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Test Code PQNU Porphyrins, Quantitative, 24 Hour, Urine


Ordering Guidance


This 24-hour urine test should be ordered when the specimen will not be received at Mayo Clinic Laboratories (MCL) within 72 hours. If the specimen will be received at MCL within 72 hours, order PQNRU / Porphyrins, Quantitative, Random, Urine.



Shipping Instructions


Ship specimen in amber container to protect from light.



Necessary Information


1. 24-Hour volume (in milliliters) is required.

2. Patient's sex is required.

3. Collection date and time should be documented upon completion of the 24-hour collection.

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



Specimen Required


Patient Preparation: For the 24 hours before, as well as during, specimen collection, patient must not consume any alcohol.

Supplies:

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

-Sodium Carbonate, 5 gram (T272)

Container/Tube: 60-mL Amber urine container

Specimen Volume: 20 to 50 mL

Collection Instructions:

1. Add 5 g of sodium carbonate as preservative at start of collection. This preservative is intended to achieve a pH above 7. Do not substitute sodium bicarbonate for sodium carbonate.

2. Collect a 24-hour urine specimen.

3. The container should be refrigerated and protected from light as much as possible during collection.

4. Record volume and duration.

5. Aliquot 20 to 50 mL into an amber container and freeze.

Additional Information: See Urine Preservatives-Collection and Transportation for 24-Hour Urine Specimens for multiple collections.


Children's Mercy Hospital Note:

CMH COLLECTION: urine in urine jug. Keep refrigerated and protect from light during collection.

Specimen Minimum Volume

15 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Urine Frozen 7 days LIGHT PROTECTED

Testing Algorithm

The following algorithms are available:

-Porphyria (Acute) Testing Algorithm

-Porphyria (Cutaneous) Testing Algorithm

Useful For

Preferred screening test 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 be longer than 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, U

Reference Values

Uroporphyrins, Octa: ≤30 nmol/24 h

Heptacarboxylporphyrins: ≤9 nmol/24 h

Hexacarboxylporphyrins: ≤8 nmol/24 h

Pentacarboxylporphyrins: ≤10 nmol/24 h

Coproporphyrin, Tetra:

Males: ≤230 nmol/24 h

Females: ≤168 nmol/24 h

Porphobilinogen: ≤2.2 mcmol/24 h

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

Urine Preservative Collection Options

Note: Preservative must be added before beginning collection.

Ambient (no additive)

No

Refrigerate (no additive)

No

Frozen (no additive)

No

50% Acetic Acid

No

Boric Acid

No

Diazolidinyl Urea

No

6M Hydrochloric Acid

No

6M Nitric Acid

No

Sodium Carbonate

Required

Toluene

No

**Protect specimen from light.