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ACMG ACT Sheets and Confirmatory Algorithms [Internet]. Bethesda (MD): American College of Medical Genetics; 2001-.

Cover of ACMG ACT Sheets and Confirmatory Algorithms

ACMG ACT Sheets and Confirmatory Algorithms [Internet].

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Newborn Screening ACT Sheets and Confirmatory Algorithms


Condition GroupConditionAnalyteLinks
ENDOCRINE DISORDERSPrimary congenital hypothyroidismElevated TSH

ACT Sheet (PDF, 275K)

Algorithm (PDF, 107K)

Low T4 +/- Elevated TSH

ACT Sheet (PDF, 275K)

Algorithm (PDF, 112K)

Secondary congenital hypothyroidismLow T4 +/- Elevated TSH
Thyroxine binding globulin (TBG) deficiencyLow T4 +/- Elevated TSH
Congenital adrenal hyperplasia (CAH) (21-hydroxylase deficiency)Elevated 17-OHP

ACT Sheet (PDF, 274K)

Algorithm (PDF, 113K)

HEMOGLOBIN DISORDERSSickle cell anemia (HbSS or HbSߺ Thalassemia)Hemoglobin FS

ACT Sheet (PDF, 295K)

Algorithm (PDF, 112K)

Hemoglobin SC disease (HbSC)Hemoglobin FSC

ACT Sheet (PDF, 295K)

Hemoglobin S/beta Thalassemia (HbSß+)Hemoglobin FSA

ACT Sheet (PDF, 306K)

Sickle cell carrier (trait) (HbAS)Hemoglobin FAS

ACT Sheet (PDF, 278K)

Hemoglobin V (variant)Hemoglobin FAV

ACT Sheet (PDF, 276K)

Algorithm (PDF, 82K)

Hemoglobin FE or Hemoglobin E/Beta Zero Thalassemia (Hb EE or Hb E/ߺ Disease)Hemoglobin FE

ACT Sheet (PDF, 291K)

Beta Thalassemia MajorHemoglobin F

ACT Sheet (PDF, 280K)

Alpha Thalassemia (phenotype varies with % Barts Hb)Hemoglobin FA + Barts Hb

ACT Sheet (PDF, 285K)

Hemoglobin CC Disease or Hemoglobin C/Beta Zero Thalassemia (HbC/ߺ Disease)Hemoglobin FC

ACT Sheet (PDF, 289K)

Hemoglobin C/Beta Plus Thalassemia (HbC/ß+ Disease)Hemoglobin FCA

ACT Sheet (PDF, 293K)

Hemoglobin E/Beta Plus Thalassemia (HbE/B+ Disease)Hemoglobin FAE

ACT Sheet (PDF, 283K)

GENETIC DISORDERSBiotinidase deficiencyBiotinidase

ACT Sheet (PDF, 274K)

Algorithm (PDF, 72K)

Cystic FibrosisImmunoreactive trypsinogen (IRT) + IRT or DNA

ACT Sheet (PDF, 275K)

Algorithm (PDF, 81K)

Hearing LossHearing loss

ACT Sheet (PDF, 276K)

Algorithm (PDF, 79K)

GALACTOSEMIASClassical galactosemiaGALT

ACT Sheet (PDF, 274K)

Algorithm (PDF, 94K)

Elevated galactose + deficient GALT

ACT Sheet (PDF, 271K)

Algorithm (PDF, 57K)

Galactokinase deficiencyElevated galactose +/- deficient GALT
Galactose epimerase deficiencyElevated galactose +/- deficient GALT
FATTY ACID OXIDATION DISORDERSCarnitine uptake deficiencyC0

ACT Sheet (PDF, 273K)

Algorithm (PDF, 61K)

CPT 1 deficiencyC0; C0/C16+C18

ACT Sheet (PDF, 275K)

Algorithm (PDF, 67K)

CPT2 CACTC16 and/or C18:1

ACT Sheet (PDF, 274K)

Algorithm (PDF, 59K)

Glutaric acidemia 2 Ethylmalonic encephalopathyC4;C5

ACT Sheet (PDF, 276K)

Algorithm (PDF, 89K)

LCHAD TFPC16-OH +/- C18:1-OH

ACT Sheet (PDF, 276K)

Algorithm (PDF, 69K)


ACT Sheet (PDF, 276K)

Algorithm (PDF, 63K)


ACT Sheet (PDF, 274K)

Algorithm (PDF, 66K)

C4-OH;C5OH unk.

Algorithm (PDF, 57K)

Short-chain acyl-CoA deficiency (SCAD)
Ethylmalonic encephalopathy
Isobutyryl-CoA dehydrogenase deficiency

ACT Sheet (PDF, 275K)

Algorithm (PDF, 98K)

VLCADC14:1 +/-

ACT Sheet (PDF, 274K)

Algorithm (PDF, 45K)

ORGANIC ACIDEMIASBeta-ketothiolase deficiency
Biotinidase deficiency
Holocarboxylase deficiency
HMG-CoA lyase deficiency

ACT Sheet (PDF, 310K)

Algorithm (PDF, 124K)

Glutaric acidemia 1C5-DC

ACT Sheet (PDF, 275K)

Algorithm (PDF, 75K)

Isovaleric acidemia
Short/branched chain
acyl-CoA dehydrogenase deficiency

ACT Sheet (PDF, 276K)

Algorithm (PDF, 90K)

Malonic acidemiaC3-DC

ACT Sheet (PDF, 274K)

Algorithm (PDF, 53K)

Methylmalonic acidemias
Propionic acidemia

ACT Sheet (PDF, 277K)

Algorithm (PDF, 99K)

AMINO ACIDEMIASArgininemiaArginine

ACT Sheet (PDF, 275K)

Algorithm (PDF, 77K)

Argninosuccinic aciduria
Citrullinemia I
Citrullinemia II
Pyruvate carboxylase deficiency

ACT Sheet (PDF, 273K)

Algorithm (PDF, 106K)

Adenosylhomocysteine hydrolase deficiency

ACT Sheet (PDF, 273K)

Algorithm (PDF, 106K)


ACT Sheet (PDF, 296K)

Algorithm (PDF, 65K)

Phenylketonuria (PKU)
Biopterin cofactor biosynthesis defect
Biopterin cofactor regeneration defect

ACT Sheet (PDF, 274K)

Algorithm (PDF, 73K)

Tyrosinemia I
Tyrosinemia II
Tyrosinemia III
Tyrosine SUAC Normal

ACT Sheet (PDF, 273K)

Algorithm (PDF, 45K)

Tyrosine Normal/ Elevated and SUAC Elevated

Algorithm (PDF, 55K)

IMMUNO-DEFICIENCY DISORDERSSevere Combined Immunodeficiency (SCID) and Conditions Associated with T Cell Lymphoneia

ACT Sheet (PDF, 301K)

In Development

For technical assistance with the forms, please contact Lori J. Oxendine at (301) 718-9603 or ten.gmca@enidnexol.

Copyright © 2001- American College of Medical Genetics.
Bookshelf ID: NBK55827


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