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


Very Long Chain Fatty Acids
Order Code: VLCFA
Order Form: A-1a Miscellaneous Request or IPR Req
  Commercial "Mail-out" Laboratory
6240 RCP
356-3527
Specimen
Plasma or Whole Blood
Collection Medium:
Lavender top tube (EDTA)
Alternate
Collection Media:
Lavender top tube (EDTA), Green top tube (Na Heparin)
Minimum:
Minimum: EDTA plasma or 1-3 mL whole blood EDTA following an overnight 
(12-14 hour) fast. Patient must not consume any alcohol for 24 hours 
before the specimen is drawn.
Delivery Instructions:
Keep at room temperature.  Do not refrigerate.
Analytic Time:
2 weeks
Reference Range:
C22:0               < or = 96.3 umol/L
C24:0               < or = 91.4 umol/L
C26:0               < or = 1.30 umol/L
C24:0/C22:0 ratio   < or = 1.39
C26:0/C22:0 ratio   < or = 0.023

Pristanic Acid
0-4 mo:        < or = 0.60 umol/L
5-8 mo:        < or = 0.84 umol/L
9-12 mo:       < or = 0.77 umol/L
13-23 mo:      < or = 1.47 umol/L
> or = 24 mo:  < or = 2.98 umol/L

Phytatanic Acid
0-4 mo:        < or = 5.28 umol/L
5-8 mo:        < or = 5.70 umol/L
9-12 mo:       < or = 4.40 umol/L
13-23 mo:      < or = 8.62 umol/L
> or = 24 mo:  < or = 9.88 umol/L

Pristanic/Phytanic Acid Ratio
0-4 mo:        < or = 0.35
5-8 mo:        < or = 0.28
9-12 mo:       < or = 0.23
13-23 mo:      < or = 0.24
> or = 24 mo:  < or = 0.39
Comments:
Note:  Patient's age is required on request form for processing.  
Include information regarding treatment, family history, and tentative 
diagnosis.
Methodology:
Capillary gas chromatography/mass spectroscopy of pentafluorobenzyl 
bromide fatty acid esters.
CPT Code:
82726
 
See Additional Information:
Fasting Specimen Requirements

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Updated: 04/30/2008

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.