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1. General information

Enter general information about the patient.

Name of the person who fills out the form

Patient information

Attended clinic

2. Evaluations

Enter previous key evaluations and family history.

Major clinical findings

Development

Behavioral characteristics

What we knew before UDP assessment

Family History

Parents, siblings, ancestry, consanguinity

Previous key evaluations

What we found

We have identified the cause of 's condition - their diagnosis is

Pathogenic variants were identified

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Clinical features include

 Chromosome/sGenes involvedType of changeInheritanceComment
 Predicted Class/sGenesChromosomeNucleotide ChangeProtein ChangeZygosityEffectInheritance

3. Genetic information

Select relevant option/s

Testing of both parents has shown that the has/have happened for the first time (de novo) in

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Testing has shown that the change/s is/are present in some, but not all, of ’s cells. This is called mosaicism. Mosaicism means that a person has a mixture of cells with different genetic information. This can occur in the cells of one part of the body (such as the egg or sperm) or as a mixture throughout all of a person’s cells.

Testing has shown that the has/have occurred in one of the chromosome/s pair/s. This inheritance pattern is called autosomal dominant (Autosomal dominant inheritance (genetics.edu.au))

Implications of for and the rest of the family

Testing of both parents has shown that each carries a copy of the change and have passed this down to .
This inheritance pattern is called autosomal recessive.
Autosomal recessive inheritance (genetics.edu.au)

Testing of parents has shown that the change was inherited from his mother, who is a healthy carrier of the condition.
This inheritance pattern is called X-linked recessive.
X-Linked_recessive_inheritance_fact_sheet-CGE.pdf (genetics.edu.au)

Testing of 's parents has shown that the change was inherited from his/her mother, who also has the same condition.
This inheritance pattern is called X-linked dominant.

Testing has shown that 's condition has resulted from a change affecting parts of their cells called mitochondria. While most of the DNA in cells is found in the nucleus, some important genes are also located in the mitochondria.

Although the mitochondria and the DNA inside are passed to children from their mother, genetic changes can cause mitochondrial disorders in different ways.
This inheritance pattern is called mitochondrial inheritance.

4. Conclusions

Your conclusions regarding the patient

Ongoing Management

Based on clinical evaluation, the results of genetic testing, and review of the literature on we have the following recommendations for 's ongoing management:

Resource and support links

Add your own links, edit or provide the examples below from the UDNI Genetic Counseling Resource library.

For more information and support resources, click here to go to the UDNI Rare Diagnosis Resource Roadmap.

Thank you!

UDNI and Undiagnosed Diseases Program participation

Thank you for sharing your story and letting us be part of your journey. Please don't hesitate to contact us if you have any further questions.