Arylsulfatase A Deficiency, Leukocytes

CPT: 82657
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Synonyms

  • ASA Deficiency
  • Metachromatic Leukodystrophy (MLD)
  • MLD

Special Instructions

Specimens must arrive in the lab within four days of collection.


Expected Turnaround Time

4 - 14 days


Related Documents


Specimen Requirements


Specimen

Whole blood


Volume

15 mL


Minimum Volume

10 mL


Container

Yellow-top (ACD) tube


Collection

Refrigerate after collection. Transport to the testing facility using cool pack or LabCorp transport kit. Do not allow sample to freeze. Sample must arrive in the laboratory within four days of collection.


Storage Instructions

Refrigerate.


Stability Requirements

Temperature

Period

Refrigerated

4 days


Causes for Rejection

Quantity not sufficient for analysis; specimen frozen; specimen not received within four days of collection; incorrect specimen collection tube; gross hemolysis; unable to isolate white blood cells


Test Details


Use

Diagnose patient with metachromatic leukodystrophy (MLD)


Limitations

This assay does not identify patients with a rare form of MLD due to cerebroside sulfate activator protein deficiency. Unaffected pseudodeficiency homozygotes and compound heterozygotes cannot be distinguished from affected individuals by this assay. ASA activity may not reflect carrier status.

This test was developed, and its performance characteristics determined, by LabCorp. It has not been cleared or approved by the US Food and Drug Administration (FDA).


Methodology

Determination of enzymatic activity with p-nitrocatechol sulfate


Reference Interval

25.0−90.0 nmol/hour/mg protein


References

Shapira E, Blitzer MG, Miller JB, et al. Biochemical Genetics: A Laboratory Manual. New York, NY: Oxford University Press;1989.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
402396 Arylsulfatase A Deficiency 24078-8 402397 Arylsulfatase A activity nmol/hr/mg prt 24078-8
402396 Arylsulfatase A Deficiency 24078-8 402398 Interpretation N/A
402396 Arylsulfatase A Deficiency 24078-8 402401 Director Review N/A
402396 Arylsulfatase A Deficiency 24078-8 402399 Methodology N/A
402396 Arylsulfatase A Deficiency 24078-8 402308 Disclaimer: N/A

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