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GTR Home > Tests > Invitae Cholestasis Panel

Indication

This is a clinical test intended for Help: Diagnosis, Pre-symptomatic, Therapeutic management

Clinical summary

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Imported from GeneReviews

The phenotypic spectrum of ATP8B1 deficiency ranges from severe through moderate to mild. Severe ATP8B1 deficiency is characterized by infantile-onset cholestasis that progresses to cirrhosis, hepatic failure, and early death. Although mild-to-moderate ATP8B1 deficiency initially was thought to involve intermittent symptomatic cholestasis with a lack of hepatic fibrosis, it is now known that hepatic fibrosis may be present early in the disease course. Furthermore, in some persons with ATP8B1 deficiency the clinical findings can span the phenotypic spectrum, shifting over time from the mild end of the spectrum (episodic cholestasis) to the severe end of the spectrum (persistent cholestasis). Sensorineural hearing loss (SNHL) is common across the phenotypic spectrum.

Clinical features

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Imported from Human Phenotype Ontology (HPO)

  • Cholelithiasis
  • Intrahepatic cholestasis
  • Hepatomegaly
  • Jaundice
  • Pruritus
  • Conjugated hyperbilirubinemia
  • Elevated circulating alkaline phosphatase concentration
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Conditions tested

Target population

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The Invitae Cholestasis Panel analyzes a broad range of genes to determine the etiology of cholestasis in both isolated or syndromic forms, including Alagille syndrome, Crigler-Najjar syndrome, Dubin-Johnson syndrome, or progressive familial intrahepatic cholestasis.

Citations

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Clinical validity

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Not provided

Clinical utility

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Not provided

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