Test Directory

Test Code
1506
Test Name
Chondrocalcinosis 2
CPT Codes
81479
Expected Turnaround Time
Typically 2 to 4 weeks from receipt of a sample in the laboratory. All cases involving ongoing pregnancies will be expedited.
Clinical Utility
Genetic analysis to provide a molecular diagnosis of this disorder. Recommended for individuals with a personal and/or family history of this disorder to ensure appropriate treatment and establish recurrence risk for family members.
Specimen and Container Info

Non-Prenatal Specimens

Preferred/Alternate

Specimen Type

Containers

Volume

Preferred Specimen Type

Whole Blood

Lavender Top (EDTA)

3 mL

Alternate Specimen Type

Genomic DNA

1.5 mL Tube

3 µg (at a concentration of at least 30 ng/µl), preferably in TE solution.

Alternate Specimen Type

Fibroblasts

T-25 Flasks

2 confluent T-25 flasks, filled to capacity

Alternate Specimen Type

Saliva (Whole blood is recommended for CNV)

DNA Self-Collection Kit or Oragene Saliva Collection Kit for Young Children

Follow kit instructions (www.dnagenotek.com)

Prenatal Specimens

Either specimen type below is acceptable.

Specimen Type

Containers

Volume

Cultured cells

T-25 Flasks

2 confluent T-25 flasks derived from amnio or CVS samples.

Genomic DNA

1.5 mL Tube

3 µg (at a concentration of at least 30 ng/µl), preferably in TE solution.

NOTE: For specimens from outside of North America, the preferred specimen type is Genomic DNA. HNL Genomics does not recommend shipping whole blood or cultured cells from any location other than the United States, Canada, or Mexico.

Transport Instructions
  • Transport at room temperature within 24 hours.
  • If the specimen cannot be transported to the lab within 24 hours, refrigerate for up to 72 hours.
  • Do not freeze or expose to extreme temperatures, refrigerate for up to 72 hours if cannot be transported to lab within 24 hours. 
Stability Requirements

Room Temperature

24 hours

Refrigerated

72 hours

Causes for Rejection
  • Improperly labeled specimen (minimum of two patient identifiers)
  • Inappropriate specimen type
  • Incomplete or incorrect test request form
  • Insufficient volume
  • Specimen has leaked in transit
  • Specimen without a test order
Methodology
Next Generation Sequencing and Copy Number Variation Analysis
Performing Location
Genomics - Snowdrift
Alternate Names
CCAL2
Description

Chondrocalcinosis 2 (CCAL2; MIM 118600), also known as calcium pyrophosphate dihydrate deposition disease (CPPDD), is an autosomal dominant disorder caused by mutations in the ANKH gene. In general, chondrocalcinosis is characterized by the deposition of calcium containing crystals in joints which can cause recurrent acute attacks of joint pain and synovitis (pseudogout). If chronic, this can lead to degenerative joint disease. Chondrocalcinosis 2 is typically polyarticular in nature and has an earlier age of onset, during the third or fourth decade, compared to other types of chondrocalcinosis. The calcium containing crystals in chondrocalcinosis 2 are composed of calcium pyrophosphate dihydrate (CPPD). Patients with chondrocalcinosis 2 usually do not display extraarticular calcifications. Chondrocalcinosis 2 is allelic to autosomal dominant craniometaphyseal dysplasia (MIM 123000). Some members of one family with a defined ANKH mutation have features of both chondrocalcinosis 2 and craniometaphyseal dysplasia.

Testing Schedule
Monday-Friday
Genes
ANKH
MIM
118600
Disease Group
Metabolic and Endocrine, Skeletal Disorders