool

Now Available - NEW XomeDxSlice Xpanded – Custom slice testing with trio analysis for lists >150 genes.

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Phenotypes
Choreoathetosis

Select all: Gene symbolChrAvg % covered at 10xLocus TypeNoteOMIMPrevious symbol(s)Phenotype(s)Slice(s)
ARXXp21.399.72%gene with protein product300382MRXS1, PRTS, MRX76, MRX54, MRX43, MRX36, MRX29, MRX32, MRX33, MRX38, MRX87Abnormal hair pattern; Abnormality of skin morphology; Abnormality of the hip bone; Abnormally large globe; Agenesis of corpus callosum; Ambiguous genitalia; Broad alveolar ridges; Choreoathetosis; Coarse facial features; Cryptorchidism; Death in infancy; Decreased testicular size; Delayed speech and language development; Developmental regression; Diarrhea; Duane anomaly; Dysarthria; Dysphagia; Dyspnea; Dystonia; EEG abnormality; Epileptic encephalopathy; Feeding difficulties in infancy; Flexion contracture; Focal dystonia; Generalized hirsutism; Generalized hypotonia; Generalized myoclonic seizures; Gliosis; Global developmental delay; Hemiplegia; High forehead; High palate; Hirsutism; Hyperconvex nail; Hyperreflexia; Hypohidrosis; Hypoplasia of penis; Hypospadias; Hypsarrhythmia; Infantile spasms; Intellectual disability; Intellectual disability, progressive; Intellectual disability, severe; Limb dystonia; Limb joint contracture; Lissencephaly; Long philtrum; Long upper lip; Low anterior hairline; Low-set ears; Lower limb spasticity; Malabsorption; Microcephaly; Micrognathia; Micropenis; Muscle stiffness; Muscular hypotonia; Muscular hypotonia of the trunk; Myoclonus; Neonatal hypotonia; Nystagmus; Optic atrophy; Overlapping toe; Pachygyria; Profound global developmental delay; Prominent nasal bridge; Prominent supraorbital ridges; Protruding ear; Renal dysplasia; Rigidity; Scoliosis; Seizures; Severe global developmental delay; Short stature; Spastic tetraplegia; Spasticity; Specific learning disability; Status epilepticus; Strabismus; Synophrys; Tapered finger; Tetraplegia; Thin upper lip vermilion; Triangular face; Ventriculomegaly; Visual impairment; Wide anterior fontanel; Wide nasal bridge; X-linked inheritance; X-linked recessive inheritanceDisorders of Sex Development; Obesity
ATM11q22.399.93%gene with protein product607585ATA, ATDC, ATC, ATDAbnormal spermatogenesis; Abnormality of bone marrow cell morphology; Abnormality of chromosome stability; Abnormality of the hair; Anorexia; Aplasia/Hypoplasia of the thymus; Ataxia; Autosomal recessive inheritance; B-cell lymphoma; Bronchiectasis; Cafe-au-lait spot; Cellular immunodeficiency; Choreoathetosis; Conjunctival telangiectasia; Decreased antibody level in blood; Decreased proportion of CD4-positive T cells; Defective B cell differentiation; Delayed puberty; Diabetes mellitus; Dysarthria; Dystonia; Elevated alpha-fetoprotein; Elevated hepatic transaminases; Fatigue; Female hypogonadism; Fever; Gait disturbance; Glucose intolerance; Hodgkin lymphoma; Hypopigmentation of hair; Hypoplasia of the thymus; IgA deficiency; Immunoglobulin IgG2 deficiency; Leukemia; Lymphadenopathy; Lymphopenia; Mucosal telangiectasiae; Myoclonus; Neoplasm; Non-Hodgkin lymphoma; Nystagmus; Polycystic ovaries; Premature graying of hair; Recurrent bronchitis; Recurrent respiratory infections; Reduced tendon reflexes; Seizures; Short stature; Sinusitis; Skeletal muscle atrophy; Spasticity; Splenomegaly; Strabismus; Telangiectasia of the skin; Tremor; Weight lossAplastic Anemia ; Bone Marrow Failure Syndromes ; Primary Immunodeficiency
ATN112p13.31100%gene with protein productXomeDxSlice is not appropriate.607462D12S755E, DRPLAAtrophy of the dentate nucleus; Autosomal dominant inheritance; Choreoathetosis; Fetal cystic hygroma; Genetic anticipation
ATP1A21q23.2100%gene with protein product182340MHP2Abnormality of movement; Aphasia; Apraxia; Ataxia; Autosomal dominant inheritance; Blurred vision; Choreoathetosis; Coma; Confusion; Diplopia; Drowsiness; Dysarthria; Dysphasia; Dystonia; Episodic ataxia; Episodic hemiplegia; Episodic quadriplegia; Fever; Generalized tonic-clonic seizures; Hemiparesis; Hemiplegia; Hemiplegia/hemiparesis; Heterogeneous; Incomplete penetrance; Intellectual disability; Mental deterioration; Migraine with aura; Nystagmus; Seizures; Transient unilateral blurring of vision; Vertigo
ATP1A319q13.2100%gene with protein product182350DYT12Anxiety; Areflexia; Ataxia; Autosomal dominant inheritance; Blindness; Bradykinesia; Choreoathetosis; Depressivity; Drooling; Dysarthria; Dysmetria; Dysphagia; Dystonia; Emotional lability; Encephalopathy; Episodic ataxia; Episodic generalized hypotonia; Episodic quadriplegia; Gait ataxia; Global developmental delay; Hemiparesis; Hemiplegia; Hypomimic face; Incomplete penetrance; Intellectual disability; Mental deterioration; Muscle weakness; Mutism; Nystagmus; Optic atrophy; Parkinsonism; Pes cavus; Postural instability; Progressive sensorineural hearing impairment; Progressive visual loss; Sensorineural hearing impairment; Status epilepticus; Torticollis; Truncal ataxia; Unsteady gait; Young adult onset
C19ORF7019p13.3100%gene with protein product6166583-Methylglutaconic aciduria; Ataxia; Choreoathetosis; Dysarthria; Intellectual disability; Nystagmus; Spastic paraparesis; Visual impairment
DCAF172q31.1100%gene with protein product612515C2orf37Abnormal spermatogenesis; Abnormal T-wave; Abnormality of extrapyramidal motor function; Alopecia; Aplasia/Hypoplasia of the eyebrow; Autosomal recessive inheritance; Bilateral sensorineural hearing impairment; Choreoathetosis; Decreased serum estradiol; Decreased serum insulin-like growth factor 1; Decreased serum testosterone level; Decreased testicular size; Diabetes mellitus; Dysarthria; Dystonia; Fine hair; Hypergonadotropic hypogonadism; Hyperlipidemia; Hypogonadotrophic hypogonadism; Hypoplasia of the fallopian tube; Hypoplasia of the uterus; Hypothyroidism; Increased thyroid-stimulating hormone level; Insulin-resistant diabetes mellitus; Intellectual disability; Mental deterioration; Micropenis; Phenotypic variability; Premature ovarian insufficiency; Protruding ear; Sensorineural hearing impairment; Sparse hair; Streak ovary
DCAF172q31.1100%gene with protein product612515C2orf37Abnormal spermatogenesis; Abnormal T-wave; Abnormality of extrapyramidal motor function; Alopecia; Aplasia/Hypoplasia of the eyebrow; Autosomal recessive inheritance; Bilateral sensorineural hearing impairment; Choreoathetosis; Decreased serum estradiol; Decreased serum insulin-like growth factor 1; Decreased serum testosterone level; Decreased testicular size; Diabetes mellitus; Dysarthria; Dystonia; Fine hair; Hypergonadotropic hypogonadism; Hyperlipidemia; Hypogonadotrophic hypogonadism; Hypoplasia of the fallopian tube; Hypoplasia of the uterus; Hypothyroidism; Increased thyroid-stimulating hormone level; Insulin-resistant diabetes mellitus; Intellectual disability; Mental deterioration; Micropenis; Phenotypic variability; Premature ovarian insufficiency; Protruding ear; Sensorineural hearing impairment; Sparse hair; Streak ovary
DDC7p12.2-p12.199.99%gene with protein product107930Autosomal recessive inheritance; Babinski sign; Choreoathetosis; Constipation; Decreased CSF homovanillic acid; Diarrhea; Emotional lability; Feeding difficulties in infancy; Gastroesophageal reflux; Global developmental delay; Hyperhidrosis; Hyperreflexia; Hypotension; Infantile onset; Intermittent hypothermia; Irritability; Limb dystonia; Limb hypertonia; Miosis; Muscular hypotonia of the trunk; Myoclonus; Nasal obstruction; Ptosis; Sleep disturbance; Temperature instability
DLAT11q23.1100%gene with protein product608770DLTAAtaxia; Autosomal recessive inheritance; Choreoathetosis; Decreased activity of the pyruvate dehydrogenase complex; Delayed gross motor development; Drooling; Global developmental delay; Hyperreflexia; Infantile onset; Intellectual disability, mild; Jerky head movements; Lactic acidosis; Microcephaly; Neonatal hypotonia; Nystagmus; Oculomotor apraxia; Paroxysmal dystonia; Poor speech; Ptosis; Very rare
ELP218q12.299.97%gene with protein product616054STATIP1Aggressive behavior; Autosomal recessive inheritance; Choreoathetosis; Congenital onset; Progressive
ERCC219q13.32100%gene with protein product126340XPDAbnormal nasal morphology; Abnormality of amino acid metabolism; Abnormality of immune system physiology; Abnormality of the dentition; Abnormality of the thorax; Aplasia/Hypoplasia of the cerebellum; Arteriosclerosis; Arthralgia; Arthrogryposis multiplex congenita; Asthma; Ataxia; Autosomal recessive inheritance; Basal cell carcinoma; Brittle hair; Cachexia; Camptodactyly of finger; Cataract; Cerebral calcification; Cerebral cortical atrophy; Choreoathetosis; Chronic diarrhea; Cognitive impairment; Confusion; Congenital nonbullous ichthyosiform erythroderma; Conjunctival telangiectasia; Cryptorchidism; Cutaneous photosensitivity; Death in childhood; Death in infancy; Deeply set eye; Defective DNA repair after ultraviolet radiation damage; Delayed speech and language development; Demyelinating peripheral neuropathy; Dermal atrophy; Developmental regression; Diplopia; Dry skin; Dysarthria; Ectropion; EEG abnormality; Entropion; Erythema; Erythroderma; Everted lower lip vermilion; Failure to thrive; Fatigue; Feeding difficulties in infancy; Fever; Fine hair; Flexion contracture; Fragile nails; Freckling; Global developmental delay; Hearing impairment; Hydrocephalus; Hyperkeratosis; Hypermelanotic macule; Hypertonia; Hypogonadism; Hypopigmented skin patches; Hyporeflexia; IgG deficiency; Intellectual disability; Intellectual disability, progressive; Intestinal obstruction; Intrauterine growth retardation; Joint stiffness; Keratitis; Kyphoscoliosis; Lack of subcutaneous fatty tissue; Large beaked nose; Malabsorption; Melanoma; Mental deterioration; Microcephaly; Micrognathia; Micropenis; Microphthalmia; Muscular hypotonia; Nail dystrophy; Numerous pigmented freckles; Nystagmus; Optic atrophy; Papilloma; Photophobia; Poikiloderma; Prematurely aged appearance; Prominent metopic ridge; Recurrent infections; Reduced tendon reflexes; Retinopathy; Retrognathia; Rocker bottom foot; Scrotal hypoplasia; Seizures; Sensorineural hearing impairment; Severe global developmental delay; Short neck; Short stature; Skin rash; Small for gestational age; Small nail; Sparse hair; Spasticity; Squamous cell carcinoma; Squamous cell carcinoma of the skin; Strabismus; Telangiectasia; Telangiectasia of the skin; Thin skin; Trichorrhexis nodosa; Urticaria; Visual impairment; Wide nasal bridgeEctodermal Dysplasia ; Palmoplantar keratoderma plus congenital ichthyosis
ERCC610q11.23100%gene with protein product609413CKN2Abnormal auditory evoked potentials; Abnormal nasal morphology; Abnormal peripheral myelination; Abnormality of immune system physiology; Abnormality of skin pigmentation; Abnormality of the hair; Abnormality of the pinna; Abnormality of visual evoked potentials; Agenesis of corpus callosum; Anhidrosis; Aplasia/Hypoplasia of the cerebellum; Areflexia; Arrhythmia; Arthrogryposis multiplex congenita; Ataxia; Atypical scarring of skin; Autosomal dominant inheritance; Autosomal recessive inheritance; Basal ganglia calcification; Blepharophimosis; Camptodactyly; Camptodactyly of finger; Carious teeth; Cataract; Cerebellar atrophy; Cerebellar calcifications; Cerebellar hypoplasia; Cerebral atrophy; Cerebral calcification; Cerebral cortical atrophy; Choreoathetosis; Conjunctivitis; Coxa valga; Cryptorchidism; Cutaneous photosensitivity; Death in childhood; Death in infancy; Decreased lacrimation; Decreased nerve conduction velocity; Deep longitudinal plantar crease; Deeply set eye; Defective DNA repair after ultraviolet radiation damage; Delayed eruption of primary teeth; Delayed myelination; Dental malocclusion; Dermal atrophy; Dry hair; Dry skin; Ectropion; Elbow flexion contracture; Elevated circulating follicle stimulating hormone level; Entropion; Everted lower lip vermilion; Failure to thrive; Feeding difficulties in infancy; Freckling; Generalized hypotonia; Gliosis; Gonadal hypoplasia; Hepatomegaly; Heterogeneous; Hirsutism; Hypermetropia; Hypertension; Hypertonia; Hypogonadism; Hypoplasia of teeth; Hypoplasia of the iris; Hypoplastic iliac wing; Hypoplastic pelvis; Hyporeflexia; Increased cellular sensitivity to UV light; Infantile onset; Intellectual disability; Intellectual disability, profound; Intrauterine growth retardation; Ivory epiphyses of the phalanges of the hand; Joint contracture of the hand; Joint stiffness; Keratitis; Knee flexion contracture; Kyphoscoliosis; Kyphosis; Limitation of joint mobility; Long philtrum; Loss of facial adipose tissue; Mandibular prognathia; Mental deterioration; Microcephaly; Microcornea; Micrognathia; Micropenis; Microphthalmia; Muscle weakness; Muscular hypotonia; Neoplasm; Normal pressure hydrocephalus; Nystagmus; Oligomenorrhea; Olivopontocerebellar atrophy; Opacification of the corneal stroma; Optic atrophy; Osteoporosis; Patchy demyelination of subcortical white matter; Peripheral dysmyelination; Photophobia; Pigmentary retinopathy; Pigmentation anomalies of sun-exposed skin; Poikiloderma; Polyneuropathy; Postnatal growth retardation; Progeroid facial appearance; Prominent metopic ridge; Prominent nasal bridge; Proteinuria; Reduced subcutaneous adipose tissue; Reduced tendon reflexes; Renal insufficiency; Rocker bottom foot; Second metatarsal posteriorly placed; Secondary amenorrhea; Seizures; Sensorineural hearing impairment; Severe failure to thrive; Severe global developmental delay; Severe short stature; Short neck; Short stature; Slender nose; Sloping forehead; Small for gestational age; Sparse hair; Spasticity; Splenomegaly; Square pelvis bone; Strabismus; Subcortical white matter calcifications; Telangiectasia; Thickened calvaria; Thin vermilion border; Tremor; Visual impairment; Wide intermamillary distance; Wide nasal bridgeAplastic Anemia ; Bone Marrow Failure Syndromes
FRRS1L9q31.399.99%gene with protein product604574C9orf4Absent speech; Autosomal recessive inheritance; Cerebellar atrophy; Cerebral atrophy; Choreoathetosis; Developmental regression; Epileptic encephalopathy; Gait disturbance; Generalized hypotonia; Global developmental delay; Intellectual disability; Myoclonus; Rigidity; Spasticity
FTL19q13.33100%gene with protein product134790Abnormality of metabolism/homeostasis; Anarthria; Ataxia; Autosomal dominant inheritance; Autosomal recessive inheritance; Babinski sign; Blepharospasm; Bradykinesia; Cataract; Cavitation of the basal ganglia; Chorea; Choreoathetosis; Congenital nuclear cataract; Decreased serum ferritin; Dementia; Disinhibition; Dysarthria; Dysphagia; Dysphonia; Dystonia; Emotional lability; Gait disturbance; Hyperreflexia; Hypomimic face; Increased serum ferritin; Laryngeal dystonia; Mutism; Neurodegeneration; Optic atrophy; Orofacial dyskinesia; Parkinsonism; Phenotypic variability; Progressive; Retinal degeneration; Rigidity; Spastic diplegia; Spasticity; Tremor
GCDH19p13.13100%gene with protein product608801Abnormal facial shape; Abnormality of extrapyramidal motor function; Autosomal recessive inheritance; Choreoathetosis; Delayed myelination; Dilation of lateral ventricles; Dyskinesia; Dystonia; Encephalopathy; Failure to thrive; Feeding difficulties in infancy; Generalized hypotonia; Glutaric acidemia; Glutaric aciduria; Hepatomegaly; Hypoglycemia; Infantile encephalopathy; Irritability; Joint dislocation; Ketonuria; Ketosis; Large fontanelles; Macrocephaly; Metabolic acidosis; Muscular hypotonia; Opisthotonus; Prominent forehead; Rigidity; Spastic diplegia; Spasticity; Symmetrical progressive peripheral demyelination; Vomiting
GCDH19p13.13100%gene with protein product608801Abnormal facial shape; Abnormality of extrapyramidal motor function; Autosomal recessive inheritance; Choreoathetosis; Delayed myelination; Dilation of lateral ventricles; Dyskinesia; Dystonia; Encephalopathy; Failure to thrive; Feeding difficulties in infancy; Generalized hypotonia; Glutaric acidemia; Glutaric aciduria; Hepatomegaly; Hypoglycemia; Infantile encephalopathy; Irritability; Joint dislocation; Ketonuria; Ketosis; Large fontanelles; Macrocephaly; Metabolic acidosis; Muscular hypotonia; Opisthotonus; Prominent forehead; Rigidity; Spastic diplegia; Spasticity; Symmetrical progressive peripheral demyelination; Vomiting
GCH114q22.297.74%gene with protein product600225GCH, DYT5, DYT14Abnormality of eye movement; Abnormality of the substantia nigra; Anxiety; Autosomal dominant inheritance; Autosomal recessive inheritance; Babinski sign; Brisk reflexes; Childhood onset; Choreoathetosis; Decreased CSF homovanillic acid; Depressivity; Dysphagia; Dystonia; Episodic fever; Excessive salivation; Fatigue; Gait ataxia; Global developmental delay; Hearing impairment; Heterogeneous; Hyperkinesis; Hyperphenylalaninemia; Hyperreflexia; Infantile onset; Intellectual disability, progressive; Irritability; Lethargy; Limb dystonia; Limb hypertonia; Lower limb hyperreflexia; Parkinsonism; Parkinsonism with favorable response to dopaminergic medication; Pes cavus; Phenotypic variability; Postural tremor; Progressive neurologic deterioration; Rigidity; Scoliosis; Seizures; Severe muscular hypotonia; Sleep disturbance; Talipes equinovarus; Torticollis; Transient hyperphenylalaninemia; Tremor; Variable expressivity
GJC21q42.1398.69%gene with protein product608803GJA12Ataxia; Autosomal dominant inheritance; Autosomal recessive inheritance; Babinski sign; Cellulitis; Cerebral atrophy; Cerebral hypomyelination; Choreoathetosis; Cognitive impairment; Constipation; Decreased motor nerve conduction velocity; Demyelinating motor neuropathy; Distal sensory impairment; Dysarthria; Dysmetria; Dystonia; Facial palsy; Global developmental delay; Head titubation; Hyperreflexia; Incomplete penetrance; Infantile onset; Intention tremor; Leukodystrophy; Lower limb spasticity; Lymphedema; Motor delay; Muscular hypotonia of the trunk; Myopia; Optic atrophy; Pes cavus; Poor speech; Progressive spasticity; Recurrent skin infections; Rigidity; Rotary nystagmus; Scoliosis; Seizures; Sensorineural hearing impairment; Sensory axonal neuropathy; Slow saccadic eye movements; Spastic gait; Spastic paraparesis; Spastic paraplegia; Upper limb spasticity; Urinary incontinence
GUF14p1299.89%gene with protein product617064Abnormality of skin morphology; Autosomal recessive inheritance; Cerebral cortical atrophy; Choreoathetosis; Developmental regression; Epileptic encephalopathy; Hypsarrhythmia; Infantile spasms; Intellectual disability, profound; Myoclonus; Seizures; Spasticity
HPRT1Xq26.2-q26.396.85%gene with protein product308000HPRTAbnormality of extrapyramidal motor function; Abnormality of movement; Anemia; Behavioral abnormality; Choreoathetosis; Dysarthria; Dysphagia; Dystonia; Generalized hypotonia; Gout; Hematuria; Hemiplegia/hemiparesis; Hyperreflexia; Hyperuricosuria; Intellectual disability; Intellectual disability, mild; Intellectual disability, moderate; Megaloblastic anemia; Motor delay; Nephrolithiasis; Opisthotonus; Podagra; Renal insufficiency; Short stature; Spasticity; Testicular atrophy; Vomiting; X-linked recessive inheritance
HSD17B10Xp11.22100%gene with protein product300256HADH2, MRXS10Abnormality of movement; Aggressive behavior; Agitation; Arachnodactyly; Behavioral abnormality; Broad-based gait; Cerebral cortical atrophy; Choreoathetosis; Delayed speech and language development; Developmental regression; Dysarthria; Generalized hypotonia; Global developmental delay; Hallucinations; Hyperreflexia; Hypertrophic cardiomyopathy; Hypoglycemia; Infantile axial hypotonia; Infantile onset; Intellectual disability; Lactic acidosis; Lumbar hyperlordosis; Metabolic acidosis; Motor delay; Nystagmus; Optic atrophy; Phenotypic variability; Progressive neurologic deterioration; Psychosis; Retinal degeneration; Seizures; Sensorineural hearing impairment; Spastic tetraplegia; Spasticity; Visual loss; X-linked dominant inheritance; X-linked recessive inheritance
HSD17B10Xp11.22100%gene with protein product300256HADH2, MRXS10Abnormality of movement; Aggressive behavior; Agitation; Arachnodactyly; Behavioral abnormality; Broad-based gait; Cerebral cortical atrophy; Choreoathetosis; Delayed speech and language development; Developmental regression; Dysarthria; Generalized hypotonia; Global developmental delay; Hallucinations; Hyperreflexia; Hypertrophic cardiomyopathy; Hypoglycemia; Infantile axial hypotonia; Infantile onset; Intellectual disability; Lactic acidosis; Lumbar hyperlordosis; Metabolic acidosis; Motor delay; Nystagmus; Optic atrophy; Phenotypic variability; Progressive neurologic deterioration; Psychosis; Retinal degeneration; Seizures; Sensorineural hearing impairment; Spastic tetraplegia; Spasticity; Visual loss; X-linked dominant inheritance; X-linked recessive inheritance
HSPD12q33.199.98%gene with protein product118190SPG13Apnea; Autosomal dominant inheritance; Autosomal recessive inheritance; Babinski sign; Choreoathetosis; Feeding difficulties in infancy; Flexion contracture; Generalized hypotonia; Global developmental delay; Hyperreflexia; Hyperreflexia in upper limbs; Impaired vibration sensation in the lower limbs; Intellectual disability, profound; Leukodystrophy; Lower limb muscle weakness; Lower limb spasticity; Neonatal onset; Nystagmus; Postnatal microcephaly; Progressive; Progressive spasticity; Seizures; Spastic gait; Spastic paraplegia; Strabismus; Urinary bladder sphincter dysfunction; Urinary incontinence; Urinary urgency
KCNQ220q13.33100%gene with protein product602235EBN, EBN1Abnormal globus pallidus morphology; Abnormality of vision; Apnea; Autosomal dominant inheritance; Cerebral edema; Choreoathetosis; Deeply set eye; Dysesthesia; Dyskinesia; Dystonia; EEG with burst suppression; Epileptic encephalopathy; Epileptic spasms; Facial erythema; Feeding difficulties; Focal clonic seizures; Generalized hypotonia; Generalized tonic seizures; Generalized tonic-clonic seizures; Global developmental delay; Heterogeneous; Hypertonia; Inability to walk; Infantile onset; Intellectual disability; Muscular hypotonia; Myoclonus; Myokymia; Neonatal onset; Pallor; Phenotypic variability; Poor gross motor coordination; Profound global developmental delay; Reduced consciousness/confusion; Seizures; Spastic tetraparesis
KCNQ38q24.22100%gene with protein product602232EBN2Abnormality of vision; Autosomal dominant inheritance; Choreoathetosis; Deeply set eye; Dysesthesia; Dyskinesia; Focal clonic seizures; Generalized tonic-clonic seizures; Hypertonia; Muscular hypotonia; Myoclonus; Reduced consciousness/confusion; Seizures
MECP2Xq28100%gene with protein product300005RTT, MRX16, MRX79Abnormal T-wave; Abnormality of chromosome segregation; Abnormality of metabolism/homeostasis; Abnormality of movement; Abnormality of the antitragus; Abnormality of the dentition; Abnormality of the fingernails; Abnormality of the metacarpal bones; Absent speech; Anxiety; Aplasia/Hypoplasia of the cerebellum; Apnea; Apraxia; Ataxia; Autism; Autistic behavior; Babinski sign; Blepharophimosis; Brachycephaly; Bruxism; Cachexia; Camptodactyly of finger; Central hypoventilation; Cerebral cortical atrophy; Chorea; Choreoathetosis; Clinodactyly of the 5th finger; Congenital onset; Constipation; Cryptorchidism; Delayed skeletal maturation; Delayed speech and language development; Dementia; Depressed nasal bridge; Depressivity; Developmental regression; Drooling; Dysphagia; Dysphasia; Dystonia; EEG abnormality; Encephalopathy; Epicanthus; Everted lower lip vermilion; Excessive salivation; Facial hypotonia; Failure to thrive; Feeding difficulties in infancy; Fine hair; Gait apraxia; Gait ataxia; Gait disturbance; Gastroesophageal reflux; Global developmental delay; Hearing impairment; Hernia of the abdominal wall; High palate; Hyperreflexia; Hypospadias; Infantile muscular hypotonia; Intellectual disability; Intellectual disability, mild; Intellectual disability, profound; Intellectual disability, progressive; Intellectual disability, severe; Intermittent hyperventilation; Kyphosis; Long philtrum; Low-set ears; Macrocephaly; Macroorchidism; Macrotia; Malar flattening; Microcephaly; Micrognathia; Midface retrusion; Motor deterioration; Muscular hypotonia of the trunk; Myoclonus; Narrow mouth; Nephrolithiasis; Neurological speech impairment; Parkinsonism; Pectus excavatum; Pes cavus; Polymicrogyria; Poor eye contact; Postnatal microcephaly; Progressive; Progressive microcephaly; Progressive spasticity; Prolonged QTc interval; Psychosis; Ptosis; Recurrent respiratory infections; Respiratory insufficiency; Rigidity; Scoliosis; Seizures; Severe global developmental delay; Short foot; Short neck; Short stature; Shuffling gait; Skeletal muscle atrophy; Slow progression; Spastic gait; Spasticity; Stereotypy; Tented upper lip vermilion; Thick vermilion border; Tremor; Truncal ataxia; Underdeveloped nasal alae; Ventriculomegaly; Wide mouth; Wide nose; X-linked dominant inheritance; X-linked recessive inheritance
NADK25p13.299.99%gene with protein product615787C5orf33, NADKD1Autosomal recessive inheritance; Cerebral atrophy; Choreoathetosis; Cortical visual impairment; Death in infancy; Decreased plasma free carnitine; Dystonia; Encephalopathy; Failure to thrive; Global developmental delay; Hyperlysinemia; Leukodystrophy; Microcephaly; Muscular hypotonia; Neonatal hypotonia; Nystagmus; Seizures; Spasticity; Tetraplegia; Ventriculomegaly
NKX2-114q13.3100%gene with protein product600635NKX2A, BCH, TITF1Abdominal distention; Anxiety; Ataxia; Atrial septal defect; Autosomal dominant inheritance; Chorea; Choreoathetosis; Coarse facial features; Compensated hypothyroidism; Congenital hypothyroidism; Congenital onset; Constipation; Difficulty walking; Dysarthria; Dystonia; Fatigue; Feeding difficulties; Gait disturbance; Generalized hypotonia; Global developmental delay; Hypersomnia; Hypothyroidism; Increased thyroid-stimulating hormone level; Intellectual disability, severe; Juvenile onset; Large fontanelles; Macroglossia; Motor delay; Muscle weakness; Muscular hypotonia; Neonatal respiratory distress; Phenotypic variability; Recurrent respiratory infections; Respiratory distress; Short stature; Thyroid agenesis; Ventricular septal defect
NUP6219q13.33100%gene with protein product605815Autosomal recessive inheritance; Choreoathetosis; Developmental regression; Developmental stagnation; Dysphagia; Dystonia; Failure to thrive; Intellectual disability; Optic atrophy; Pendular nystagmus; Spasticity
OPA319q13.32100%gene with protein product6065803-Methylglutaconic aciduria; Abnormality of extrapyramidal motor function; Ataxia; Autosomal dominant inheritance; Autosomal recessive inheritance; Babinski sign; Cataract; Central scotoma; Cerebellar atrophy; Chorea; Choreoathetosis; Cognitive impairment; Dysarthria; Hyperreflexia; Intellectual disability; Muscle cramps; Nystagmus; Optic atrophy; Pain; Paresthesia; Posterior cortical cataract; Postural tremor; Reduced visual acuity; Spastic paraparesis; Spasticity; Tremor; Unsteady gait; Visual impairment
PANK220p13100%gene with protein product606157C20orf48, NBIA1Abnormal pyramidal signs; Abnormality of the foot; Acanthocytosis; Akinesia; Ataxia; Autosomal recessive inheritance; Behavioral abnormality; Blepharospasm; Bradykinesia; Cerebral degeneration; Choreoathetosis; Decreased circulating low-density lipoprotein levels; Decreased muscle mass; Dementia; Depressivity; Dysarthria; Dysphagia; Dysphonia; Dystonia; Eye of the tiger anomaly of globus pallidus; Eyelid apraxia; Facial grimacing; Feeding difficulties in infancy; Gait disturbance; Global brain atrophy; Global developmental delay; Hyperactivity; Hyperpigmentation of the skin; Juvenile onset; Motor tics; Myopathy; Neurodegeneration; Obsessive-compulsive trait; Optic atrophy; Orofacial dyskinesia; Pallidal degeneration; Parkinsonism; Pigmentary retinopathy; Rapidly progressive; Retinal degeneration; Rigidity; Rod-cone dystrophy; Slow progression; Spasticity; Tremor; Urinary incontinence
PDHA1Xp22.1299.65%gene with protein product300502PDHAAbnormality of eye movement; Agenesis of corpus callosum; Anteverted nares; Apneic episodes precipitated by illness, fatigue, stress; Basal ganglia cysts; Cerebral atrophy; Choreoathetosis; Chronic lactic acidosis; Decreased activity of the pyruvate dehydrogenase complex; Dystonia; Episodic ataxia; Flared nostrils; Frontal bossing; Generalized hypotonia; Global developmental delay; Hyperalaninemia; Increased CSF lactate; Increased serum lactate; Infantile onset; Intellectual disability; Lethargy; Long philtrum; Microcephaly; Phenotypic variability; Ptosis; Seizures; Severe lactic acidosis; Small for gestational age; Ventriculomegaly; Wide nasal bridge; X-linked dominant inheritance
PIGN18q21.3398.85%gene with protein product606097Abnormal cardiac septum morphology; Absent speech; Agenesis of corpus callosum; Amblyopia; Anal atresia; Anal stenosis; Anteverted nares; Aplasia/Hypoplasia of the nipples; Atrial septal defect; Autosomal recessive inheritance; Broad forehead; Cerebral atrophy; Cerebral cortical atrophy; Choreoathetosis; Cleft palate; Clinodactyly of the 5th finger; Coarse facial features; Congenital diaphragmatic hernia; Congenital onset; Corneal opacity; Cryptorchidism; Cupped ear; Depressed nasal bridge; Epicanthus; Frontal bossing; Gastroesophageal reflux; Generalized hypotonia; Global developmental delay; High palate; Hydrocele testis; Hydronephrosis; Hyperreflexia; Hypertelorism; Hypoplastic fingernail; Hyporeflexia; Intellectual disability; Large fleshy ears; Long philtrum; Low-set ears; Low-set, posteriorly rotated ears; Macrocephaly; Median cleft lip; Micrognathia; Multicystic kidney dysplasia; Narrow forehead; Non-midline cleft lip; Nystagmus; Open mouth; Overfolded helix; Patent ductus arteriosus; Polyhydramnios; Posteriorly rotated ears; Pulmonary hypoplasia; Seizures; Severe global developmental delay; Short distal phalanx of finger; Short neck; Short nose; Spasticity; Tented upper lip vermilion; Tetralogy of Fallot; Thickened nuchal skin fold; Thin vermilion border; Tremor; Variable expressivity; Wide intermamillary distance; Wide mouth; Wide nasal bridge
PLP1Xq22.299.97%gene with protein product300401SPG2, PLPAbnormal pyramidal signs; Abnormality of extrapyramidal motor function; Ataxia; Babinski sign; Bowel incontinence; Cerebral dysmyelination; Choreoathetosis; Degeneration of the lateral corticospinal tracts; Delayed speech and language development; Dysarthria; Dysmetria; Dysphagia; Dystonia; Failure to thrive; Flexion contracture; Generalized hypotonia; Global developmental delay; Head titubation; Hyperreflexia; Infantile onset; Intellectual disability; Juvenile onset; Lower limb muscle weakness; Lower limb spasticity; Microcephaly; Muscle weakness; Muscular hypotonia; Nystagmus; Optic atrophy; Pes cavus; Phenotypic variability; Progressive spastic quadriplegia; Psychomotor deterioration; Reduction of oligodendroglia; Rotary nystagmus; Scanning speech; Short stature; Skeletal muscle atrophy; Slow progression; Spastic gait; Spastic paraparesis; Spastic paraplegia; Spastic/hyperactive bladder; Spinocerebellar tract degeneration; Sudanophilic leukodystrophy; Tremor; X-linked recessive inheritance
PNPT12p16.199.1%gene with protein product610316DFNB70Absent speech; Autosomal recessive inheritance; Choreoathetosis; Decreased nerve conduction velocity; Dyskinesia; Dystonia; Growth delay; Hearing impairment; Hyporeflexia; Severe muscular hypotonia; Skeletal muscle atrophy
POLG15q26.1100%gene with protein productVariants in the POLG gene that have a possible association with valproate-induced toxicity are not routinely reported by this test, but are available upon request.1747633-Methylglutaconic aciduria; Abdominal distention; Abdominal pain; Abnormality of the cerebral white matter; Abnormality of the extraocular muscles; Abnormality of the hand; Abnormality of the mitochondrion; Abnormality of visual evoked potentials; Adult onset; Areflexia; Astrocytosis; Ataxia; Atrophic muscularis propria; Atrophy/Degeneration involving the spinal cord; Autosomal dominant inheritance; Autosomal recessive inheritance; Bile duct proliferation; Bradykinesia; Cachexia; Cataract; Cerebellar atrophy; Cerebral cortical neurodegeneration; Choreoathetosis; Cognitive impairment; Coma; Constipation; Cortical visual impairment; Cytochrome C oxidase-negative muscle fibers; Death in early adulthood; Decreased motor nerve conduction velocity; Decreased number of large peripheral myelinated nerve fibers; Decreased sensory nerve conduction velocity; Dementia; Demyelinating peripheral neuropathy; Depressivity; Developmental regression; Diarrhea; Dilated cardiomyopathy; Distal amyotrophy; Distal muscle weakness; Distal sensory impairment; Dysarthria; Dysphagia; Dysphonia; Easy fatigability; Elevated hepatic transaminases; Elevated serum creatine phosphokinase; EMG: myopathic abnormalities; Emotional lability; Epilepsia partialis continua; Ethylmalonic aciduria; Exercise intolerance; External ophthalmoplegia; Facial palsy; Failure to thrive; Focal seizures; Foot dorsiflexor weakness; Gait ataxia; Gastroesophageal reflux; Gastrointestinal dysmotility; Gastroparesis; Generalized amyotrophy; Generalized hypotonia; Generalized muscle weakness; Generalized tonic-clonic seizures; Gliosis; Global developmental delay; Hepatic failure; Hepatomegaly; Heterogeneous; Hyperalaninemia; Hypergonadotropic hypogonadism; Hypertonia; Hypointensity of cerebral white matter on MRI; Hyporeflexia; Impaired distal proprioception; Impaired distal vibration sensation; Increased CSF protein; Increased serum lactate; Increased variability in muscle fiber diameter; Infantile onset; Intermittent diarrhea; Intestinal pseudo-obstruction; Lactic acidosis; Leukoencephalopathy; Limb ataxia; Limb muscle weakness; Malabsorption; Malnutrition; Microcephaly; Micronodular cirrhosis; Microvesicular hepatic steatosis; Migraine; Mildly elevated creatine phosphokinase; Mitochondrial myopathy; Mitral regurgitation; Mitral valve prolapse; Multiple mitochondrial DNA deletions; Muscle fiber necrosis; Muscular hypotonia; Myoclonus; Nausea; Neuronal loss in central nervous system; Nystagmus; Paralysis; Paresthesia; Parkinsonism; Parkinsonism with favorable response to dopaminergic medication; Peripheral axonal neuropathy; Pes cavus; Phenotypic variability; Poor appetite; Positive Romberg sign; Premature ovarian insufficiency; Primary amenorrhea; Progressive; Progressive external ophthalmoplegia; Progressive gait ataxia; Progressive muscle weakness; Progressive spasticity; Proximal muscle weakness; Ptosis; Ragged-red muscle fibers; Rapidly progressive; Respiratory insufficiency due to muscle weakness; Resting tremor; Rigidity; Secondary amenorrhea; Seizures; Sensorimotor neuropathy; Sensorineural hearing impairment; Sensory ataxic neuropathy; Sensory axonal neuropathy; Skeletal muscle atrophy; Small intestinal dysmotility; Spastic paraparesis; Steppage gait; Subsarcolemmal accumulations of abnormally shaped mitochondria; Testicular atrophy; Variable expressivity; Vestibular dysfunction; Visual loss; Vomiting
PRRT216p11.2100%gene with protein product614386ICCA, DYT10Abnormality of movement; Abnormality of the face; Abnormality of vision; Absence seizures; Ataxia; Autosomal dominant inheritance; Choreoathetosis; Deeply set eye; Dysesthesia; Dyskinesia; Focal seizures; Generalized seizures; Hemiplegia/hemiparesis; Hyperactive deep tendon reflexes; Hypertonia; Incomplete penetrance; Migraine; Muscular hypotonia; Myoclonus; Normal interictal EEG; Nystagmus; Orofacial dyskinesia; Paresthesia; Paroxysmal choreoathetosis; Paroxysmal dyskinesia; Paroxysmal dystonia; Reduced consciousness/confusion; Seizures; Torsion dystonia
PRRT216p11.2100%gene with protein product614386ICCA, DYT10Abnormality of movement; Abnormality of the face; Abnormality of vision; Absence seizures; Ataxia; Autosomal dominant inheritance; Choreoathetosis; Deeply set eye; Dysesthesia; Dyskinesia; Focal seizures; Generalized seizures; Hemiplegia/hemiparesis; Hyperactive deep tendon reflexes; Hypertonia; Incomplete penetrance; Migraine; Muscular hypotonia; Myoclonus; Normal interictal EEG; Nystagmus; Orofacial dyskinesia; Paresthesia; Paroxysmal choreoathetosis; Paroxysmal dyskinesia; Paroxysmal dystonia; Reduced consciousness/confusion; Seizures; Torsion dystonia
PTS11q22.399.89%gene with protein product612719Ataxia; Autosomal recessive inheritance; Bradykinesia; Choreoathetosis; Dysphagia; Dystonia; Episodic fever; Excessive daytime somnolence; Excessive salivation; Global developmental delay; Hyperphenylalaninemia; Hyperreflexia; Infantile onset; Intellectual disability, progressive; Irritability; Microcephaly; Muscular hypotonia; Muscular hypotonia of the trunk; Opisthotonus; Parkinsonism; Poor suck; Progressive neurologic deterioration; Rigidity; Seizures; Small for gestational age; Tremor
QDPR4p15.32100%gene with protein product612676Autosomal recessive inheritance; Cerebral calcification; Choreoathetosis; Dysphagia; Dystonia; Episodic fever; Excessive salivation; Global developmental delay; Hyperphenylalaninemia; Hypertonia; Infantile onset; Intellectual disability; Irritability; Microcephaly; Muscular hypotonia; Myoclonus; Progressive neurologic deterioration; Seizures; Tremor; Variable expressivity
SCN2A2q24.399.9%gene with protein product182390SCN2A1, SCN2A2Abnormality of skin morphology; Abnormality of vision; Ataxia; Autosomal dominant inheritance; Choreoathetosis; Cutaneous photosensitivity; Cyanosis; Deeply set eye; Developmental regression; Dialeptic seizures; Dysesthesia; Dyskinesia; EEG abnormality; Epileptic encephalopathy; Febrile seizures; Focal clonic seizures; Focal seizures; Focal seizures, afebril; Generalized myoclonic seizures; Generalized tonic-clonic seizures; Generalized tonic-clonic seizures with focal onset; Global developmental delay; Hypertonia; Hypsarrhythmia; Infantile onset; Infantile spasms; Muscular hypotonia; Myoclonus; Neurodevelopmental delay; Normal interictal EEG; Obtundation status; Pschomotor retardation; Reduced consciousness/confusion; Seizures; Spastic tetraplegia; Status epilepticus; Tremor; Variable expressivity
SCN8A12q13.1399.99%gene with protein product600702MEDAbnormality of vision; Ataxia; Attention deficit hyperactivity disorder; Autism; Autosomal dominant inheritance; Choreoathetosis; Cognitive impairment; Deeply set eye; Developmental regression; Dysesthesia; Dyskinesia; Epileptic encephalopathy; Epileptic spasms; Focal seizures; Generalized hypotonia; Generalized seizures; Generalized tonic-clonic seizures; Global developmental delay; Hypertonia; Intellectual disability; Microcephaly; Migraine; Muscular hypotonia; Myoclonus; Normal interictal EEG; Paroxysmal choreoathetosis; Paroxysmal dyskinesia; Progressive microcephaly; Reduced consciousness/confusion; Seizures
SLC2A11p34.2100%gene with protein product138140GLUT1, GLUT, HTLVR, CSEAbnormal erythrocyte morphology; Absence seizures; Absent speech; Ataxia; Autosomal dominant inheritance; Cataract; Choreoathetosis; Confusion; Cyanosis; Delayed myelination; Delayed speech and language development; Dysarthria; Dystonia; EEG abnormality; Encephalopathy; Extrapyramidal dyskinesia; Generalized hyperreflexia; Global developmental delay; Headache; Hemiparesis; Hemolytic anemia; Hepatomegaly; Hyperactive deep tendon reflexes; Hyperreflexia; Hypoglycorrhachia; Inability to walk; Infantile onset; Intellectual disability; Jaundice; Lethargy; Microcephaly; Muscle stiffness; Nystagmus; Paralysis; Paresthesia; Paroxysmal dyskinesia; Paroxysmal involuntary eye movements; Progressive microcephaly; Seizures; Short stature; Spasticity; Splenomegaly; Status epilepticus; Torsion dystoniaHemolytic Anemia
SLC2A11p34.2100%gene with protein product138140GLUT1, GLUT, HTLVR, CSEAbnormal erythrocyte morphology; Absence seizures; Absent speech; Ataxia; Autosomal dominant inheritance; Cataract; Choreoathetosis; Confusion; Cyanosis; Delayed myelination; Delayed speech and language development; Dysarthria; Dystonia; EEG abnormality; Encephalopathy; Extrapyramidal dyskinesia; Generalized hyperreflexia; Global developmental delay; Headache; Hemiparesis; Hemolytic anemia; Hepatomegaly; Hyperactive deep tendon reflexes; Hyperreflexia; Hypoglycorrhachia; Inability to walk; Infantile onset; Intellectual disability; Jaundice; Lethargy; Microcephaly; Muscle stiffness; Nystagmus; Paralysis; Paresthesia; Paroxysmal dyskinesia; Paroxysmal involuntary eye movements; Progressive microcephaly; Seizures; Short stature; Spasticity; Splenomegaly; Status epilepticus; Torsion dystoniaHemolytic Anemia
SPR2p13.2100%gene with protein product182125Abnormality of the nose; Aggressive behavior; Ataxia; Autosomal dominant inheritance; Autosomal recessive inheritance; Bradykinesia; Choreoathetosis; Cognitive impairment; Delayed speech and language development; Drowsiness; Dysarthria; Dystonia; Global developmental delay; Growth delay; Hyperactivity; Hyperhidrosis; Hyperreflexia; Hypomimic face; Infantile onset; Intellectual disability; Limb hypertonia; Microcephaly; Motor delay; Muscle weakness; Muscular hypotonia of the trunk; Oculogyric crisis; Oculomotor apraxia; Ptosis; Rigidity; Seizures; Sleep disturbance; Spasticity; Temperature instability; Transient hyperphenylalaninemia; Tremor; Variable expressivity
ST3GAL52p11.2100%gene with protein product604402SIAT9Absent speech; Autosomal recessive inheritance; Choreoathetosis; Cortical visual impairment; Developmental regression; Developmental stagnation at onset of seizures; Failure to thrive; Feeding difficulties in infancy; Generalized hypotonia; Generalized tonic-clonic seizures; Global brain atrophy; Global developmental delay; Hypermelanotic macule; Hyporeflexia of upper limbs; Irritability; Lower limb hyperreflexia; Myoclonus; Optic atrophy; Status epilepticus; Visual loss; Vomiting
SUOX12q13.2100%gene with protein product606887Agitation; Ataxia; Autosomal recessive inheritance; Choreoathetosis; Death in infancy; Decreased urinary sulfate; Delayed eruption of teeth; Ectopia lentis; Eczema; Fine hair; Generalized dystonia; Generalized hypotonia; Global developmental delay; Hemiplegia; Hypertonia; Increased urinary sulfite; Infantile muscular hypotonia; Seizures; Sulfite oxidase deficiency
XPA9q22.33100%gene with protein product611153Abnormality of the dentition; Arthralgia; Ataxia; Autosomal recessive inheritance; Cataract; Choreoathetosis; Cognitive impairment; Conjunctival telangiectasia; Conjunctivitis; Cryptorchidism; Cutaneous photosensitivity; Defective DNA repair after ultraviolet radiation damage; Dermal atrophy; Developmental regression; Dry skin; Ectropion; EEG abnormality; Entropion; Erythema; Failure to thrive; Fatigue; Fever; Freckling; Hyperkeratosis; Hypermelanotic macule; Hypogonadism; Hypopigmented skin patches; Hyporeflexia; Intellectual disability; Intellectual disability, progressive; Keratitis; Melanoma; Mental deterioration; Microcephaly; Optic atrophy; Papilloma; Photophobia; Poikiloderma; Sensorineural hearing impairment; Spasticity; Strabismus; Telangiectasia; Telangiectasia of the skin; Thin skin
XPR11q25.3100%gene with protein product605237Abnormality of neuronal migration; Adult onset; Autosomal dominant inheritance; Basal ganglia calcification; Cerebral calcification; Choreoathetosis; Corneal opacity; Dementia; Depressivity; Dysarthria; Hepatomegaly; Intrauterine growth retardation; Memory impairment; Microcephaly; Parkinsonism; Progressive; Seizures; Subcutaneous hemorrhage; Thrombocytopenia; Ventriculomegaly


The gene coverage data provided by GeneDx represent an estimate based on previous results, but the specific sequencing coverage data for the genes selected may vary from individual to individual, and cannot be predicted exactly. Changes to an approved gene list can only be made by contacting GeneDx directly at 888-729-1206 and asking to speak with a member of our Whole Exome Sequencing Laboratory.


  SUGGESTED CUSTOM SLICES  

Customize below OR enter Suggested Slice ID on printed requisition form
(e.g. 706 XomeDxSlice - Slice ID: CS-Albinism).

Suggested Slice IDSuggested Gene List Name
CS-AlbinismAlbinism
CS-AAAplastic Anemia
CS-AutoImmuneAutoimmune Disorders
CS-BBSBardet-Biedl Syndrome
CS-BMFBone Marrow Failure Syndromes
CS-CVIDCommon Variable Immune Deficiency
CS-CKUTCongenital Kidney and Urinary Tract (CKUT) Anomalies
CS-DSDDisorders of Sex Development
CS-EDEctodermal Dysplasia
CS-FAFanconi Anemia
CS-AnemiaHemolytic Anemia
CS-HeterotaxyHeterotaxy
CS-IBDInflammatory Bowel Disease
CS-MaleInfMale Infertility
CS-WWSMuscular dystropy-dystroglycanopathy (Walker-Warburg)
CS-NephroticNephrotic Syndrome
CS-ObesityObesity
CS-PPKCIPalmoplantar keratoderma plus congenital ichthyosis
CS-Primary ImmunodefPrimary Immunodeficiency
CS-RhabdoRhabdomyolysis
CS-SRTDShort-Rib Thoracic Dysplasia
CS-VACTERLVACTERL Association
CS-WSWaardenburg Syndrome