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Test Code PQNRU Porphyrins, Quantitative, Random, Urine

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Specimen Type

Urine


Ordering Guidance


This random urine test should be ordered when the specimen will reach Mayo Clinic Laboratories within 72 hours. If transportation will 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: Patient must  not consume any alcohol for at least 24 hours before specimen collection.

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

Container/Tube: Amber, 60-mL urine container

Specimen Volume: 20 to 50 mL

Collection Instructions:

1. Collect a random urine specimen.

2. No preservative necessary but pH must be above 5.0. If pH is below 5.0, specimen will be rejected.

3. Specimens should be protected from light and frozen immediately following collection.


Specimen Minimum Volume

15 mL

Specimen Stability Information

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

Reference Values

Uroporphyrins, Octacarboxyl:

≤3.1 mcmol/mol creatinine

 

Heptacarboxylporphyrins:

≤0.9 mcmol/mol creatinine

 

Hexacarboxylporphyrins:

≤0.3 mcmol/mol creainine

 

Pentacarboxyporphyrins:

≤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

Day(s) Performed

Monday through Friday

CPT Code Information

84110-Porphobilinogen, quantitative

84120-Porphyrins, quantitation and fractionation

82135- ALA Delta Random Urine

Genetics Test Information

This is the preferred test during symptomatic periods for acute intermittent porphyria, hereditary coproporphyria, and variegate porphyria. The random urine collection for this test allows for the diagnosis to be established and treatment to be initiated quickly. However, this test should only be ordered when the specimen will be received at Mayo Clinic Laboratories within 72 hours of collection. If it will be longer than 72 hours, both PQNU / Porphyrins, Quantitative, 24 Hour, Urine and ALAUR / Aminolevulinic Acid, Urine should be ordered and collection guidelines must be followed.

 

Testing includes porphobilinogen and aminolevulinic acid, which are useful in the evaluation of the acute porphyrias.

 

This is the preferred test to begin assessment for congenital erythropoietic porphyria and porphyria cutanea tarda.

Report Available

2 to 4 days

Specimen Retention Time

1 week

Reject Due To

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