Test Details
Methodology
Liquid chromatography/tandem mass spectrometry (LC/MS-MS)
Result Turnaround Time
4 - 6 days
Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.
Use
17-Hydroxyprogesterone (17-OHP) in urine is greatly elevated in patients with polycystic ovarian disease and in patients with idiopathic hirsutism. Wong and coworkers showed that measurement of 17-OHP in 24-hour urine produced results that may be useful for monitoring glucocorticoid and mineralocorticoid therapy in patients with congenital adrenal hyperplasia (CAH).1 Other studies have shown that 17-OHP in 24-hour urine correlated well with serum 17-OHP and suggested that the urine measurement of 17-OHP may be a reliable alternative to serum 17-OHP measurement for monitoring of CAH therapy.2,3
Special Instructions
Random urine collection. Note: If original container is received with pH >3 but <5, adjust pH to <3 with 6N HCl.
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.
Specimen Requirements
Specimen
Urine
Volume
30 mL aliquot
Minimum Volume
4 mL aliquot
Container
Use random urine transport tube containing 6N HCl or urine Monovette® with pH stabilizer (LabCorp N° 56015). Monovette® instructions accompany units. Preservative must be added to the container prior to the start of the collection. If collecting without Monovette®, use plastic urine container and adjust urine pH to <5 with 6N HCl. Caution: Strong acid. May cause skin burns.
Storage Instructions
Refrigerate.
Causes for Rejection
Specimen with no preservative; original container with pH >5
Footnotes
LOINC® Map
Order Code | Order Code Name | Order Loinc | Result Code | Result Code Name | UofM | Result LOINC |
---|---|---|---|---|---|---|
070340 | 17-OH P/Creat Ratio, Urine | 070312 | 17-OH Progesterone, Urine | ng/dL | 1670-9 | |
070340 | 17-OH P/Creat Ratio, Urine | 070016 | Creatinine, Random U | mg/dL | 2161-8 | |
070340 | 17-OH P/Creat Ratio, Urine | 070314 | 17-OH P/Creat Ratio | ng/mg cr | 63042-6 | |
Order Code | 070340 | |||||
Order Code Name | 17-OH P/Creat Ratio, Urine | |||||
Order Loinc | ||||||
Result Code | 070312 | |||||
Result Code Name | 17-OH Progesterone, Urine | |||||
UofM | ng/dL | |||||
Result LOINC | 1670-9 | |||||
Order Code | 070340 | |||||
Order Code Name | 17-OH P/Creat Ratio, Urine | |||||
Order Loinc | ||||||
Result Code | 070016 | |||||
Result Code Name | Creatinine, Random U | |||||
UofM | mg/dL | |||||
Result LOINC | 2161-8 | |||||
Order Code | 070340 | |||||
Order Code Name | 17-OH P/Creat Ratio, Urine | |||||
Order Loinc | ||||||
Result Code | 070314 | |||||
Result Code Name | 17-OH P/Creat Ratio | |||||
UofM | ng/mg cr | |||||
Result LOINC | 63042-6 |