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Sorted By Test Name - Mayo Medical Laboratories

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FMYOP<br />

91545<br />

FMY3P<br />

57279<br />

in various conditions including some metabolic diseases. Conditions associated with myoglobinuria<br />

include: -Hereditary myoglobinuria -Phosphorylase deficiency -Sporadic myoglobinuria -Exertional<br />

myoglobinuria in untrained individuals -Crush syndrome -Myocardial infarction -Myoglobinuria of<br />

progressive muscle disease -Heat injury(1,2) Urine myoglobin increases with muscle necrosis, but the<br />

clinical consequences are variable. Therefore, myoglobin can confirm a clinical diagnosis of myopathy,<br />

but an elevated urine excretion of myoglobin is not specific for a clinical disorder.(1,2) In acute renal<br />

failure, an elevated urinary myoglobin can suggest a potential cause and, consequently, may indicate<br />

appropriate treatment courses. Urine myoglobin cross-reacts with standard urine dipstick tests for<br />

hemoglobin (false-positive). If the dipstick is positive for hemoglobin but the urine contains no or few<br />

RBCs, the urine myoglobin test may help confirm or rule out hemoglobinuria.<br />

Useful For: Confirming the presence of a myopathy associated with any 1 of the above disorders May<br />

suggest a myopathic cause for acute renal failure Follow-up testing for specimens with positive urine<br />

hemoglobin results by the dipstick method<br />

Interpretation: Increased excretion of urinary myoglobin suggests the disorders listed above. Most<br />

clinically significant elevations are elevated 2 to 10 times normal. Visual pigmenturia occurs at<br />

myoglobin concentrations is about 160 times normal (approximately 4 mcg/mL). Renal toxicity depends<br />

on multiple factors such as renal perfusion and degree of acidity of urine.<br />

Reference Values:<br />

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