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NSW Biochemical Genetics Service

Selected Disorders and Relevant Diagnostic Tests

DISORDER SAMPLE TEST
Adrenoleucodystrophy Plasma Very long chain fatty acids (VLCFA)
Arginine:glycine amidinotransferase (AGAT) Plasma & Urine Creatine and Guanidinoacetate
Alkaptonuria Urine Organic acid profile - homogentisic acid
Creatine transporter defect (X-linked) Urine Creatine and Guanidinoacetate
Canavan's disease Urine Organic acid profile - N-acetylaspartic acid
Congenital Disorders of Glycosylation Serum Transferrin Isoform analysis
Fatty acid oxidation defects during an episode or interval sample Plasma Quantitation of Free Carnitine and Acylcarnitines
Dried Blood Spot Acylcarnitine profile
Urine Acylglycines, Organic acid profile
Guanidinoacetate methyltransferase (GAMT) Plasma & Urine Creatine and Guanidinoacetate
Gyrate atrophy Urine Amino acid profile - ornithine
Gyrate atrophy Plasma Amino acid quantification - ornithine
Hereditary tyrosinaemia Type I Urine Organic acid profile - succinylacetone
Homocysteinaemia, mild Plasma Homocysteine, total
Homocystinuria, classical Urine Amino acid profile - homocystine
Plasma Quantitation of homocystine, methionine and Homocysteine, total
4-Hydroxybutyricaciduria Urine Organic acid profile
Hypophosphatasia Urine or Plasma Amino acid quantification - phosphoethanolamine
Hypophosphatasia Plasma Alkaline phosphatase
LCHAD deficiency Fibroblast cell line LCHAD specific assay & DNA/PCR
Maple Syrup Urine Disease Plasma Quantitation of branched chain amino acids
MCAD deficiency during an episode or interval Dried Blood Spot Acylcarnitine profile
Plasma Carnitine
Urine Acylglycines
Methylmalonicacidaemia Urine MMA Screen
Plasma Quantification of MMA
Molybdenum co-factor deficiency Serum Uric acid
Molybdenum co-factor deficiency Urine or Plasma S-Sulphocysteine
MPS disorders Urine DMB screen/GAG electrophoresis
Whole Blood Specific enzyme assay (Adelaide W&CH)
Nonketotic hyperglycinaemia Plasma & CSF Amino acid quantification - glycine
Ornithine carbamoyl transferase (OCT) hemizygote Urine Orotic acid qualitative screen
Plasma Amino acid quantification - glutamine & citrulline
Peroxisomal disorders including Zellweger syndrome Plasma Very long chain fatty Acids (VLCFA)
Succinate semialdehyde dehydrogenase deficiency Urine Organic acid profile
Smith-Lemli-Opitz (SLO) syndrome Plasma 7-Dehydrocholesterol (7DHC)
Urea cycle disorders Plasma Amino acid quantitation and ammonia
Urine Amino acid and organic acid profile
Vitamin B12 deficiency (See notes on charging) Plasma Methylmalonic acid, Homocysteine, total

This document was updated on Tuesday, 19 February 2008.

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