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Test Code PQNRU Porphyrins, Quantitative, Random, Urine

Important Note

CMH Cerner Order: Ref Misc


Ordering Guidance


This random urine test should be ordered when the specimen will be received at Mayo Clinic Laboratories within 72 hours. If transportation may take longer than 72 hours, order both PQNU / Porphyrins, Quantitative, 24 Hour, Urine and ALAUR / Aminolevulinic Acid, Urine and follow collection guidelines.



Shipping Instructions


Ship specimen in amber bottle to protect from light.



Necessary Information


Include a list of medications the patient is currently taking.



Specimen Required


Patient Preparation: For at least 24 hours before specimen collection, patient must not consume any alcohol.

Supplies: Urine Container - Amber, 60 mL (T596)

Container/Tube: 60-mL Amber urine container

Specimen Volume: 20 to 50 mL

Collection Instructions:

1. Collect a random urine specimen.

2. No preservative3. Specimens should be protected from light and frozen immediately following collection.


Children's Mercy Hospital Note:

CMH COLLECTION: 15mL urine in a sterile cup, protected from light

Specimen Minimum Volume

15 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Urine Frozen 72 hours LIGHT PROTECTED

Testing Algorithm

The following algorithms are available:

-Porphyria (Acute) Testing Algorithm

-Porphyria (Cutaneous) Testing Algorithm

Useful For

Preferred test to begin assessment for congenital erythropoietic porphyria and porphyria cutanea tarda and during symptomatic periods for acute intermittent porphyria, hereditary coproporphyria, and variegate porphyria when specimen transport will not exceed 72 hours

 

This test is not useful for the diagnosis of conjugated or unconjugated hyperbilirubinemia syndromes such as Dubin Johnson syndrome or Rotor syndrome.

Reject Due To

  All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.

Day(s) Performed

Monday through Friday

Report Available

2 to 4 days

Reporting Name

Porphyrins, QN, Random, U

Reference Values

Uroporphyrin, Octa: ≤3.1 mcmol/mol creatinine

Heptacarboxylporphyrins: ≤0.9 mcmol/mol creatinine

Hexacarboxylporphyrins: ≤0.3 mcmol/mol creatinine

Pentacarboxylporphyrins: ≤1.2 mcmol/mol creatinine

Coproporphyrin, Tetra: ≤25.0 mcmol/mol creatinine

Porphobilinogen: ≤0.2 mmol/mol creatinine

Aminolevulinic Acid: ≤ 2.3 mmol/mol creatinine

Method Name

High-Performance Liquid Chromatography (HPLC) with Fluorometric Detection/Liquid Chromatography Tandem Mass Spectrometry (LC-MS/MS)

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

84110-Porphobilinogen, quantitative

84120-Porphyrins, quantitation and fractionation

82135- ALA Delta Random Urine