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Long Chain Fatty Acids, Serum/Plasma

Test ID: LCFAT
Orderable by Ontario ND

Test

Aliases/Synonyms

LCFA; VLCFA; Very Long Chain Fatty Acids

Method

LC-MS/MS

Report Includes

C26:0; C26:0/C22:0 ratio; C24:0/C22:0 ratio; Interpretation

Specimens

Serum; Plasma

Clinical Utility

This is a screening test for X-linked adrenoleukodystrophy. Affected males will have elevated parameters. Heterozygous females usually have elevated parameters, but they are often in the upper normal range. Other peroxisomal diseases may also be detected by this test (elevated parameters).

Test Location

London Health Sciences Centre, 339 Windermere Road, London ON N6A 5A5

Test Version

9-Feb-2024

Specimen

Specimens

Serum; Plasma

Collection Containers

Gold top (clot activator & gel); Lavender top (EDTA)

Sample Volume

2 mL

Minimum Volume

1.5 mL

Patient Preparation

Fasting specimen is preferred.

Collection & Handling

Collection Instructions

Collect fasting specimen.

Handling Information

Separate and freeze as soon as possible. Store and send frozen.

Stability

Refrigerated 7 days
Frozen > 7 days

Test Version

9-Feb-2024

Performance / Interpretation

Method

LC-MS/MS

Turnaround Time

15 days

Results

Name Units Reference Range Conversion Factor
C26:0 µmol/L
  • ≤ 0.800
C26:0/C22:0 ratio Ratio
  • ≤ 0.0134
C24:0/C22:0 ratio Ratio
  • ≤ 1.260
Interpretation

Sample Reports

Test Location

London Health Sciences Centre, 339 Windermere Road, London ON N6A 5A5

Test Version

9-Feb-2024

Interface / Setup

HL7 Interface Codes

Order Code Result Codes Units
LCFAT 3802C26 umol/L
3803C26/C22 Ratio
3804C24/C22 Ratio
3805LCFA Interp

Sample Reports

Test Version

9-Feb-2024