{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T14:35:08Z","timestamp":1747146908075,"version":"3.40.5"},"reference-count":14,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth Defects Research"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Isolated populations with high rates of consanguinity and genetic disorders can be found in most parts of the world. The aim of our paper was to highlight the unique challenges faced in genetic counseling for such patients and to discuss the ways to facilitate the difficulties, with an emphasis on the crucial role of electronic medical records (EMR).<\/jats:p><\/jats:sec><jats:sec><jats:title>Case<\/jats:title><jats:p>We report a couple presenting with elevated maternal alpha\u2010fetoprotein in three pregnancies, in which an erroneous diagnosis of epidermolysis bullosa was established in the past and carried along through several years. The live born proband had no evidence of skin disease; however, soon after birth she was diagnosed with congenital nephrotic syndrome. Sequencing of <jats:italic>NPHS1<\/jats:italic> gene yielded a homozygous likely pathogenic genetic variant c.2104G\u2009&gt;\u2009A (p.Gly702Arg). Population screening performed in the village of residence revealed a carrier frequency of 1\u201347. This high frequency justified including testing for the founder genetic variant in the national program for population screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our report highlights the caution, suspicion and time investment which should be practiced and addressed in genetic counseling of high\u2010risk isolated populations. Using EMR may facilitate reaching the correct diagnosis, enable accurate genetic counseling and provide information for decision\u2010making to the couples, as well as \u201csave\u201d a large community from devastating diseases.<\/jats:p><\/jats:sec>","DOI":"10.1002\/bdr2.1633","type":"journal-article","created":{"date-parts":[[2020,3,2]],"date-time":"2020-03-02T10:58:42Z","timestamp":1583146722000},"page":"316-320","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Genetic counseling of high\u2010risk isolated populations: A worldwide challenge"],"prefix":"10.1002","volume":"112","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0883-2130","authenticated-orcid":false,"given":"Lena","family":"Sagi\u2010Dain","sequence":"first","affiliation":[{"name":"Genetics Institute, Carmel Medical Center, Affiliated to the Ruth and Bruce Rappaport Faculty of Medicine Technion \u2010 Israel Institute of Technology  Haifa 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