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

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CROMU<br />

89547<br />

CRU<br />

8593<br />

<strong>Test</strong> Performed by: Focus Diagnostics, Inc.<br />

5785 Corporate Ave<br />

Cypress, CA 90630-4750<br />

Chromium for Occupational Monitoring, Urine<br />

Clinical Information: Chromium (Cr) has an atomic mass of 51.996, atomic number 24, and<br />

valences ranging from 2(-) to 6(+). Hexavalent chromium, Cr(+6), and trivalent chromium, Cr(+3), are<br />

the 2 most prevalent forms. Cr(+3) is the only oxidation state present under normal physiologic<br />

conditions. Cr(+6) is widely used in industry to make chromium alloys including stainless steel pigments<br />

and electroplated coatings. Cr(+6), a known carcinogen, is rapidly metabolized to Cr(+3). Cr(+3) is the<br />

only form present in human urine.<br />

Useful For: Screening for occupational exposure<br />

Interpretation: The National Institute for Occupational Safety and Health (NIOSH) draft document on<br />

occupational exposure reviews the data supporting use of urine to assess chromium exposure.(1) They<br />

recommend a Biological Exposure Index of 10 mcg/g creatinine and 30 mcg/g creatinine for the increase<br />

in urinary chromium concentrations during a work shift and at the end of shift at the end of the workweek,<br />

respectively (Section 3.3.1).<br />

Reference Values:<br />

Chromium/creatinine ratio: 20 mcg/24 hour in a patient<br />

with chromium-based implant suggest significant prosthesis wear. Increased urine trace element<br />

concentrations in the absence of corroborating clinical information do not independently predict<br />

prosthesis wear or failure. The National Institute for Occupational Safety and Health (NIOSH) draft<br />

document on occupational exposure reviews the data supporting use of urine to assess chromium<br />

exposure. They recommend a Biological Exposure Index of 10 mcg/g creatinine and 30 mcg/g creatinine<br />

for the increase in urinary chromium concentrations during a work shift and at the end of shift at the end<br />

of the workweek, respectively. A test for this specific purpose (CHROMU/89547 Chromium for<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 458

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