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Test Code LAB9745 Porphyrins, Feces

Additional Codes

FQPPS

Reporting Name

Porphyrins, F

Useful For

Evaluation of patients who present with signs or symptoms suggestive of porphyria cutanea tarda, hereditary coproporphyria, variegate porphyria, congenital erythropoietic porphyria, erythropoietic protoporphyria, or X-linked protoporphyria

Testing Algorithm

The following algorithms are available:

-Porphyria (Acute) Testing Algorithm

-Porphyria (Cutaneous) Testing Algorithm

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Specimen Type

Fecal


Necessary Information


1. Weight of the non-homogenized sample

2. Collection duration

3. Include a list of medications the patient is currently taking.

4. Indicate if patient was compliant with the patient preparation requirements.



Specimen Required


Patient Preparation:

1. For 3 days before, as well as during, specimen collection, patient must not eat red meat or take any aspirin-containing medications.

2. For 24 hours before, as well as during, specimen collection, patient must not use barium, laxatives, or enemas.

Supplies: Stool Containers - 24, 48, 72 Hour Kit (T291)

Container/Tube: Stool containers

Specimen Volume: Entire collection (48, 72, or 96 hours). 24-Hour collection is adequate if the collection volume is at least 100 g

Collection Instructions:

1. Collect all stool specimens within a 24, 48, 72, or 96-hour timeframe.

2. Do not add preservative.

3. Send entire collection.

Additional Information: Specimens smaller than 100 g may not provide accurate results.


Specimen Minimum Volume

See Specimen Required

Specimen Stability Information

Specimen Type Temperature Time
Fecal Frozen (preferred) 14 days
  Refrigerated  14 days

Reference Values

Uroporphyrin I: <120 mcg/24 h

Uroporphyrin III: <50 mcg/24 h

Heptacarboxyl I: <40 mcg/24 h

Heptacarboxyl III: <40 mcg/24 hours

Isoheptacarboxyl: <30 mcg/24 h

Hexacarboxyl I: <10 mcg/24 h

Hexacarboxyl III: <10 mcg/24 h

Isohexacarboxyl: <10 mcg/24 h

Pentacarboxyl I: <20 mcg/24 hours

Pentacarboxyl III: <20 mcg/24 h

Isopentacarboxyl: <80 mcg/24 hours

Coproporphyrin I: <500 mcg/24 h

Coproporphyrin III: <400 mcg/24 h

Isocoproporphyrin: <200 mcg/24 h

Protoporphyrin: <1,500 mcg/24 h

CoproIII/CoproI ratio: <1.20

Day(s) Performed

Monday, Thursday

CPT Code Information

84126

Report Available

3 to 6 days

Reject Due To

Specimens in preservative Reject

Method Name

High-Performance Liquid Chromatography (HPLC)