Hyper IgE Syndromes: Deletion/Duplication Panel

Condition Description

Hyper IgE syndromes (HIES) are characterized by highly elevated levels of IgE, eczema, and recurrent skin and respiratory tract infections. An autosomal dominant form of HIES is caused by pathogenic variants in STAT3 and also involves connective tissue, vascular, and skeletal abnormalities. The autosomal recessive form is caused by pathogenic variants in DOCK8 and causes an increased incidence of neurological abnormalities and viral infections of the skin.  Other disorders with elevated IgE and similar symptoms include tyrosine kinase 2 deficiency caused by pathogenic variants in TYK2 and Netherton syndrome caused by pathogenic variants in SPINK5.

References:  
  • GeneReviews.
  • OMIM.

Genes (4)

Indications

This test is indicated for:
  • Confirmation of a clinical diagnosis of Hyper IgE Syndromes.

Methodology

Deletion/Duplication Analysis: DNA isolated from peripheral blood is hybridized to a gene-targeted CGH array to detect deletions and duplications. The targeted CGH array has overlapping probes that cover the entire genomic region.

Detection

Deletion/Duplication Analysis: Detection is limited to duplications and deletions. The CGH array will not detect point or intronic mutations. Results of molecular analysis must be interpreted in the context of the patient\'s clinical and/or biochemical phenotype.

Specimen Requirements

Listed below are EGL's preferred sample criteria. For any questions, please call 470.378.2200 and ask to speak with a laboratory genetic counselor (eglgc@egl-eurofins.com).
Submit only 1 of the following specimen types
Whole Blood (EDTA)
WBP

Requirements
EDTA (Purple Top)
Infants and Young Children (<2 years of age): 2-3 ml
Children > 2 years of age to 10 years old: 3-5 ml
Older Children & Adults: 5-10 ml
Autopsy: 2-3 ml unclotted cord or cardiac blood
Collection and Shipping
Ship sample at room temperature for receipt at EGL within 72 hours of collection. Do not freeze.
DNA, Isolated
DNA

Requirements
Microtainer
3µg
Isolation using the Perkin Elmer™Chemagen™ Chemagen™ Automated Extraction method or Qiagen™ Puregene kit for DNA extraction is recommended.
Collection and Shipping
Refrigerate until time of shipment in 100 ng/µL in TE buffer. Ship sample at room temperature with overnight delivery.
  • Hyper IgE Syndromes: Sequencing Panel

How to Order

Requisition Forms