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

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CDIP<br />

89860<br />

COTT<br />

82859<br />

0-2 years: not established<br />

3-8 years: 1.4-20 mcg/24 hours<br />

9-12 years: 2.6-37 mcg/24 hours<br />

13-17 years: 4.0-56 mcg/24 hours<br />

> or =18 years: 3.5-45 mcg/24 hours<br />

CORTISONE<br />

0-2 years: not established<br />

3-8 years: 5.5-41 mcg/24 hours<br />

9-12 years: 9.9-73 mcg/24 hours<br />

13-17 years: 15-108 mcg/24 hours<br />

> or =18 years: 17-129 mcg/24 hours<br />

Use the factors below to convert each analyte from mcg/24 hours to nmol/24 hours:<br />

Conversion factors<br />

Cortisol: mcg/24 hours x 2.76=nmol/24 hours (molecular weight=362.5)<br />

Cortisone: mcg/24 hours x 2.78=nmol/24 hours (molecular weight=360)<br />

Clinical References: 1. Findling JW, Raff H: Diagnosis and differential diagnosis of Cushing's<br />

syndrome. Endocrinol Metab Clin North Am 2001;30:729-747 2. Boscaro M, Barzon L, Fallo F, Sonino<br />

N: Cushing's syndrome. Lancet 2001;357:783-791 3. Taylor RL, Machacek D, Singh RJ: Validation of a<br />

high-throughput liquid chromatography-tandem mass spectrometry method for urinary cortisol and<br />

cortisone. Clin Chem 2002;48:1511-1519<br />

Corynebacterium diphtheriae Culture<br />

Clinical Information: Diphtheria occurs in 2 forms, respiratory and cutaneous, but is an uncommon<br />

disease in the United States since the advent of universal vaccination in the 1940â€s. The organism is<br />

carried in the upper respiratory tract and is spread by droplet infection or hand-to mouth contact. The<br />

incubation period averages 2 to 5 days. The illness is characterized by fever, malaise, and a sore throat. A<br />

swab from beneath the thick pseudomembrane covering the posterior pharynx is the preferred specimen<br />

for culture. The organisms multiplying at the infection site produce an exotoxin that may also result in<br />

systemic complications affecting the heart, nervous system, etc. Diphtheria is treated by prompt<br />

administration of antitoxin, as well as antibiotics (penicillin or a macrolide) to eliminated the focus of<br />

infection and prevent the spread of the organism. The diagnosis of diphtheria is based on clinical criteria<br />

and treatment must be initiated prior to laboratory confirmation. <strong>Test</strong>ing is indicated to confirm a clinical<br />

diagnosis.<br />

Useful For: Confirmation of the clinical diagnosis of diphtheria<br />

Interpretation: A positive result supports a diagnosis of diphtheria A negative result is evidence<br />

against a diagnosis of diphtheria but does not definitively rule out this disease (eg, culture may be<br />

negative because of prior antimicrobial therapy)<br />

Reference Values:<br />

No growth of Corynebacterium diphtheriae<br />

Clinical References: Mandell GL, Bennett JE, Dolin R: In Principles and Practice of Infectious<br />

Diseases. 6th edition. Philadelphia, PA, Elsevier Inc., 2005, pp 2457-2465<br />

Cotton Fiber, IgE<br />

Clinical Information: Clinical manifestations of immediate hypersensitivity (allergic) diseases are<br />

caused by the release of proinflammatory mediators (histamine, leukotrienes, and prostaglandins) from<br />

immunoglobulin E (IgE)-sensitized effector cells (mast cells and basophils) when cell-bound IgE<br />

antibodies interact with allergen. In vitro serum testing for IgE antibodies provides an indication of the<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 536

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