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Urinalysis - The Carter Center

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85<br />

4. 12 Determination of Melanin<br />

Introduction<br />

Melanin is pigment derived from tyrosine, which is normally present in<br />

hair, skin and in the choroid layer of the eye.<br />

<strong>The</strong>re are two recognized metabolic pathways for the conversion of<br />

tyrosine to melanin:<br />

1. <strong>The</strong> eumelanin pathway, which polymerize to brown or black<br />

pigments.<br />

2. <strong>The</strong> pheomelanin pathway – which polymerize to yellow or red<br />

pigments.<br />

Melanomas with pigments are normally transferred from melanocytes to<br />

skin and mucus membrane cells.<br />

In patients with tumors arising from the melanin producing cells, the<br />

melanomas, the melanin may be excreted in the urine in large amount,<br />

and its presence is indicative of metastasis of the tumor to the liver or<br />

other organ.20% of patients with disseminated malignant melanoma<br />

excrete a black urine due to melanin, or its precursor, the colorless<br />

melanogen in the urine. <strong>The</strong> urine becomes black upon standing<br />

(oxidation), where the chromogen /melanogen is changed into the<br />

pigment called melanin which is a physical method to detect melanin.<br />

Clinical Significance<br />

Melanin occurs in metabolic tambours especially with metastasis of liver.<br />

Chemical Tests for Melanin<br />

<strong>The</strong>re are two types of chemical test for melanin in urine depending up<br />

on either by<br />

a. Utilization of oxidizing agent (e.g. FeCl 3 )<br />

b Utilization of reducing action of melanogen<br />

c. Oxidation by atmospheric air

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