BIOCHEMISTRY UNIT, SPECIALISED DIAGNOSTIC CENTRE

INSTITUTE FOR MEDICAL RESEARCH

Jalan Pahang, 50588 KUALA LUMPUR
Phone : 603-26162794 Fax : 603-26162535
Test Report: High Risk Screening for IEM
Method : Derivatisation with butanolic chloride/LC-MS/MS

Name :Azkalubik
Requesting Client : Dr Cut Nurul Hafifah
Patient ID: 434.24.48 Ward/Hospital : / Cipto Mangunkusumo Hospital, University of
Indonesia

IMR No : 19BG03249 Age Year 5 Month Day Refering Lab's Specimen No :

R/N : 434.24.48 Sex: Male Date Collected : 06/04/2019

Date Received : 15/04/2019 Specimen Type : BloodSpot

Date Test Performed : 18/04/2019 Condition of Specimen : Good

Test Result :
Reference Range : μmol/L (> 1 week old)
Analyte Result Low Conc High Conc Flag

Gly 293.81 76.0 725.0

Ala 378.65 67.0 917.0

Val 237.36 70.0 348.0

Leulle 171.3 29.0 266.0

Met 30.38 9.0 42.0

Phe 78.5 18.0 180.0

Phe/Tyr 0.67 0.32 3.45

Tyr 116.37 10.0 182.0

Glu 455.62 68.0 557.0

Cit 21.16 3.3 35.0

Arg 11.38 0.53 21.0

Carn 174.16 5.0 85.0 ⬆

C2 42.79 3.0 53.0

C3 7.07 0.2 5.0 ⬆

C4 0.62 0.07 1.11

C5:1 0.14 0.01 0.2

C5 0.25 0.04 0.48

C4OH 0.18 0.02 0.64

C6 0.14 0.01 0.46

C5OH 0.52 0.04 0.47 ⬆

C8 0.17 0.02 0.4

Note: This is a computer generated form, no signature is required.

IMR/SDC/BC/FORM-14(2) Version No: 1.0 Issue date: 11 05 2015 Approved by: Head of SDC

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Name :Azkalubik
Requesting Client : Dr Cut Nurul Hafifah
Patient ID: 434.24.48 Ward/Hospital : / Cipto Mangunkusumo Hospital, University of
Indonesia

C3DC 0.08 0.01 0.23

C10:1 0.15 0.01 0.34

C10 0.21 0.02 0.64

C4DC 1.49 0.0 1.0 ⬆

C5DC 0.06 0.01 0.2

C12:1 0.06 0.02 0.4

C12 0.11 0.02 0.47

C6DC 0.27 0.0 0.46

C14:2 0.07 0.01 0.24

C14:1 0.18 0.02 0.46

C14 0.21 0.04 0.73

C8DC 0.09 0.01 0.27

C14OH 0.03 0.01 0.2

C16:1 0.25 0.02 0.53

C16 3.63 0.3 5.4

C16:1OH 0.03 0.01 0.31

C16OH 0.02 0.01 0.19

C18:2 0.61 0.05 0.92

C18:1 1.54 0.21 2.68

C18 1.2 0.12 1.53

C18:2OH 0.07 0.0 0.16

C18:1OH 0.07 0.0 0.17

Interpretation:
Elevation of free carnitine without signifiant elevation of C0/C16+C18 ratios and elevation of C3 without
elevation of C3:C2 ratio is most likley due to secondary changes to liver dysfunction. Non specific changes of
few other acylcarnitines.

Verified by: Dr Mardhiah bt Masri Authorized by: Dr Anasufiza bt Habib (PPP:35123)

Designation: Medical Officer UD44 Designation : Chemical Pathologist UD56

Date of report: 18/04/2019 17:02:24

Note: This is a computer generated form, no signature is required.

IMR/SDC/BC/FORM-14(2) Version No: 1.0 Issue date: 11 05 2015 Approved by: Head of SDC

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