Pipecolic Acid, Serum




Test Mnemonic

PIPE

CPT Codes

  • 82542 - QTY (1)

LOINC ®

32334-5

Includes

  • Pipecolic Acid, S
  • Interpretation

Performing Laboratory

Mayo Clinic Dpt of Lab Med & Pathology


Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
1.5 mLSerumSST (Gold) FrozenPatient should fast for at least 12 hours. Infant specimens should be collected just before feeding. Centrifuge, aliquot and freeze within 45 minutes of collection.

Alternate Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
1.5 mLSerumNo additive (Red) FrozenPatient should fast for at least 12 hours. Infant specimens should be collected just before feeding. Centrifuge, aliquot, and freeze within 45 minutes of collection.

Minimum Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
1 mL     

Stability

Environmental Condition Description
AmbientUnacceptable
Refrigerated14 days
Frozen94 days

Days Performed

Thu

Turnaround Time

3 - 10 days

Methodology

Name Description
Gas Chromatography Mass Spectrometry (GCMS) 

Reference Range

Pipecolic Acid, Serum
Sex Age From Age To Type Range Range Unit
   Months5 MonthsNormal<= 6.0nmol/mL
 6 Months11 MonthsNormal<= 5.9nmol/mL
 1 Years17 YearsNormal<= 4.3nmol/mL
 18 Years99 YearsNormal<= 7.4nmol/mL

Special Info

This test is New York DOH approved.

Clinical Info

Useful for the differential diagnosis between disorders of peroxisomal biogenesis and disorders with loss of a single peroxisomal function. Elevated levels are seen in disorders of peroxisomal biogenesis; normal levels are seen in disorders with loss of a single peroxisomal function. Abnormal results may reflect either prematurity or nongenetic liver and/or renal disease. CAUTION: Newborns with disorders of peroxisomal biogenesis often have normal levels of pipecolic acid which increase with age.