Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Genet Med. 2012 Jan;14(1):171-7. doi: 10.1038/gim.2011.48. Epub 2012 Jan 5.
ACMG standards and guidelines are designed primarily as an educational resource for medical geneticists and other health care providers to help them provide quality medical genetic services. Adherence to these standards and guidelines does not necessarily ensure a successful medical outcome. These standards and guidelines should not be considered inclusive of all proper procedures and tests or exclusive of other procedures and tests that are reasonably directed to obtaining the same results. In determining the propriety of any specific procedure or test, the geneticists should apply their own professional judgment to the specific clinical circumstances presented by the individual patient or specimen. It may be prudent, however, to document in the patient's record the rationale for any significant deviation from these standards and guidelines.Individuals who are suspected of having Marfan syndrome are often referred to a medical geneticist for further evaluation and diagnosis. However, there are a number of conditions that share physical manifestations with those of Marfan syndrome; therefore, an approach to diagnosis and evaluation is crucial to the proper long-term follow-up of these individuals. This practice guideline provides guidance for the approach to this cadre of individuals.
ACMG 标准和指南主要是作为医学遗传学家和其他医疗保健提供者的教育资源,帮助他们提供高质量的医学遗传服务。遵循这些标准和指南并不一定能确保获得成功的医疗结果。这些标准和指南不应被视为包括所有适当的程序和测试,也不应排除其他合理旨在获得相同结果的程序和测试。在确定任何特定程序或测试的适当性时,遗传学家应将自己的专业判断应用于个体患者或标本所呈现的具体临床情况。然而,谨慎起见,可能需要在患者记录中记录任何明显偏离这些标准和指南的理由。
被怀疑患有马凡综合征的人通常会被转介给医学遗传学家进行进一步评估和诊断。然而,有许多疾病与马凡综合征的临床表现相似;因此,诊断和评估方法对于这些个体的长期适当随访至关重要。本实践指南为这一类个体的处理方法提供了指导。