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Sorted By Test Name - Mayo Medical Laboratories

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MOLUC<br />

89474<br />

accumulation). Serum molybdenum concentrations are likely to be increased above the reference range in<br />

patients with metallic joint prosthesis. Prosthetic devices produced by Depuy Company, Dow Corning,<br />

Howmedica, LCS, PCA, Osteonics, Richards Company, Tricon, and Whiteside, typically are made of<br />

chromium, cobalt, and molybdenum. This list of products is incomplete, and these products change<br />

occasionally; see prosthesis product information for each device for composition details.<br />

Useful For: Monitoring of parenteral nutrition. Monitoring metallic prosthetic implant wear. As an<br />

indicator of molybdenum cofactor disease.<br />

Interpretation: Prosthesis wear is known to result in increased circulating concentrations of metal<br />

ions.(5-7) Serum concentrations >10 ng/mL in a patient with molybdenum-based implant suggest<br />

significant prosthesis wear. Increased serum trace element concentrations in the absence of corroborating<br />

clinical information do not independently predict prosthesis wear or failure. Serum molybdenum 400 mcg/day. Molybdenum interferes with copper uptake; molybdenum toxicity is<br />

predominantly due to copper deficiency (hypochromic anemia and neutropenia) and inhibition of xanthine<br />

oxidase (uric acid accumulation). Urine molybdenum concentrations are likely to be increased above the<br />

reference range in patients with metallic joint prosthesis. Prosthetic devices produced by Zimmer<br />

Company and Johnson and Johnson typically are made of aluminum, vanadium, and titanium. Prosthetic<br />

devices produced by Depuy Company, Dow Corning, Howmedica, LCS, PCA, Osteonics, Richards<br />

Company, Tricon, and Whiteside typically are made of chromium, cobalt, and molybdenum. This List of<br />

products is incomplete, and these products change occasionally; see prothesis product information for<br />

each device for composition details.(4-5)<br />

Useful For: Monitoring of parenteral nutrition Monitoring metallic prosthetic implant wear As an<br />

indicator of molybdenum cofactor disease<br />

Interpretation: Molybdenum excretion rates are variable and related to dietary intake. Evaluation of<br />

Current as of January 4, 2013 7:15 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong><strong>Laboratories</strong>.com Page 1225

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