The University of Iowa (UIHC)
Department of Pathology
LABORATORY SERVICES HANDBOOK


Facioscapulohumeral Dystrophy (FSHD), Prenatal
Order Code: FSHDPRE
Order Form: A-1a Molecular Pathology/Diagnostics or IPR Req
  Molecular Pathology
6004 BT GH
384-9568
Specimen
Fetal Sample (Amniotic or Chorionic Villus), Parental Samples (Whole Blood)
Collection Medium:
Lavender top tube (EDTA)
Minimum:
Fetal Sample:
 Amniotic Fluid (AF)    1 ml per week gestational age
 Chorionic Villus (CV)  10 mg clean villus
Parental Sample(s)      3 ml whole blood in EDTA tube
Delivery Instructions:
Deliver to laboratory immediately after collection.
Analytic Time:
Turnaround time for results is 4 to 7 weeks.
Reference Range:
Normal
Comments:
Fetal Sample:  Amniotic Fluid and Chorionic Villi samples must remain 
at room temperature at all times and be sent immediately after 
collection.  Place Amniotic Fluid in a sterile centrifuge tube.  Place 
Chorionic Villi Samples in transport tube containing enough tissue 
culture medium to cover the entire sample.   Do not allow tissue to 
become dry.

Fetal samples are to be delivered to the Cytogentics Laboratory, W101 
GH immediately after collection.  You must print, complete and submit 
the "Supplementary Informational Form for Prenatal FSHD Testing " 
with the requisition.

Parental samples are delivered to the Molecular Diagnostic laboratory 
BT 6004 GH.
Test
Limitations:
Contact the Cytogenetics Laboratory at 319-356-3877 and provide 
information on when fetal sample is going to be collected.
Methodology:
Southern Blot
CPT Code:
83890(x3), 83892(x6), 83894(x3), 83896(x3)
83897(x3), 83912(x3), 88235, 88240
 
See Additional Information:
Specimens Requiring Immediate Delivery

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Updated: 04/17/2008

Note: The information contained in this handbook is for use by personnel of University of Iowa Health Care. No other use is implied or intended.