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Test Price

1,600 AED

โœ… Home Collection Available

Hemophilia A Common Mutation Screening (Factor VIII Intron 22 Inversion Analysis) in UAE | 1600 AED

Executive Summary & Core Metrics

  • โœ“ Accuracy Guarantee: 99.9% diagnostic sensitivity via ISO 9001:2015 accredited molecular processing for definitive Intron 22 inversion detection.
  • โœ“ Premium Logistics: VIP mobile phlebotomy and temperature-controlled cold-chain home collection available daily from 8 AM to 11 PM across Dubai and the Northern Emirates.
  • โœ“ Clinical Guidance: Post-test telephonic result interpretation provided by a Consultant Medical Genetics to support informed clinical decision-making.
  • โœ“ Insurance: Direct billing verification via WhatsApp at +971 54 548 8731.
  • โœ“ Laboratory Credentials: ISO 9001:2015 certified (Cert: INT/EGQ/2509DA/3139) under DHA Facility License 1143, located in Dubai Healthcare City.

Test Overview & Methodology

The Hemophilia A Common Mutation Screening (Factor VIII Intron 22 Inversion Analysis) is a definitive molecular genetic test that detects the inversion mutation within intron 22 of the Factor VIII (F8) gene, the most prevalent genetic abnormality responsible for severe Hemophilia A. This structural rearrangement disrupts the coding sequence of the F8 gene, abolishing functional Factor VIII protein production and causing a severe bleeding phenotype. The assay employs endpoint polymerase chain reaction (PCR) with gel-based resolution to provide a binary, high-specificity result that confirms or excludes the presence of the Intron 22 inversion. Clinical applications include definitive molecular diagnosis in patients with severely reduced Factor VIII activity (<1%), carrier detection in at-risk female relatives, prenatal diagnostic planning, and family cascade screening. The test serves as the frontline genetic investigation in the diagnostic algorithm for severe Hemophilia A, with a negative result prompting further sequencing of the F8 gene to identify point mutations or other structural variants.

Feature Our Test: Intron 22 Inversion (End Point PCR) Closest Alternative: Standard Factor VIII Activity Assay
Diagnostic Precision Mutation-specific; confirms Intron 22 inversion at DNA level with >99% specificity Functional assay; measures Factor VIII activity levels; cannot identify genetic etiology
Methodology End Point PCR โ€” targeted amplification with gel-based resolution One-stage clotting assay or chromogenic substrate assay
Turnaround Time 10โ€“11 Days 1โ€“2 Days
Clinical Utility Carrier detection, prenatal diagnosis, family screening, definitive molecular confirmation Disease severity classification; monitoring replacement therapy; preoperative screening
Price 1600 AED ~500โ€“800 AED (variable)

Physician Insight & Safety Protocols

LQ

Lina Osama Zaki Quteineh (Consultant Medical Genetics | DHA Registration ID: 9294403) โ€” โ€œThis molecular assay represents the gold-standard genetic investigation for severe Hemophilia A. A positive Intron 22 inversion result establishes a definitive molecular diagnosis and guides prognostic counseling, carrier risk assessment, and reproductive planning. However, the result must always be correlated with the patient's coagulation factor activity levels and comprehensive bleeding phenotype. I recommend that all results be discussed in a genetics consultation to ensure accurate interpretation of carrier risks and to facilitate informed family testing. Genetic counseling is essential for affected families, particularly when considering prenatal diagnostic options or preimplantation genetic testing.โ€

Medication Safety Advisory

โš  Medication Advisory

Do not discontinue prescribed medication without consulting your doctor. Patients currently on factor replacement therapy (plasma-derived or recombinant Factor VIII concentrates), desmopressin (DDAVP), antifibrinolytic agents, or any other prescribed hemostatic regimen must continue their treatment as directed. This genetic test is a diagnostic tool and does not replace ongoing clinical management or emergency hemostatic therapy. Always consult your treating hematologist before making any changes to your medication schedule.

Exclusion Criteria & Emergency Red Flags

Exclusion Criteria (Pre-Test):

  • Active, uncontrolled bleeding episode requiring emergency hemostatic intervention โ€” stabilize the patient before proceeding with blood draw.
  • Recent blood transfusion or Factor VIII concentrate infusion within 72 hours (does not alter DNA results but may confound concurrent coagulation assays).
  • Pediatric patients under 2 years of age without a referral from a DHA-licensed pediatric hematologist or clinical geneticist.
  • Inability to provide informed consent or absence of a legal guardian for minors as per Federal Decree-Law No. 4 of 2016 on Medical Liability.

Emergency Red Flags โ€” Seek Immediate Medical Attention:

  • Spontaneous joint bleeding (hemarthrosis) presenting with acute pain, swelling, and restricted range of motion.
  • Signs of intracranial hemorrhage: severe headache, altered consciousness, vomiting, or focal neurological deficits.
  • Compartment syndrome characterized by severe pain disproportionate to injury, pallor, pulselessness, or paresthesia.
  • Uncontrolled mucosal or gastrointestinal bleeding accompanied by hemodynamic instability.
  • Neck or throat swelling with potential airway compromise.

Patient FAQ & Clinical Guidance

1. What is the Factor VIII Intron 22 Inversion and why is it tested?

The Factor VIII Intron 22 Inversion is a large structural rearrangement within the F8 gene where intron 22 undergoes an inversion that disrupts the coding sequence, abolishing functional Factor VIII protein production. This mutation accounts for approximately 45% of all severe Hemophilia A cases worldwide. Clinicians order this test to confirm a molecular diagnosis in patients with severely reduced Factor VIII activity (<1%), to identify asymptomatic female carriers within affected families, and to enable informed reproductive decision-making including preimplantation genetic diagnosis. A positive result establishes the genetic etiology definitively, while a negative result directs further investigation toward other F8 mutations via sequencing or multiplex ligation-dependent probe amplification (MLPA).

2. How is the sample collected and what is the turnaround time?

A peripheral whole blood sample is collected via our VIP mobile phlebotomy service with temperature-controlled cold-chain logistics. Our trained phlebotomy team visits your location between 8 AM and 11 PM, performs a standard venipuncture using a vacuum-sealed EDTA tube, and immediately transfers the specimen under controlled cold-chain conditions (2โ€“8ยฐC) to our molecular diagnostics laboratory. Results are delivered within 10 to 11 working days. This turnaround time reflects the comprehensive multistep workflow: genomic DNA extraction, quality assessment, endpoint PCR amplification across the Intron 22 breakpoint region, gel electrophoresis resolution, and dual independent verification by certified molecular geneticists before the final report is issued through our secure online patient portal.

3. Do I need a doctor's prescription for this genetic test?

Yes, a valid prescription from a DHA-licensed physician is mandatory for this molecular genetic test. All genetic investigations in the UAE require a referral from a licensed medical practitioner to ensure appropriate pre-test counseling, clinical indication validation, and post-test result interpretation within a supervised care pathway. Exceptions apply when the test is requested as part of a preoperative clearance protocol, antenatal diagnostic workup coordinated by an obstetrician, or mandatory health screening for visa and travel purposes โ€” in these specific scenarios, the ordering facility assumes clinical oversight responsibility. For all other cases, please upload your prescription via WhatsApp at +971 54 548 8731 during the booking process.

4. What does a positive or negative result mean for me and my family?

A positive result confirms the presence of the Intron 22 inversion mutation, establishing a definitive molecular diagnosis of severe Hemophilia A in a male proband. For female relatives, a positive result indicates carrier status with a 50% risk of transmitting the mutation to each offspring. A negative result does not completely rule out Hemophilia A; it indicates that the Intron 22 inversion is not present, and further genetic testing (F8 gene sequencing or MLPA) may be warranted if clinical suspicion remains high. In either scenario, genetic counseling is strongly recommended to discuss the implications for the patient, at-risk family members, and reproductive planning options including prenatal diagnosis and preimplantation genetic testing.

UAE Regulatory & Data Privacy Adherence

Regulatory Compliance Framework: This laboratory operates in full compliance with Federal Decree-Law No. 45 of 2021 on Personal Data Protection (PDPL) and Federal Law No. 2 of 2019 Concerning the Use of Information and Communication Technology in Health Fields. All genetic data is processed, stored, and transmitted in accordance with UAE healthcare data sovereignty requirements. Clinical testing safety and patient consent procedures adhere to Federal Decree-Law No. 4 of 2016 on Medical Liability. ISO 9001:2015 Certification: INT/EGQ/2509DA/3139. DHA Facility License: 1143. Corporate Laboratory: DNA Labs UAE.

Clinical & Logistical Metadata

Test Name Hemophilia A Common Mutation Screening (Factor VIII Intron 22 Inversion Analysis)
Price (AED) 1,600 AED
Turnaround Time 10โ€“11 Working Days
Sample Type / Matrix Peripheral Whole Blood (EDTA Vacutainer) โ€” VIP Mobile Phlebotomy & Temperature-Controlled Cold-Chain Home Collection available daily from 8 AM to 11 PM
Methodology Used End Point Polymerase Chain Reaction (PCR) with Gel Electrophoresis Resolution
ICD-10-CM Code D66 (Hereditary Factor VIII Deficiency), Z14.01 (Genetic Susceptibility to Hemophilia A), Z84.81 (Family History of Hemophilia A)
LOINC Code 21654-5 (Factor 8 Gene Inversion Analysis in Blood by Molecular Genetics Method)
DHA Facility License & Laboratory Address DHA Facility License: 1143 | Premises 105, Floor 1, Building 33, Dubai Healthcare City, Dubai, UAE | Corporate Lab: DNA Labs UAE

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