
Distal Renal Tubular Acidosis, Recessive: Gene Tests
Fatigue, poor growth, kidney stones and sometimes hearing loss point to dRTA linked to ATP6V1B1, ATP6V0A4 or SLC4A1, with audiologic checks advised for children.

MD · MBA
Physician specializing in genetic analysis and personalized preventive medicine, and author of Outsmart Your Genes.
Brandon Colby is a physician-expert in the fields of genetic analysis and Personalized Preventive Medicine. He holds an MD from the Mount Sinai School of Medicine, an MBA from Stanford University's Graduate School of Business, and a degree in Genetics from the University of Michigan.
Dr. Colby is the author of the book Outsmart Your Genes and has developed numerous technologies that improve the analysis, interpretation, and actionability of genome sequencing data. He is an Affiliate Specialist of the American College of Medical Genetics and Genomics (ACMG), an Associate of the American College of Preventive Medicine (ACPM), and a member of the National Society of Genetic Counselors (NSGC).
Articles by Brandon Colby, MD are reviewed for accuracy by Sequencing's medical and scientific team. This page is for informational purposes and does not constitute medical advice.

Fatigue, poor growth, kidney stones and sometimes hearing loss point to dRTA linked to ATP6V1B1, ATP6V0A4 or SLC4A1, with audiologic checks advised for children.

Research summarised here links the movement, cognitive and communication problems to NR4A2, ADNP and NRXN1 findings, plus candidate genes in the 22q13 region.

Seizures in the first months of life, with developmental delay, mark Ohtahara syndrome; EEG, MRI and blood work come before gene testing that confirms the subtype.

Also called Ohtahara syndrome, EIEE is a severe epilepsy that starts in early infancy. In the recessive form, two carrier parents have a 25% risk per child.

Seizures and developmental delay in infancy have been traced to STXBP1, ARX, SLC25A22, KCNQ2, CDKL5, SCN1A and PCDH19; panels and sequencing options are compared.

Autoimmune hemolytic anemia with immune thrombocytopenia, viral infections and early immune aging were traced in two siblings to a homozygous TPP2 frameshift mutation.

Faults in IFNGR1 or IFNGR2 leave the immune system unable to clear atypical mycobacteria, so skin, lymph node and lung infections recur; inheritance is dominant.

Two faulty copies of IFNGR1 leave children open to severe mycobacterial infection, poor growth and anemia; carrier, prenatal and preimplantation testing are explained.