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10.12688/f1000research.11316.1

http://scihub22266oqcxt.onion/10.12688/f1000research.11316.1
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C5443337!5443337!28580132
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suck abstract from ncbi


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pmid28580132      F1000Res 2017 ; 6 (ä): ä
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  • Case Report: Making a diagnosis of familial renal disease ? clinical and patient perspectives #MMPMID28580132
  • Iqbal Z; Sayer JA
  • F1000Res 2017[]; 6 (ä): ä PMID28580132show ga
  • Background: A precise molecular genetic diagnosis has become the gold standard for the correct identification and management of many inherited renal diseases. Methods: Here we describe a family with familial focal segmental glomerulosclerosis, and include a clinical and patient perspective on the diagnostic workup and relaying of genetic results following whole exome sequencing. Results: Through next generation sequencing approaches, we identified a pathogenic mutation in TRPC6, the underlying cause of the phenotype. The identification of this mutation had important clinical consequences for the family, including allowing a living-unrelated kidney transplant to proceed in the index case. There are also wider ranging social and ethical dilemmas presented when reaching a genetic diagnosis like this one, which are explored here by both physicians and the index case. Conclusions: Through physician and patient perspectives in a family with inherited renal failure we explore the implications and the magnitude of a molecular genetic diagnosis.
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