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NEURF<br />

88846<br />

FNMYC<br />

87862<br />

Reference Values:<br />

Class IgE kU/L Interpretation<br />

0 Negative<br />

1 0.35-0.69 Equivocal<br />

2 0.70-3.49 Positive<br />

3 3.50-17.4 Positive<br />

4 17.5-49.9 Strongly positive<br />

5 50.0-99.9 Strongly positive<br />

6 > or =100 Strongly positive Reference values<br />

apply to all ages.<br />

Clinical References: Homburger HA: Allergic diseases. In Clinical Diagnosis and Management by<br />

Laboratory Methods. 21st edition. Edited by McPherson RA, Pincus MR. WB Saunders, Publ, New York,<br />

Chapter 53, Part VI, pp. 961-971, 2007<br />

Neuraminidase, Fibroblasts<br />

Clinical Information: A deficiency of the enzyme neuraminidase results in sialidosis, an autosomal<br />

recessive lysosomal storage disorder. There are 2 sialidosis phenotypes. Type 1 is characterized by a<br />

cherry-red spot on the retina, progressive decreased acuity, impaired color vision, or night blindness.<br />

Neurologic problems include poorly controlled myoclonus (sudden brief involuntary muscle<br />

contractions), painful neuropathy, and delayed nerve conduction. The majority of type I patients have<br />

been Italian. Type II sialidosis is distinguished from type I by the presence of abnormal somatic features,<br />

including coarse facies and dysotosis multiplex. Type II can generally be subdivided into an infantile<br />

form, juvenile form, and congenital (or hydropic) form. In addition to primary neuraminidase deficiency<br />

disorders, there are also patients with a similar clinical disorder who suffer from a combined deficiency of<br />

neuraminidase and beta-galactosidase. To date, the human alpha-neuraminidase defect is sialidosis<br />

patients has not been well characterized. This situation is complicated by the fact that neuraminidase is<br />

unstable and quickly destroyed by freezing, sonication, solubilization, and most purification procedures.<br />

Useful For: As an aid in the diagnosis of sialidosis<br />

Interpretation: Patient specimens with >23% of co-run normal control activity are considered to be<br />

normal. Specimens with 17% to 23% of co-run normal activity are in an indeterminate range; molecular<br />

confirmation is recommended, if clinically indicated. Specimens with 23% of the co-run normal control of the day<br />

Clinical References: Thomas GH: Disorders of glycoprotein degradation: alpha-mannosidosis,<br />

beta-mannosidosis, fucosidosism and sialidosis. In The Metabolic Basis of Inherited Disease, 8th edition.<br />

Edited by CR Scriver, AL Beuadet, WS Sly, DE Valle. Chapter 140. 2001, pp 3507<br />

Neuroblastoma, 2p24 (MYCN) Amplification, FISH<br />

Clinical Information: Neuroblastoma is a solid tumor that occurs in early childhood and is usually<br />

found in the adrenal glands, but rarely is found in other areas of the body. Approximately 25% of all<br />

neuroblastomas have amplification of the MYCN oncogene, located on chromosome 2 at p24.1.<br />

Amplification of the MYCN oncogene correlates with an unfavorable prognosis and aggressive disease.<br />

Useful For: As a prognostic factor for patients with neuroblastoma As an aid to treatment decisions in<br />

Current as of January 4, 2013 7:15 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong><strong>Laboratories</strong>.com Page 1292

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