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Porphyrin Tests

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Also known as: Uroporphyrin; Coproporphyrin; Protoporphyrin; Delta-aminolevulinic Acid; ALA; Porphobilinogen; PBG; Free Erythrocyte Protoporphyrin; FEP
Formal name: Porphyrins
Related tests: Porphobilinogen Deaminase (PBG-D), Uroporphyrinogen Decarboxylase

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NOTE: This article is based on research that utilizes the sources cited here as well as the collective experience of the Lab Tests Online Editorial Review Board. This article is periodically reviewed by the Editorial Board and may be updated as a result of the review. Any new sources cited will be added to the list and distinguished from the original sources used.

Sources Used in Current Review

Frank, E. and Leiferman, K. (Updated 2011 June). Porphyrias. ARUP Consult [On-line information]. Available online at http://www.arupconsult.com/Topics/Porphyrias.html?client_ID=LTD through http://www.arupconsult.com. Accessed October 2011.

Mir, M. and Logue, G. (Updated 2009 October 1). Porphyria Overview. Medscape Reference [On-line information]. Available online at http://emedicine.medscape.com/article/1389981-overview through http://emedicine.medscape.com. Accessed October 2011.

Dugdale, D. (2011 February 28). Porphyrins – blood. Medline Plus Medical Encyclopedia [On-line information]. Available online at http://www.nlm.nih.gov/medlineplus/ency/article/003372.htm. Accessed October 2011.

Dugdale, D. (2011 February 28). Porphyrins – urine. Medline Plus Medical Encyclopedia [On-line information]. Available online at http://www.nlm.nih.gov/medlineplus/ency/article/003614.htm. Accessed October 2011.

Thunell, S. (Updated 2008 August). Overview of Porphyrias, Acute Porphyrias, Cutaneous Porphyrias. Merck Manual for Healthcare Professionals [On-line information]. Available online through http://www.merckmanuals.com. Accessed October 2011.

(© 1995–2011). Unit Code 81052: Porphyrins Profile. Mayo Clinic Mayo Medical Laboratories [On-line information]. Available online at http://www.mayomedicallaboratories.com/test-catalog/Overview/81052 through http://www.mayomedicallaboratories.com. Accessed October 2011.

(Reviewed 2009 July). Porphyria. Genetics Home Reference [On-line information]. Available online at http://ghr.nlm.nih.gov/condition/porphyria through http://ghr.nlm.nih.gov. Accessed October 2011.

Pagana, K. D. & Pagana, T. J. (© 2011). Mosby's Diagnostic and Laboratory Test Reference 10th Edition: Mosby, Inc., Saint Louis, MO. Pp 767-768.

Harmening D. Clinical Hematology and Fundamentals of Hemostasis, Fifth Edition, F.A. Davis Company, Philadelphia, 2009, Pp 130-131.

Kasper DL, Braunwald E, Fauci AS, Hauser SL, Longo DL, Jameson JL eds (2005). Harrison's Principles of Internal Medicine, 16th Edition, McGraw Hill, Pp 2303-2308.

Schreiber WE. Iron and porphyrin metabolism. In: Clinical Chemistry: Theory, Analysis and Correlation, 5th Ed (LA Kaplan, AJ Pesce, Eds), Mosby, St. Louis, 2009, Pp. 755-770.

Sources Used in Previous Reviews

Schreiber WE. Iron, porphyrin and bilirubin metabolism. In: Clinical Chemistry: Theory, Analysis and Correlation, 4th Ed (LA Kaplan, AJ Pesce, SC Kazmierczak, Eds), CV Mosby, St. Louis, 2003, pp. 657-674.

Pagana, Kathleen D. & Pagana, Timothy J. (2001). Mosby's Diagnostic and Laboratory Test Reference 5th Edition: Mosby, Inc., Saint Louis, MO. Pp325, 670-672.

(2003 March) Porphyria. NIH Publication No. 03-4632, National Digestive Diseases Information Clearinghouse (NDDIC). Available online at http://digestive.niddk.nih.gov/ddiseases/pubs/porphyria/index.htm through http://digestive.niddk.nih.gov.

(© 2004) Porphyria Overview. American Porphyria Foundation. Available online at http://www.porphyriafoundation.com/about_por/overview/index.html through http://www.porphyriafoundation.com.

(© 2004) Testing. American Porphyria Foundation. Available online at http://www.porphyriafoundation.com/about_por/testing/index.html through http://www.porphyriafoundation.com.

(© 2004). Three articles [see below]. American Porphyria Foundation, For Physicians. Available online through http://www.porphyriafoundation.com:
AIP, HCP, VP, & ADP, Diagnosis.
http://www.porphyriafoundation.com/for_physicians/aip/aip02.html
EPP.
http://www.porphyriafoundation.com/for_physicians/epp/epp02.html
PCT.
http://www.porphyriafoundation.com/for_physicians/pct/pct04.html

Cohen, E. (2003 June 5, Update). Porphyria. MedlinePlus Medical Encyclopedia. Available online: http://www.nlm.nih.gov/medlineplus/ency/article/001208.htm.

(© 1995-2004) Porphyrias, Introduction. The Merck Manual 2nd Home Edition, Section 12. Disorders of Nutrition and Metabolism, Chapter 160. Available online at http://www.merck.com/mrkshared/mmanual_home2/sec12/ch160/ch160a.jsp through http://www.merck.com.

(© 1995-2004). Chapter 14. The Porphyrias. The Merck Manual of Diagnosis and Therapy, Section 2. Endocrine And Metabolic Disorders. Available online at http://www.merck.com/mrkshared/mmanual/section2/chapter14/14a.jsp through http://www.merck.com.

(© 2004). Six articles [see below]. ARUP's Guide to Clinical Laboratory Testing. Available online through http://www.aruplab.com
Aminolevulinic Acid (ALA), Urine.
http://www.aruplab.com/guides/clt/tests/clt_al48.jsp#1141880
Porphobilinogen (PBG) Deaminase, Erythrocyte.
http://www.aruplab.com/guides/clt/tests/clt_146b.jsp#1144972
Porphobilinogen (PBG), Urine.
http://www.aruplab.com/guides/clt/tests/clt_147b.jsp#1144990
Porphyrins, Urine.
http://www.aruplab.com/guides/clt/tests/clt_150b.jsp#1145094
Porphyrins, Fecal.
http://www.aruplab.com/guides/clt/tests/clt_149b.jsp#1145074
Porphyrins, Blood and Serum.
http://www.aruplab.com/guides/clt/tests/clt_148b.jsp#1145040

Pagana, Kathleen D. & Pagana, Timothy J. (© 2007). Mosby's Diagnostic and Laboratory Test Reference 8th Edition: Mosby, Inc., Saint Louis, MO. Pp 744-745.

Clarke, W. and Dufour, D. R., Editors (2006). Contemporary Practice in Clinical Chemistry, AACC Press, Washington, DC. Pp 439, 440t.

Wu, A. (2006). Tietz Clinical Guide to Laboratory Tests, Fourth Edition. Saunders Elsevier, St. Louis, Missouri. Pp 874-879.

Levin, M. (2007 March 8, Updated). Porphyrins urine. MedlinePlus Medical Encyclopedia. Available online at http://www.nlm.nih.gov/medlineplus/ency/article/003614.htm. Accessed on 4/21/08.

Alexander, D. (2007 May 29, Updated). Porphyrins - Blood. MedlinePlus Medical Encyclopedia. Available online at http://www.nlm.nih.gov/medlineplus/ency/article/003372.htm. Accessed on 4/21/08.

Frye, R. and DeLoughery, T. (2007 June 26). Pophyria, Acute. emedicine. Available online at http://www.emedicine.com/ped/TOPIC1870.HTM. Accessed on 4/21/08.

(© 2007). About Porphyria and Why laboratory tests are important for diagnosis of porphyrias. American Porphyria Foundation. Available online at http://www.porphyriafoundation.com/about_por/index.html through http://www.porphyriafoundation.com. Accessed on 4/20/08.