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Test Catalog
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Primary Adrenal Insufficiency Evaluation |
#816 |
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| Type of Disorder: |
Adrenal |
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| Typical Presentation: |
In infants: hyperpigmentation of the skin and mucosal membranes, failure to thrive, vomiting, hypoglycemia
In male children: hyperpigmentation of the skin and mucosal membranes, weakness, fatigue, orthostatic hypotension, anorexia, weight loss, nausea |
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| Indications for Testing: |
Primary adrenal insufficiency in boys
Family history of X-linked adrenoleukodystrophy |
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| Test Details |
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| Test Code: |
816 |
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| Profile includes: |
Autoimmune Polyglandular Syndrome (AIRE) Evaluation, ABCD1 (Adrenoleukodystrophy) DNA Sequencing Test, NR0B1 (Adrenal Hypoplasia Congenita) DNA Sequencing Test
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| Informed Consent Required: |
Yes |
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| Medicare ABN Required: |
Yes |
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| Technical Information |
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| Utility: |
Detects mutations (including point mutations, deletions, insertions, and rearrangements) in the coding sequences of AIRE, NR0B1, and ABCD1 genes |
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| Methodology: |
Polymerase Chain Reaction (PCR), DNA sequencing of entire protein coding region of gene |
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| Reference Value: |
No mutation detected |
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| CPT Code(s): |
83891(1), 83898(31), 83904(31), 83909(1), 83912(1) |
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| Shipping Considerations |
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| Preferred Specimen Requirements |
| Type: |
Whole blood |
| Minimum Volume: |
10 mL (pediatric minimum: 2 mL) |
| Collection Tube: |
Yellow or lavender top |
| Stability: |
Hemolysis may compromise DNA recovery and integrity after 48 hrs |
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| Storage Conditions: |
For short periods (until shipped) at 4°C |
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| Shipping Conditions: |
Overnight at room temperature (specimen arrival must be less than 24 hrs after collection); ship Monday through Thursday only |
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| Test Turnaround: |
7-14 days |
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