Inpatient and Outpatient Orderable
Fatty Acid Profile, Peroxisomal (C22-C26)
Synonyms
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- CEREBROHEPATORENAL SYNDROME
- FATTY ACIDS PROFILE, PEROXISOMAL
- LAB988
- LONG-CHAIN FATTY ACIDS (LCFA)
- PEROXISOMAL FATTY ACIDS (C22-C26)
- VERY LONG CHAIN FATTY ACIDS (VLCFA)
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Cerner Name
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Peroxisomal Fatty Acids (C22-C26)
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Clinical Info
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Evaluating patients with possible peroxisomal disorders, single-enzyme defects of peroxisomal metabolism such as X-linked adrenoleukodystrophy or peroxisomal biogenesis disorders (Zellweger syndrome spectrum) using serum specimens Aiding in the assessment of peroxisomal function This test analyzes very long-chain fatty acids (VLCFA) as well as pristanic and phytanic acid to aid in diagnosis of peroxisomal biogenesis disorders (PBD), X-linked adrenoleukodystrophy (X-ALD), and Refsum disease. Reports include concentrations of C22:0, C24:0, C26:0 species, phytanic acid and pristanic acid, and calculated C24:0/C22:0, C26:0/C22:0, and phytanic acid/pristanic acid ratios. This test is also appropriate for follow-up of an abnormal newborn screen for X-ALD.
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Specimen Sources
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Blood, Arterial
Blood, Capillary
Blood, Central Line
Blood, Venous
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Specimen Types
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Blood
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Specimen Volume
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0.5 mL (0.2 mL min)
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Container
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Red Top Tube or Gold Top Tube
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Collection Instructions
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Container/Tube: Red Top Tube or Gold Top Tube Specimen : 0.5 mL (0.2 mL min) Transport Temperature: Refrigerated Collection Instructions: 1. Fasting-overnight (12-14 hours). 2. Patient must not consume any alcohol for 24 hours before the specimen is drawn. 3. Spin down within 45 minutes of draw.
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Transport Instructions
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Refrigerated
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Specimen Stability
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15 Days Refrigerated 92 Days Frozen
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Methodology
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Gas Chromatography-Mass Spectrometry (GC-MS) Stable Isotope Dilution Analysis
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Days Performed
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Monday through Friday; 7 a.m.
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Performing Laboratory
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Mayo Medical Laboratories
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CPT
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82726 LOINC Code: 43677-4
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PDM
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5902780
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Only Orderable at Locations:
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Orderable Everywhere
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Results
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Component Name |
Base Name |
Common Name |
External Name |
C22:0 |
C220 |
C220 |
C22:0 |
C24:0 |
C240 |
C240 |
C24:0 |
C26:0 |
C260 |
C260 |
C26:0 |
C24:0/C22:0 |
C24C22 |
C240 C220 |
C24:0/C22:0 |
C26:0/C22:0 |
C26C22 |
C260 C220 |
C26:0/C22:0 |
PRISTANIC ACID |
PRIST |
PRISTANIC ACID |
Pristanic Acid |
PHYTANIC ACID |
PHYT |
PHYTANIC ACID |
Phytanic Acid |
PRISTANIC/PHYTANIC |
PRISPHY |
PRISTANIC PHYTANIC |
Pristanic/Phytanic |
COMMENT - C22 |
COMMENTC22 |
COMMENT C22 |
Comment |
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Result Interpretation
C22:0
≤96.3 nmol/mL
C24:0
≤91.4 nmol/mL
C26:0
≤1.30 nmol/mL
C24:0/C22:0 RATIO
≤1.39
C26:0/C22:0 RATIO
≤0.023
PRISTANIC ACID
0-4 month
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Forms
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LAB988