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Mayo Test Catalog, (Sorted By Test Name) - Mayo Medical ...

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HGU<br />

8592<br />

HG<br />

8618<br />

collection is problematic<br />

Interpretation: Urinary mercury (Hg) is the most reliable way to assess exposure to inorganic Hg,<br />

but the correlation between the levels of excretion in the urine and clinical symptoms is poor. The<br />

reference interval corresponds to the Occupational Safety and Health Administration (OSHA) guideline<br />

for Hg exposure. The ordering physician will be contacted regarding any result exceeding OSHA<br />

thresholds to determine the level of workplace exposure and follow-up action.<br />

Reference Values:<br />

MERCURY/CREATININE<br />

50 mcg/day indicates significant exposure (per<br />

World Health Organization standard).<br />

Reference Values:<br />

0-15 years: not established<br />

> or =16 years: 0-9 mcg/specimen<br />

Toxic concentration: >50 mcg/specimen<br />

The concentration at which toxicity is expressed is widely variable between patients. 50<br />

mcg/specimen is the lowest concentration at which toxicity is usually apparent.<br />

Clinical References: 1. Lee R, Middleton D, Caldwell K, et al. A review of events that expose<br />

children to elemental mercury in the United States. Environ Health Perspect 2009 Jun;117(6):871-878<br />

2. Bjorkman L, Lundekvam BF, Laegreid T, et al: Mercury in human brain, blood, muscle and toenails<br />

in relation to exposure: an autopsy study. Environ Health 2007 Oct 11;6:30<br />

Mercury, Blood<br />

Clinical Information: Mercury (Hg) is essentially nontoxic in its elemental form. If Hg(0) is<br />

chemically modified to the ionized, inorganic species, Hg(+2), it becomes toxic. Further bioconversion<br />

to an alkyl Hg, such as methyl Hg (CH[3]Hg[+]), yields a species of mercury that is highly selective for<br />

lipid-rich tissue such as neurons and is very toxic. The relative order of toxicity is: Not Toxic - Hg(0) <<br />

Hg(+2)

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