Pyridoxine-Dependent Epilepsy Panel, Serum or Plasma
Ordering Recommendation
Primarily used for diagnosis and monitoring of patients with pyridoxine-dependent epilepsy. Can also aid in differential diagnosis of peroxisomal disorders, hyperlysinemia type 1, and sulfite oxidase/molybdenum cofactor deficiencies.
New York DOH Approval Status
Specimen Required
Adults: Fasting specimen preferred.
Infants and Children: Draw specimen prior to feeding or 2-3 hours after a meal preferred.
Green (sodium or lithium heparin), lavender (EDTA), plain red, or serum separator tube (SST).
Separate from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum or plasma to an ARUP standard transport tube and freeze immediately . (Min: 0.2 mL)
CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Samples exposed to more than two freeze/thaw cycles.
Clinical information is needed for appropriate interpretation. Submit age, gender, diet (eg., TPN therapy), drug therapy, and family history on a Biochemical Genetics Patient History Form available at www.aruplab.com/patienthistory or by contacting ARUP Client Services at 800-522-2787.
After separation from cells: Ambient: Unacceptable; Refrigerated: 24 hours; Frozen at -20°C: 1 week; Frozen at -70°C: 1 year
Methodology
Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Performed
Fri
Reported
4-12 days
Reference Interval
Age | Pipecolic Acid | Total AASA-P6C |
---|---|---|
0-12 months | Less than or equal to 5.2 umol/L | Less than or equal to 1.6 umol/L |
Greater than 1 year | Less than or equal to 6.3 umol/L | Less than or equal to 3.1 umol/L |
Interpretive Data
Refer to report
Laboratory Developed Test (LDT)
Note
Hotline History
CPT Codes
82542
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
2007407 | Pipecolic Acid, Serum/Plasma | 32334-5 |
2013353 | Pyridoxine-Dependent Epilepsy Interp | 48767-8 |
2013354 | Total AASA-P6C, Serum/Plasma | 92766-5 |
Aliases
- Alpha-aminoadipic semialdehyde, serum
- Delta1-piperideine-6-carboxylate, Serum
- Pipecolic Acid, Serum/Plasma