Maple Syrup Urine Disease, Plasma (Sendout)

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General Information

Lab Name
Maple Syrup Urine Disease, Plasma (Sendout)
Lab Code
RMSUDP
Epic Ordering
Maple Syrup Urine Disease, Plasma (Sendout)
External Test Id
LAB1956
Description

Clinical Utility: Used for diagnosis and dietary monitoring of patients with maple syrup urine disease. This panel includes Valine, Isoleucine, Leucine, and Alloisoleucine.

Ordering Requirements: Include relevant clinical information (drug therapy, family history, etc.) in the Epic order comment to ensure proper interpretation.

References
Forms & Requisitions
Synonyms
Alloisoleucine, Branched Chain Amino Acids, Isoleucine, LAB1956, Leucine, MSUD, Valine
Components

Interpretation

Method

Ion exchange chromatography with post column ninhydrin derivatization

Reference Range
See individual components
Ref. Range Notes

Reference Ranges:

Age 0-Up to 1 mo 1 mo - 5 yr 6 yr - Adult
Valine (mcmol/L) 70 - 300 75 - 350 120 - 300
Isoleucine (mcmol/L) 20 - 90 27 - 120 30 - 110
Leucine (mcmol/L) 50 - 193 45 - 160 60 - 200
Alloisoleucine (mcmol/L) Not present Not present Not present
References

Ordering & Collection

Specimen Type
Blood
Collection

3 mL blood in DARK GREEN (Na Heparin) or LIME GREEN PST (Lithium Heparin)

Also Accepted: RED or LAVENDER TOP (EDTA) tube. Note: Serum or EDTA plasma is acceptable, but not preferred.

Forms & Requisitions
Handling Instructions

Outside Laboratories: Centrifuge sample and transfer plasma/serum to a separate plastic vial within one hour of collection. Freeze plasma/serum at -20°C while awaiting shipment. Transport on dry ice.

  • Optional: To ensure proper interpretation, include relevant clinical information (drug therapy, and family history) on the UW DLMP requisition.

Stability: Frozen (preferred): 1 month; Refrigerated: 24 hours; Ambient: 2 hours.

Quantity
requested: 1 mL plasma or serum
minimum: 0.5 mL plasma or serum

Processing

Processing

Centrifuge sample and transfer plasma/serum to a separate plastic vial within one hour of collection. Freeze plasma/serum at -20°C.

Sendouts:

  • Order SCHL Test: LAB1956.
  • Interfaced: No.
  • If clinical information (drug therapy, family history) is included in the order, print the Epic requisition and send it with a copy of the SCH Requisition.
  • Send samples on dry ice via DLMP or DE courier.

Stability: Frozen: 1 month; Refrigerated: 24 hours; Ambient: 2 hours.

Performance

LIS Dept Code
Sendouts (SO)
Performing Location(s)
Sendout Seattle Children's Hospital Department of Laboratories
206-987-2617

4800 Sand Point Way NE
OC.8.720
Seattle, WA 98105

Frequency
Performed: Monday - Friday. Turnaround Time: Up to 2 days from sample receipt at Seattle Children's Hospital Laboratory.
Available STAT?
No

Billing & Coding

CPT codes
82136
LOINC
94566-7