Ataxia-telangiectasia (A-T) is a rare genetic disorder that affects multiple body systems and can be diagnosed in children and adults. The diagnosis of A-T typically involves a combination of medical history, physical exam, laboratory tests, and imaging studies.
Medical History: A detailed medical history is important in diagnosing A-T. The clinician will ask questions about the patient’s medical history, such as family history of A-T, any developmental delays, neurological symptoms, immunological problems, and any other relevant factors.
Physical Exam: The physical exam is important in diagnosing A-T. The clinician will look for signs of ataxia, such as lack of coordination, difficulty with balance, slurred speech, and poor eye movements. Other physical findings include telangiectasias (dilated blood vessels), immunodeficiency, and growth failure.
Laboratory Tests: Several laboratory tests are used to diagnose A-T. These include a complete blood count, to check for anemia and other signs of immunodeficiency; a clotting screen, to check for clotting problems; and a serum protein electrophoresis, to check for protein abnormalities.
Imaging Studies: Imaging studies such as an MRI or CT scan can help diagnose A-T by looking for abnormalities in the brain, such as atrophy (shrinkage) of certain parts of the brain or calcification (hardening) of certain areas.
Genetic Testing: Genetic testing is the most accurate method of diagnosing A-T. The test looks for mutations in the ATM gene, which is responsible for the disorder. A positive result on the genetic test confirms the diagnosis of A-T.
In conclusion, Ataxia-telangiectasia is a complex disorder that requires a combination of medical history, physical exam, laboratory tests, and imaging studies to diagnose. Genetic testing is the most accurate method of diagnosing A-T.