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Test Code LAB2773 Alpha Galactosidase

Clinical System Name

Alpha Galactosidase

Synonyms

Fabry

A Gal Fab

 

Sample Requirements

Specimen: Whole Blood

Container(s): Yellow/ACD A or B, Dark Green/Sodium Heparin Tube

Preferred Vol:10.0 mL

Minimum Vol: 6.0 mL

 

Note: Also acceptable: newborn blood spots (minimum of 3 spots) and cultured cells from skin fibroblasts (2 confluent T-25 flasks)

Do NOT use gel separator tubes.

 

Processing Instructions

Reject due to:

Spin: N

Aliquot:N

Temp:RT

Storage location: Biochemical Genetics Box- RT

Processing on weekends: Contact Chem West (x72565) on dayshift. If Chemistry team is unavailable, sample should be stored in RT Biochemical Genetics box.

 

Off-site collection: Do not spin!  Keep at room temperature.  Transport Mon-Thurs at room temperature via overnight shipping.

Stability

Specimen Type Temperature Time
Whole blood Rm Temp

≤24 hrs

Whole blood Refrigerated < 24 hrs
Dried Blood Spots Rm Temp 1 week

 

Availability

STAT Performed TAT
N Weekly 7-10 days

 

Performing Laboratory

Seattle Children's Laboratory    

Department

Department:  Biochemical Genetics

Phone Number: 206-987-2216

 

 

CPT Codes

82657

Methodology

Method: 4 MU Fluorometric Assay

Analytical Volume:

Limitations:

Reference Range

Specimen Type Normal Range

WBC

20-115 nmol/hr/mg protein
Blood Spot 20-62 pmol/hr/spot

 

Description

Fluorometric enzyme test for alpha-galactosidase for diagnosis of Fabry disease.

Clinical Utility

The test is used for evaluation of Fabry disease in patients with some or all of the following:
-periodic crises of severe pain in the extremities
-angiokeratomas
-hypohidrosis
-characteristic corneal and lenticular opacities
-stroke
-left ventricular hypertrophy
-renal insufficiency of unknown etiology

Requisition

Biochemical Genetics Requisition

 

On the requisition include clinical information needed for appropriate interpretation. (Age, gender, drug therapy and family history)

Special Instructions

Links to:

Consent Forms

Algorithms