Test Code ASMW Acid Sphingomyelinase, Leukocytes
Shipping Instructions
For optimal isolation of leukocytes, it is recommended the specimen arrives refrigerated within 6 days of collection to be stabilized. Collect specimen Monday through Thursday only and not the day before a holiday. Specimen should be collected and packaged as close to shipping time as possible.
Specimen Required
Container/Tube:
Preferred: Yellow top (ACD solution B)
Acceptable: Yellow top (ACD solution A) or lavender top (EDTA)
Specimen Volume: 6 mL
Collection Instructions: Send specimen in original tube. Do not aliquot.
Forms
1. New York Clients-Informed consent is required. Document on the request form or electronic order that a copy is on file. The following documents are available:
-Informed Consent for Genetic Testing (T576)
-Informed Consent for Genetic Testing-Spanish (T826)
2. Biochemical Genetics Patient Information (T602)
3. If not ordering electronically, complete, print, and send a Biochemical Genetics Test Request (T798) with the specimen.
Useful For
Investigation of possible diagnosis of Niemann-Pick disease types A and B
This test is not recommended for carrier detection because of the wide range of enzymatic activities observed in carriers and noncarriers.
Genetics Test Information
This test provides diagnostic testing for patients with decreased acid sphingomyelinase activity on newborn screen or with clinical signs and symptoms suspicious for Niemann-Pick type A or B.
Testing Algorithm
For more information see Newborn Screen Follow-up for Acid Sphingomyelinase Deficiency
If the patient has abnormal newborn screening results for Niemann-Pick disease, refer to the appropriate American College of Medical Genetics and Genomics Newborn Screening ACT Sheet.(1)
Special Instructions
Reporting Name
Acid Sphingomyelinase, LeukocytesSpecimen Type
Whole Blood ACDSpecimen Minimum Volume
4 mL
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Whole Blood ACD | Refrigerated (preferred) | 6 days |
| Ambient | 6 days |
Reject Due To
| Gross hemolysis | Reject |
Reference Values
≥0.32 nmol/hour/mg protein
An interpretative report will be provided.
Day(s) Performed
Preanalytical processing: Monday through Saturday
Assay performed: Monday, Thursday
Report Available
2 to 5 daysSpecimen Retention Time
White blood cell homogenate: 1 monthPerforming Laboratory
Mayo Clinic Laboratories in Rochester
CPT Code Information
82657
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| ASMW | Acid Sphingomyelinase, Leukocytes | 24101-8 |
| Result ID | Test Result Name | Result LOINC Value |
|---|---|---|
| 606264 | Acid Sphingomyelinase, Leukocytes | 24101-8 |
| 606265 | Interpretation | 59462-2 |
| 606266 | Reviewed By | 18771-6 |