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Sorted By Test Name - Mayo Medical Laboratories

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VCRU<br />

60575<br />

be on the order of several days. Although there is minimal evidence for the nature of vanadium<br />

complexation in the body, research suggests transferrin will bind available ionized vanadium. Currently,<br />

there is no clinical data to support the need for taking vanadium supplements such as vanadyl sulfate,<br />

vanadium colloid, or any other form. This test provides no information regarding any theoretical<br />

vanadium deficiency. Vanadium has been recognized as an occupational hazard for >20 years. Elevated<br />

atmospheric vanadium levels can result from burning fossil fuels with a high vanadium content.<br />

Inhalation and ingestion are the primary exposure routes. Vanadium exposure can result in a metallic taste<br />

and so-called "green tongue." Sensitization can result in asthma or eczema. Vanadium intoxication is<br />

effectively treated with ascorbic acid. Increased vanadium serum concentrations are observed in dialysis<br />

patients and those with compromised renal function since the kidney is primarily responsible for<br />

vanadium elimination. Elevated serum vanadium levels have been observed in patients with joint<br />

replacements; concentrations are likely to be increased above the reference range in patients with metallic<br />

joint prosthesis. Prosthetic devices produced by Zimmer Company and Johnson & Johnson typically are<br />

made of aluminum, vanadium, and titanium. Prosthetic devices produced by Depuy Company, Dow<br />

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

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

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

Useful For: Detecting vanadium toxicity Monitoring metallic prosthetic implant wear<br />

Interpretation: Values 5.0 ng/mL indicate probable exposure.<br />

Prosthesis wear is known to result in increased circulating concentration of metal ions.(2-3) Modest<br />

increase (1-2 ng/mL) in serum vanadium concentration is likely to be associated with a prosthetic device<br />

in good condition. Serum concentrations >5 ng/mL in a patient with a vanadium-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.<br />

Reference Values:<br />

Normal:

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