Dear HGVS team,
I was hoping to ask for you advice on a complex rearrangement we have identified. We would like the correct nomenclature to report this variant.
We identified a homozygous deletion of exons 5-6 of the COQ8B gene (NM_024876.4) using whole exome sequencing. We performed a PCR-based test to confirm the presence of this deletion and encountered a more complex variant.
We see a deletion of the following region: chr19-40711423-40705323 with an insertion of the complement of chr19:40709896-40709804 (which is a part of intron 5).
The figure shows a schematic overview:

What is the correct nomenclature to use and how can be best describe this in the clinical report?
Thanks,
Kind regards,
Evelien
Evelien Van Hoof
pijler Inwendige ziekten
Centrum Menselijke Erfelijkheid
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