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Clinician orientation sheet

NM_018489.2:c.4985-2539C>T

Concise orientation only. Dates, normal findings, uncertainty, source boundaries, and longitudinal context remain in the complete profile.

Molecular result and profile context

Report transcript + cDNA
NM_018489.2:c.4985-2539C>T
Report protein consequence
p.(?)
Zygosity
Heterozygous
Molecular consequence
Deep-intronic / protein consequence unresolved
Laboratory classification
Variant of uncertain significance
Classification source
CentoGenome report, May 2025; family-reviewed summary
Inheritance
Not established
Relevant additional finding
RAC3 VUS; PALB2 pathogenic secondary predisposition finding; PYGM heterozygous carrier finding. Each is described separately.
Protein mapping
Protein consequence unresolved; not placed on the protein map
Variant type
Deep-intronic / noncoding
Sex
Male
Age group
Ages 6–10
Protein position
No single protein position

Approved public summary

A boy in the 6–10 age group whose history includes premature birth and neonatal illness, severe bilateral retinopathy of prematurity with retinal detachments and lasting visual disability, global developmental differences, and a family-reported loss of previously used spoken words. His family also describes constipation, intermittent sleep difficulty, and substantial dental treatment. He walks, and his family continues seeking a clearer understanding of his communication changes and medical needs. The 2025 genome analysis did not identify a clinically relevant variant explaining the submitted phenotype. The ASH1L deep-intronic finding and a separate RAC3 finding remain variants of uncertain significance. This is a history associated with an uncertain ASH1L result, not a confirmed ASH1L-related molecular diagnosis.