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Test ID OXYWB Oxysterols, Blood


Ordering Guidance


Based on internal validation studies, this test using dried blood spots created from a whole blood specimen is less clinically sensitive and specific for diagnosing Niemann-Pick type C (NPC) (75% and 89%, respectively) than using plasma (98%). If there is a strong clinical suspicion for NPC, order OXNP / Oxysterols, Plasma.

 

This test is also available as a part of a panel, see HSMWB / Hepatosplenomegaly Panel, Blood. If this test (OXYWB) is ordered with either GPSYW / Glucopsychosine, Blood or CTXWB / Cerebrotendinous Xanthomatosis, Blood, the individual tests will be canceled and HSMWB ordered.



Specimen Required


Container/Tube:

Preferred: Lavender top (EDTA)

Acceptable: Green top (sodium heparin, lithium heparin) or yellow top (ACD B)

Specimen Volume: 1 mL

Collection Instructions: Send whole blood specimen in original tube. Do not aliquot.


Secondary ID

113429

Useful For

Investigating a possible diagnosis of acid sphingomyelinase deficiency, also known as Niemann-Pick disease type A or B, using dried blood spots created from a whole blood specimen

 

This test is not recommended for diagnosis of Niemann-Pick type C (NPC). If NPC is suspected, consider plasma oxysterols.

 

This test is not useful for the identification of carriers

Specimen Type

Whole blood

Specimen Stability Information

Specimen Type Temperature Time
Whole blood Refrigerated (preferred) 72 hours
  Ambient  48 hours

Reject Due To

Gross hemolysis OK
Gross lipemia OK
Gross icterus OK

Reference Values

Cholestane-3-beta,5-alpha,6-beta-triol

Cutoff: ≤0.800 nmol/mL

 

Lyso-sphingomyelin

Cutoff: ≤0.100 nmol/mL

Day(s) Performed

Tuesday, Thursday

Report Available

3 to 7 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

82542

Testing Algorithm

If the patient has abnormal newborn screening results for acid sphingomyelinase deficiency, also called Niemann-Pick type A or B disease, refer to the appropriate American College of Medical Genetics and Genomics Newborn Screening ACT Sheet.(1)