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

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DOXA<br />

61644<br />

ROXU<br />

85631<br />

likelihood of allergic disease as opposed to other etiologies and defines the allergens that may be<br />

responsible for eliciting signs and symptoms. The level of IgE antibodies in serum varies directly with the<br />

concentration of IgE antibodies expressed as a class score or kU/L.<br />

Reference Values:<br />

Class IgE kU/L Interpretation<br />

0 Negative<br />

1 0.35-0.69 Equivocal<br />

2 0.70-3.49 Positive<br />

3 3.50-17.4 Positive<br />

4 17.5-49.9 Strongly positive<br />

5 50.0-99.9 Strongly positive<br />

6 > or =100 Strongly positive Reference values<br />

apply to all ages.<br />

Clinical References: Homburger HA: Allergic diseases. In Clinical Diagnosis and Management<br />

by Laboratory Methods. 21st edition. Edited by McPherson RA, Pincus MR. WB Saunders, Publ, New<br />

York, Chapter 53, Part VI, pp. 961-971, 2007<br />

Oxalate Analysis in Hemodialysate<br />

Clinical Information: Oxalate is a dicarboxylic acid, an end product of glyoxalate and glycerate<br />

metabolism that is excreted in the urine where it is a common component of kidney stones (up to 85%).<br />

Hyperoxaluria can be either genetic (eg, primary hyperoxaluria) or acquired/secondary (eg, enteric<br />

hyperoxaluria), and can lead to nephrocalcinosis and renal failure. Monitoring the adequacy of oxalate<br />

removal during hemodialysis can be useful in the management of patients with hyperoxaluria and renal<br />

failure, particularly following transplantation.<br />

Useful For: Determining of the amount of oxalate removed during a dialysis session Individualizing<br />

the dialysis prescription of hyperoxaluric patients<br />

Interpretation: A steady decrease in oxalate signal is expected through dialysis procedure. Signals<br />

below 2 mcM should be considered ideal conditions. Total oxalate removed during a dialysis session<br />

can be estimated by multiplying the concentration of oxalate in the dialysate by the oxalate flow rate for<br />

each time period that the oxalate is measured.<br />

Reference Values:<br />

Not applicable<br />

Clinical References: 1. Canavese C, Petrarulo M, Massarenti P, et al: Long-term, low-dose,<br />

intravenous vitamin C leads to plasma calcium oxalate supersaturation in hemodialysis patients. Am J<br />

Kidney Dis 2005 Mar;45(3):540-549 2. Koch GH, Strong FM. Determination of oxalate in urine. Anal<br />

Biochem 1969 Jan;27(1):162-171 3. Marangella M, Petrarulo M, Mandolfo S, et al: Plasma profiles and<br />

dialysis kinetics of oxalate in patients receiving hemodialysis. Nephron 1992;60(1):74-80 4. Marangella<br />

M, Vitale C, Petrarulo M, et al. Bony content of oxalate in patients with primary hyperoxaluria or<br />

oxalosis-unrelated renal failure. Kidney Int 1995;48(1):182-187<br />

Oxalate, Pediatric, Random, Urine<br />

Clinical Information: Oxalate is an end product of glyoxalate and glycerate metabolism. Humans<br />

have no enzyme capable of degrading oxalate, so it must be eliminated by the kidney. In tubular fluid,<br />

oxalate can combine with calcium to form calcium oxalate stones. In addition, high concentrations of<br />

oxalate may be toxic for renal cells. Increased urinary oxalate excretion results from inherited enzyme<br />

Current as of January 3, 2013 2:22 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong>Laboratories.com Page 1355

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