Objective
To determine the average number of family members who are diagnosed with a Fragile X Mental Retardation-1 (FMR1) mutation after a proband receives the initial diagnosis of Fragile X syndrome (FXS).
Study design
We reviewed pedigrees of families who have been evaluated at the Fragile X Center at Emory University, Atlanta, GA. Through these pedigrees, we determined the number of additional family members diagnosed as FMR1 premutation carriers or with full mutation FXS, following the initial diagnosis in each proband.
Results
The Fragile X pedigree review identified 176 probands, including 108 males (61%) and 68 females (39%). A total of 785 family members were diagnosed with expanded fragile X alleles, 278 males (35%) and 507 females (65%). These family members included 227 individuals with full mutation FXS (219 males, 8 females) and 558 premutation carriers (59 males, 499 females). After the initial diagnosis of a proband with FXS, there were, on average, at least 5 additional family members who were diagnosed with an FMR1 mutation.
Conclusions
Our study confirms that taking a detailed family history after diagnosis of a proband with FXS is likely to identify multiple family members with FMR1 mutations. It is important that the pediatrician or other health care provider making a diagnosis of FXS recognize the value of a detailed family history for timely diagnosis and treatment of additional individuals who may be FMR1 premutation carriers or have full mutation FXS.