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Test ID FQPPS Porphyrins, Feces

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 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

Secondary ID

81652