A new recommendation from a leading medical association is urging children with intellectual disability, developmental delay and other congenital anomalies to undergo genetic testing.

The American College of Medical Genetics and Genomics put out its first-ever clinical guidelines this month looking at the use of exome and genome sequencing in this population. The professional organization, which is made up of medical geneticists, said the testing is “strongly recommended” as a first or second-tier test for children with congenital anomalies that onset by age 1 as well as those with developmental delay or intellectual disability that occurs by age 18.

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