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Test ID GRP Cyclic AMP, Urinary Excretion

Useful For

The differential diagnosis of hypercalcemia

 

An adjunct to serum parathyroid hormone measurements, especially in the diagnosis of parathyroid hormone resistance states, such as pseudohypoparathyroidism

Profile Information

Test ID Reporting Name Available Separately Always Performed
CREAS Creatinine, S Yes, (order CREAZ) Yes
CAMP Cyclic Amp, Urinary Excretion No Yes
CACR Creatinine, U Yes, (order RCTUR) Yes

Method Name

CREAS, CACR: Enzymatic Colorimetric Assay

CAMP: High-Performance Liquid Chromatography (HPLC)

Reporting Name

Cyclic Amp, Urinary Excretion

Specimen Type

Serum
Urine

Serum and urine are required. Serum must be drawn at time of urine collection.

 

Specimen Type: Serum

Container/Tube:

Preferred: Red top

Acceptable: Serum gel

Specimen Volume: 1 mL

Collection Instructions: Label specimen as serum.

 

Specimen Type: Urine

Container/Tube: 60 mL urine container (Supply T313)

Specimen Volume: 14 mL

Collection Instructions:

1. Collect a random urine specimen.

2. Label specimen as urine.

Specimen Minimum Volume

Serum: 0.5 mL/Urine: 5.5 mL

Specimen Stability Information

Specimen Type Temperature Time
Serum Refrigerated (preferred) 7 days
  Frozen  90 days
Urine Frozen 14 days

Clinical Information

Cyclic AMP functions as an intracellular "second messenger" regulating the activity of intracellular enzymes or proteins in response to a variety of hormones (eg, parathyroid hormone).

 

Urinary cyclic AMP is elevated in about 85% of patients with hyperparathyroidism.

Reference Values

1.3-3.7 nmol/dL of glomerular filtrate      

Cautions

Parathyroid suppression (hypoparathyroidism) does not lower urinary cyclic AMP excretion to definitely subnormal values.

Day(s) Performed

Wednesday; 9 a.m.

Report Available

2 days

Performing Laboratory

Mayo Medical Laboratories in Rochester

Test Classification

See Individual Test IDs

CPT Code Information

82030

NY State Approved

Yes