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Leucocyte Adhesion Deficiency (LAD I & II) Test

DNA Labs India | ISO 9001:2015 Certified

Leucocyte Adhesion Deficiency (LAD I & II) Test

Short Name: LAD Test

Also known as: LAD Genetic Test, Leucocyte Adhesion Deficiency Flow Cytometry Test

Leucocyte Adhesion Deficiency (LAD I & II) Test test available at DNA Labs India for ₹5,500. Uses Flow Cytometry, Genetic Sequencing on Whole blood in EDTA tube and Sodium Heparin tube samples. Results in Report available next working day after sample receipt.. Free home collection in 300+ cities across India.

Flow Cytometry and Genetic TestingAll ages, with focus on pediatric presentation🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of this test is to diagnose Leucocyte Adhesion Deficiency (LAD I & II) by evaluating white blood cell function and identifying genetic mutations, aiding in early intervention and management of the disorder.

Test Code
1180
Price
₹5,500
Sample Type
Whole blood in EDTA tube and Sodium Heparin tube
Result Time
Report available next working day after sample receipt.
Fasting Required
No
Method
Flow Cytometry, Genetic Sequencing
Step 1

Sample Collection

Provide clinical details and a recent CBC report. No fasting required, but specify time of draw on the test request form.

Method: Venipuncture

Step 2

Laboratory Analysis

Standard venipuncture procedure with blood drawn into EDTA and Sodium Heparin tubes, mixed thoroughly.

Step 3

Report Delivery

Ship samples immediately at room temperature (18-22°C). Do not refrigerate or freeze.

Timeline: Report available next working day after sample receipt.

Patient Instructions

1
Before the Test:Ensure clinical details and CBC report are provided. No specific preparation required, but follow collection instructions.
2
During the Test:Blood samples will be collected via venipuncture into specified tubes.
3
After the Test:Samples will be processed for flow cytometry and genetic testing. Results will be available online or via email/WhatsApp.

About This Test

Who Should Get This Test

The purpose of this test is to diagnose Leucocyte Adhesion Deficiency (LAD I & II) by evaluating white blood cell function and identifying genetic mutations, aiding in early intervention and management of the disorder.

How to Prepare

  • Collect 3 mL whole blood in Lavender Top (EDTA) tube
  • Collect 3 mL whole blood in Green Top (Sodium Heparin) tube
  • Mix tubes gently to prevent clotting
  • Label tubes with patient details and time of draw
  • Ship at room temperature (18-22°C) without refrigeration or freezing

Doctor's Notes

Reviewed by — MBBS, MD (Medical Genetics) · Reg. No. 8532

"Early genetic testing for LAD I & II is crucial for managing recurrent infections and planning treatments like Hematopoietic Cell Transplantation (HCT)."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeWhole blood in EDTA tube and Sodium Heparin tube
Sample Volume6 mL total (3 mL per tube)
Container1 Lavender Top (EDTA) tube and 1 Green Top (Sodium Heparin) tube
Collection MethodVenipuncture

Sample Stability

Room Temperature72 hours
RefrigeratorNot Applicable
FrozenNot Applicable
Sample Rejection Criteria:
  • Samples received refrigerated or frozen
  • Insufficient sample volume or improper tube type
  • Missing clinical details or CBC report
  • Hemolyzed or clotted samples

Understanding Your Results

Results from the LAD I & II Test should be interpreted by a healthcare professional. Positive findings for reduced CD18 or CD15s expression, or identified genetic mutations, confirm LAD diagnosis and guide further management.
📊

LAD I & II unlikely; consider other causes

📊

Consistent with LAD-I; genetic testing for ITGB2 mutation recommended

📊

Consistent with LAD-II; genetic testing for GDP-fucose transporter mutation recommended

📊

Confirms LAD-I diagnosis

📊

Confirms LAD-II diagnosis

⚠️ When to Consult a Doctor:

Consult a healthcare provider if you or your child experience frequent, severe infections, delayed wound healing, or other symptoms suggestive of LAD. Early diagnosis is key for effective treatment planning.

Limitations

  • Test may not detect all rare genetic variants; clinical correlation is essential
  • Flow cytometry requires specialized equipment and expertise
  • Results should be interpreted alongside clinical history and CBC reports

Risks & Considerations

  • Minor bruising or pain at the blood draw site
  • Rare risk of infection or fainting during venipuncture

Interfering Factors

  • Recent blood transfusions may affect leucocyte marker analysis
  • Sample hemolysis or improper storage can impact flow cytometry results
  • Concurrent infections might temporarily alter white blood cell counts

Frequently Asked Questions

What is Leucocyte Adhesion Deficiency (LAD)?
LAD is a rare genetic disorder where white blood cells cannot stick to blood vessel walls, leading to impaired immune response and recurrent infections.
What is the cost of the LAD I & II Test at DNA Labs India?
The test costs INR 5500, including home sample collection across India.
What samples are required for this test?
6 mL of whole blood: 3 mL in an EDTA tube and 3 mL in a Sodium Heparin tube.
Is fasting required for the LAD test?
No, fasting is not required, but clinical details and a CBC report must be provided.
How is LAD diagnosed?
Diagnosis involves blood tests (CBC, flow cytometry) and genetic testing to confirm mutations in genes like ITGB2.
What are the symptoms of LAD I and II?
Common symptoms include frequent bacterial infections, delayed wound healing, recurrent abscesses, swollen lymph nodes, and delayed tooth development. LAD II may also involve bleeding abnormalities.
How long does it take to get results?
Results are typically available the next working day after sample receipt.
Is home sample collection available?
Yes, DNA Labs India offers free home collection for this test in numerous cities across India.
What is the purpose of genetic testing in LAD?
Genetic testing confirms the diagnosis by identifying specific mutations, which is crucial for treatment planning like Hematopoietic Cell Transplantation (HCT).
Can this test detect both LAD I and II?
Yes, the test evaluates markers for both LAD I (CD18) and LAD II (CD15s) via flow cytometry and genetic analysis.
Is the test suitable for children?
Yes, LAD is often diagnosed in pediatric patients, and the test is applicable for all ages.
What should I do if my test results are positive?
Consult a healthcare provider, such as an immunologist or geneticist, to discuss management options and further steps.
Worried about the process? Our certified phlebotomists collect thousands of samples every month across India. The process takes under 5 minutes and is virtually painless. Questions? Message us on WhatsApp — we're here 7 days a week.

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