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Test ID NBLD0437 Purines and Pyrimidines Panel, Random, Urine

Secondary ID

41977

Useful For

Evaluating patients with symptoms suspicious for disorders of purine and pyrimidine metabolism

 

Monitoring patients with disorders of purine and pyrimidine metabolism

 

Laboratory evaluation of primary and secondary hyperuricemias

Method Name

Liquid Chromatography Tandem Mass Spectrometry (LC-MS/MS)

Reporting Name

Purines and Pyrimidines Panel, U

Specimen Type

Urine


Ordering Guidance


This is recommended screening test for the initial workup of a suspected disorder of purine and pyrimidine metabolism, particularly when clinical features are nonspecific, and includes measurement of purines, pyrimidines, uric acid, and S-sulfocysteine. If the clinical features are suggestive of molybdenum cofactor deficiency, isolated sulfite oxidase deficiency, and hereditary xanthinuria, order SSCTU / S-Sulfocysteine Panel, Urine.

 

If this test is ordered with SSCTU, then SSCTU will be canceled.

Necessary Information


Patient's age is required.



Specimen Required


Supplies: Urine Tubes, 10 mL (T068)

Container/Tube: Plastic, 10-mL urine tube

Specimen Volume: 3 mL

Collection Instructions: Collect a random urine specimen.


Specimen Minimum Volume

2 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Urine Frozen 90 days

Reject Due To

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

Reference Values

Age range 

0-3 years

4-6 years

7-12 years

13-18 years

>18 years

Uracil

≤50

≤30

≤25

≤20

≤20

Thymine

≤3

≤3

≤3

≤3

≤3

Adenine

≤3

≤3

≤3

≤3

≤3

Hypoxanthine

≤65

≤30

≤30

≤30

≤30

Xanthine

≤54

≤21

≤35

≤15

≤20

Orotic

≤4

≤4

≤3

≤3

≤5

Dihydroorotic acid

≤3

≤3

≤3

≤3

≤3

Uric Acid

350-2500

200-2000

200-1400

150-700

70-700

Deoxythymidine

≤3

≤3

≤3

≤3

≤3

Deoxyuridine

≤3

≤3

≤3

≤3

≤3

Thymidine

≤3

≤3

≤3

≤3

≤3

Uridine

≤10

≤3

≤3

≤3

≤3

Deoxyadenosine

≤3

≤3

≤3

≤3

≤3

Deoxyinosine

≤3

≤3

≤3

≤3

≤3

Deoxyguanosine

≤3

≤3

≤3

≤3

≤3

Adenosine

≤3

≤3

≤3

≤3

≤3

Inosine

≤6

≤3

≤3

≤3

≤3

Guanosine

≤4

≤3

≤3

≤3

≤3

5-Aminoimidazole-4-carboxamide 1-beta-D-ribofuranoside (AICAR)

≤3

≤3

≤3

≤3

≤3

Succinyladenosine

≤16

≤3

≤3

≤3

≤3

S-Sulfocysteine

≤11

≤5

≤5

≤5

≤5

Dihydrouracil

≤15

≤6

≤6

≤6

≤6

Dihydrothymine

≤11

≤3

≤3

≤3

≤3

N-Carbamoyl-B-alanine

≤30

≤10

≤10

≤10

≤10

N-Carbamoyl-B-aminoisobutyric
acid

≤20

≤3

≤3

≤3

≤3

 

All results reported as mmol/mol creatinine

Day(s) Performed

Tuesday, Thursday

Report Available

3 to 7 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Test Classification

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.

CPT Code Information

82542

Sanford Laboratories - Bemidji Additional Information:

SANFORD INTERFACE BUILD INFORMATION

RESULT CODE RESULT CODE DESCRIPTION
21224 INTERPRETATION (PUPYU)
21225 URACIL
21226 THYMINE
21227 ADENINE
21228 HYPOXANTHINE
21229 XANTHINE
21230 OROTIC ACID
21231 DIHYDROOROTIC
21232 URIC ACID
21233 DEOXYTHYMIDINE
21234 DEOXYURIDINE
21235 THYMIDINE
21236 URIDINE
21237 DEOXYADENOSINE
21238 DEOXYINOSINE
21239 DEOXYGUANOSINE
21240 ADENOSINE
21241 INOSINE
21242 GUANOSINE
21243 AICAR
21244 SUCCINLADENOSINE
21245 DIHYDROURACIL
21246 DIHYDROTHYMINE
21247 N-CARBOMOYL-BETA-ALANINE
21248 N-CARBAMOYL-BETA-AMINOISOBUTYRIC ACID
21249 REVIEWED BY