Purines and Pyrimidines Panel, Plasma
Use
This test is useful for evaluating patients with symptoms suspicious for disorders of purine and pyrimidine metabolism. It helps in monitoring patients with these disorders and is also used in the laboratory evaluation of primary and secondary hyperuricemias. Additionally, the test aids in diagnosing individuals with suspected dihydropyrimidine dehydrogenase deficiency, which can result in severe infant disorders including seizures, intellectual disability, and hypertonia. The test quantitatively reports abnormal levels of purines and pyrimidines in plasma identified via liquid chromatography-tandem mass spectrometry, providing insights into several medical conditions.
Special Instructions
Not provided.
Limitations
This test does not evaluate succinyladenosine. Patients should be appropriately monitored if signs of abnormal concentrations of measurable compounds are present. Additional confirmatory testing may be required to follow up on abnormal results.
Methodology
Mass Spectrometry (LC-MS/MS)
Biomarkers
LOINC Codes
- 79665-6 - Purine + Pyrimidine Pnl SerPl
- 79659-9 - Purine + Pyrimidine pattern SerPl-Imp
- 75152-9 - Uracil SerPl-sCnc
- 75121-4 - Thymine SerPl-sCnc
- 75135-4 - Hypoxanthine SerPl-sCnc
- 75144-6 - Xanthine SerPl-sCnc
- 79654-0 - Dihydroorotate SerPl-sCnc
- 14933-6 - Urate SerPl-sCnc
- 48162-2 - Thymidine SerPl-sCnc
- 47957-6 - Deoxyuridine SerPl-sCnc
- 75159-4 - Uridine SerPl-sCnc
- 75127-1 - Deoxyinosine SerPl-sCnc
- 75134-7 - Deoxyguanosine SerPl-sCnc
- 75150-3 - Inosine SerPl-sCnc
- 79670-6 - Guanosine SerPl-sCnc
- 79682-1 - 5,6-Dihydrouracil SerPl-sCnc
- 79669-8 - Dihydrothymine SerPl-sCnc
- 79656-5 - N-carbamoyl B-alanine SerPl-sCnc
- 79582-3 - Beta-UIB SerPl-sCnc
- 75131-3 - Adenine SerPl-sCnc
Result Turnaround Time
3-9 days
Related Documents
For more information, please review the documents below
Specimen
Plasma
Volume
0.5 mL
Minimum Volume
0.2 mL
Container
Plastic vial
Collection Instructions
Centrifuge at 4 degrees C and aliquot plasma into plastic vial. Send plasma frozen.
Causes for Rejection
Gross lipemia, gross hemolysis, gross icterus are acceptable and will not lead to rejection.
Stability Requirements
| Temperature | Period |
|---|---|
| Frozen | 90 days |
