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Test Code B0014
Test Summary

This test detects iduronate 2-sulfatase activity.

Turn-Around-Time (TAT)* 3  days
Acceptable Sample Types
Dried Blood Spots
Whole Blood (EDTA)
Acceptable Billing Types
Self (patient) Payment
Institutional Billing
*TAT starts after the sample and all required sample information is received at PerkinElmer Genomics, or after the benefits investigation is complete if requested for commercial insurance billing.

This test detects iduronate 2-sulfatase enzyme activity that has been associated with mucopolysaccharidosis type II.

This test may be appropriate for individuals with a clinical suspicion of mucopolysaccharidosis type II and/or individuals with a family history of mucopolysaccharidosis type II.

Mucopolysaccharidosis type II is a disease associated with the accumulation of complex carbohydrates in various tissues caused by a lysosomal storage disorder. The disease mainly affects males with age of onset occurring between 2 to 4 years of age. Symptoms usually include full lips, rounded cheeks, a broad nose, enlarged tongue, deep and hoarse voice, sleep apnea, a large head, hydrocephalus, hepatosplenomegaly, umbilical and inguinal hernias, thick skin, skin growths, hearing loss, light sensitivity, reduced vision, weakness in the hands and fingers, spinal stenosis, heart valve abnormalities, short stature, delayed growth, contractures, and thickening of the long bones. More severe forms of the disease can also include symptoms of developmental regression, intellectual decline, rapid disease progression, and a life expectancy of 10-20 years of age. Milder forms of the disease typically do not have affected intelligence but do have a shortened life expectancy in adulthood. The incidence of mucopolysaccharidosis type II is estimated to be ~ 1 in 100,000

Tandem mass spectrometry analysis can be coupled with liquid chromatography, a technique referred to as LC-MS/MS. In this methodology, chromatography is used to separate analytes of interest prior to measurement by the mass spectrometer. This separation reduces interference from matrix components and can also allow for the measurement of analytes that have the same mass (isobaric species), thereby improving analytical specificity compared to MS/MS.

Dried Blood Spots
Collection Container(s):

Dried blood spot card


Follow kit instructions. Briefly, allow blood to saturate card until indicated areas are filled and blood has soaked through card. Air dry card at ambient temperature for at least 3 hours.

  • NBS: Please contact PKIG to request the StepOne® kit.
  • Gene Sequencing: Please contact PKIG to request the DBS collection kit.
  • For pre-punched DBS: The required minimum 6 punches with 3.2 mm or 4 punches 4.75 mm.
Condition: Follow the instructions provided with the collection set. Store the dried blood at ambient temperature for up to two days. If the specimen cannot be sent as soon as it is dry, the filter paper should be placed in a sealable plastic bag and stored in a refrigerator (≤ 8°C) or preferably in a freezer.
Shipping: Follow kit instructions. Double bag and ship overnight at ambient temperature.
Whole Blood (EDTA)
Collection Container(s):

EDTA (purple top)


Infants (< 2-years): 2 to 3 mL; Children (>2-years): 3 to 5 mL; Older children and adults: Minimum 5mL. The blood tube should be inverted several times immediately after blood collection to prevent coagulation.

Condition: Store at ambient temperature. Do not refrigerate or freeze.
Shipping: Ship overnight at ambient temperature ensuring receipt within 5-days of collection.
Clotted or hemolyzed samples are not accepted.

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