Porphobilinogen (PBG), Quantitative, Random Urine

CPT: 82570; 84110
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Synonyms

  • PBG Random Urine, Quantitative

Test Includes

Porphobilinogen (PBG) normalized to mg/gram Creatinine units


Special Instructions

For 24-hour urine testing, order Porphobilinogen (PBG), Quantitative, 24-Hour Urine [003103].


Expected Turnaround Time

3 - 6 days



Related Documents


Specimen Requirements


Specimen

Urine (random), frozen and protected from light


Volume

3 mL


Minimum Volume

1 mL (Note: This volume does not allow for repeat testing.)


Container

Plastic urine container with 0.5 mL of 30% glacial acetic acid (optional preservative, but required if ordered with Δ-ALA) and amber plastic frozen transport tube and cap (Labcorp No. 78656).


Collection

On collection of random urine, it is advisable not to use first voided morning specimen, late evening specimen after 8 PM, or specimen obtained following excessive fluid intake. Transfer the urine into a Labcorp amber plastic frozen transport tube with amber cap (Labcorp No. 78656). If ordered with Δ-ALA, pH must be <6. Label the container with the patient's name and date. The specimen should be frozen immediately and maintained frozen until tested. (If amber tube and cap are not available, cover a clear plastic transport tube completely from top to bottom with aluminum foil. Identify the specimen with the patient's name directly on the transport tube and the outside of the aluminum foil. Secure with tape.)

To avoid delays in turnaround time when requesting multiple tests on frozen samples, please submit separate frozen specimens for each test requested.


Storage Instructions

Freeze immediately and protect from light. Urine is stable when preserved with 30% glacial acetic acid and frozen for one month or refrigerated for 24 hours.


Causes for Rejection

Specimen exposed to light; specimen not received frozen


Test Details


Use

Appropriate test to rule out acute intermittent porphyria (AIP) and other acute attack types of porphyrias associated with neurologic and/or psychiatric symptoms. Detect porphyrias and porphyrinurias. Acute intermittent porphyria is characterized by excretion of porphobilinogen and delta aminolevulinic acid in urine during acute attacks, but not during latency. Increased urine values are seen in the intoxication porphyrias (heavy metals, halogenated solvents, certain drugs).


Limitations

This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.


Methodology

Chromatography/spectrophotometry


Reference Interval

0.2–2.2 mg/g Creat.


LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
003065 Porphobilinogen, Qn, Random Ur 24446-7 003066 Porphobilinogen, Qn, Random Ur mg/L 24446-7
003065 Porphobilinogen, Qn, Random Ur 24446-7 003067 Creatinine, U mg/dL 2161-8
003065 Porphobilinogen, Qn, Random Ur 24446-7 003068 PBG/Creatinine Ratio mg/g Creat. 13797-6

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