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Test ID ASNA Arsenic, Nails

Useful For

Detection of nonacute arsenic exposure

Method Name

Inductively Coupled Plasma-Mass Spectrometry (ICP-MS)

Reporting Name

Arsenic, Nails

Specimen Type

Nail

Container/Tube: Hair and Nails Collection Kit (T565)

Specimen Volume: 0.5 g

Collection Instructions:

1. Prepare and transport specimen per the instructions in the kit or see Collecting Hair and Nails for Metals Testing in Special Instructions.

2. Clippings should be taken from all 10 fingernails or toenails.

Additional Information: If known, indicate source of nails (fingernails or toenails).

Specimen Minimum Volume

0.1 g

Specimen Stability Information

Specimen Type Temperature Time
Nail Ambient (preferred)
  Frozen 
  Refrigerated 

Clinical Information

Arsenic circulating in the blood will bind to protein by formation of a covalent complex with sulfhydryl groups of the amino acid cysteine. Keratin, the major structural protein in hair and nails, contains many cysteine residues and, therefore, is one of the major sites for accumulation of arsenic. Since arsenic has a high affinity for keratin, the concentration of arsenic in nails is higher than in other tissues.

 

Several weeks after exposure, transverse white striae, called Mees' lines, may appear in the fingernails.

Reference Values

0-15 years: not established

≥16 years: 0.0-0.9 mcg/g of nails

Day(s) Performed

Monday; 3 p.m.

Report Available

2 days

Performing Laboratory

Mayo Medical Laboratories in Rochester

Test Classification

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the U.S. Food and Drug Administration.

CPT Code Information

82175

NY State Approved

Restricted Lab Permit – call Mayo for instructions