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FALCO<br />

90084<br />

ALS<br />

8363<br />

ALDNA<br />

15150<br />

the Treatment of Alcohol use Disorders". Substance Abuse Treatment advisory, volume 5, issue 4,<br />

September 2006.<br />

Alcohol, Methyl<br />

Reference Values:<br />

No reference range provided.<br />

Methanol (methyl alcohol) concentrations >3 mg/dL are<br />

potentially toxic.<br />

<strong>Test</strong> Performed <strong>By</strong>:<br />

Medtox <strong>Laboratories</strong>, Inc.<br />

402 W. County Road D<br />

St. Paul, MN 55112<br />

Aldolase, Serum<br />

Clinical Information: Aldolase is necessary for glycolysis in muscle as a "rapid response" pathway<br />

for production of adenosine triphosphate, independent of tissue oxygen. Aldolase catalyses the conversion<br />

of fructose 1,6-diphosphate into dihydroxyacetone phosphate and glyceraldehyde 3-phosphate, an<br />

important reaction in the glycolytic breakdown of glucose to lactate in muscle. Aldolase is a tetramer<br />

whose primary structure depends upon the tissue from which it was synthesized (liver, muscle, brain). The<br />

brain form of aldolase has, because of its preponderance in white cells, been suggested to be a leukemia<br />

marker, but this is not confirmed. Elevated values are found in muscle diseases, such as Duchenne<br />

muscular dystrophy, dermatomyositis, polymyositis, and limb-girdle dystrophy.<br />

Useful For: Detection of muscle disease<br />

Interpretation: The highest levels of aldolase are found in progressive (Duchenne) muscular<br />

dystrophy. Lesser elevations are found in dermatomyositis, polymyositis, and limb-girdle dystrophy. In<br />

dystrophic conditions causing hyperaldolasemia, the increase in aldolase becomes less dramatic as muscle<br />

mass decreases. Reference (normal) values are observed in polio, myasthenia gravis, and multiple<br />

sclerosis. Aldolase increases in myocardial infarction in a time pattern similar to the aspartate<br />

aminotransferase. Increases are also associated with acute viral hepatitis, but levels are normal or slightly<br />

elevated in chronic hepatitis, portal cirrhosis, and obstructive jaundice. Elevations may also be seen with<br />

gangrene, prostate tumors, trichinosis, some carcinomas metastatic to the liver, some chronic leukemias,<br />

some blood dyscrasias, and delirium tremens.<br />

Reference Values:<br />

0-16 years: or =17 years:

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