Test Directory

Test Code
LYSAL
Test Name
Lysosomal Acid Lipase Activity
CPT Codes
82657
Included Tests
  • LAL Activity
  • Interpretation
Expected Turnaround Time
3 - 14 days
Clinical Utility

Diagnose Wolman disease and cholesteryl ester storage disease (CESD) caused by LAL deficiency.

Specimen and Container Info

Specimen Type: Whole Blood

Collection Container: Lavender Top (EDTA)

Alternate Collection Container: Tan Top (EDTA)

Desired Specimen Volume: 3 mL

Collection Instructions
  1. Collect a lavender top (EDTA) tube via venipuncture.
Processing and Submission Instructions
  1. Transport 3 mL of whole blood in the original collection container.
Transport Instructions

Transport to the laboratory refrigerated.

Stability Requirements

Refrigerated

4 days

Causes for Rejection
  • Pink top EDTA tubes
  • Anticoagulant other than EDTA
  • Specimen clotted
  • Gross hemolysis
  • Frozen specimen
Methodology
Determination of enzyme activity against 4-methylumbelliferyl-palmitate
Reference Intervals

See patient report.

Limitations

This test is not appropriate for determination of carrier status, as some clinical conditions may result in indeterminate enzyme activity levels.

Alternate Names
  • Lysosomal Acid Lipase (LAL) Deficiency
  • Cholesteryl Ester Storage Disease (CESD)
  • Wolman Disease
Reference Lab
Labcorp Of America Holdings
Testing Schedule
Monday-Friday