Test Directory

Test Code
POMEA
Test Name
Pompe Disease (GAA) Activity in Leukocytes
CPT Codes
82657
Expected Turnaround Time
3 - 7 days
Clinical Utility

This test is useful for the diagnosis of Pompe disease and provides diagnostic testing for individuals with decreased alpha-glucosidase activity on newborn screen or clinical signs and symptoms suspicious for Pompe disease.

Specimen and Container Info

Specimen Type: Whole Blood

Preferred Collection Container: Pale Yellow Top (ACD solution B)

Alternate Collection Container: Pale Yellow Top (ACD solution A) or Lavender Top (EDTA)

Desired Specimen Volume: 6 mL

Collection Instructions
  1. Collect specimen Monday through Thursday only and not the day before a holiday.
  2. Collect a pale yellow top (ACD solution B) tube via venipuncture.
Processing and Submission Instructions

Submit specimen with Biochemical Genetics Patient Information form.

  1. Transport 6 mL of whole blood in the original collection container. Do not aliquot.
Transport Instructions

Transport to the laboratory refrigerated. 

Stability Requirements

Room Temperature

6 days

Refrigerated

6 days

Causes for Rejection
  • Gross hemolysis
Methodology
Liquid Chromatography - Tandem Mass Spectrometry (LC-MS/MS)
Reference Intervals

See patient report.

Limitations

Pseudodeficiency results in low measured acid alpha-glucosidase activity, but it is not consistent with Pompe disease. Molecular analysis (GAAN / Pompe Disease, GAA Gene Sequencing with Deletion/Duplication, Varies) should be performed to resolve the clinical question.

Additional biochemical or molecular testing is recommended to confirm a diagnosis if an enzyme deficiency is detected by this screening test.

Enzyme levels may be normal in individuals receiving enzyme replacement therapy.

Alternate Names
  • Acid Alpha-Glucosidase
  • Acid Maltase Deficiency
  • Alpha-Glucosidase Deficiency
  • Glycogen Storage Disease Type II (GSD II)
  • Pompe Disease
Reference Lab
Mayo Clinic Laboratories
Testing Schedule
Varies