|
|
Aminoaciduria |
| Definition: |
| This test screens for increased levels of amino acid excretion in the urine that indicates possible inborn errors of metabolism caused by a specific enzyme deficiency. |
| Alternative Names: |
| Amino acids - urine; Urine amino acids |
| How the test is performed: |
| Infant: Your infants genital area will be cleaned and dried, then a collection device is attached to collect the urine. If you are asked to collect the urine, be sure the collection device is attached securely to prevent leakage. After your baby has urinated, the urine (at least 20 cc) is transferred to a sterile container. Child/adult: To obtain a clean-catch sample, males should wipe clean the head of the penis. Females need to wipe between the labia with soapy water and rinse well. Sometimes a special clean-catch kit is provided with cleansing solution and sterile wipes. After urinating a small amount into the toilet bowl to clear the urethra of contaminants, collect a sample of urine in a clean or sterile container. About 1 to 2 ounces of urine is needed for a test. Remove the container from the urine stream without stopping the flow. You may finish voiding into the toilet bowl. Take the sample to the lab. |
| How to prepare for the test: |
| No restriction of food or fluid is necessary. Inform your health care provider of any medication you or your child has used recently. If your infant is breast feeding and having this test performed, inform the health care provider of any medications the mother is taking. |
| How the test will feel: |
| The test involves only normal urination. |
| Why the test is performed: |
|
This test is performed to assess amino acid levels in the urine. It is common for some of each amino acid to be in the urine, but elevated levels of individual amino acids indicates a possible inborn enzyme deficiency with accumulation of a particular amino acid metabolized by the enzyme. While this test shows increased levels of amino acids in the urine, a 24-hour quantitative urine chromatography is necessary to accurately measure the elevated levels of the specific amino acids. The increased levels also show up in the plasma (see plasma amino acids). If the test is performed early enough on infants and the defect is treated, the severe mental retardation that can result may be prevented. |
| Normal Values: |
Note: all measurements in micro mole per deciliter (micro mol/dl) |
| What abnormal results mean: |
Increased total urine amino acids may indicate any of the following:
|
| What the risks are: |
| In infants, the collection device should be removed carefully to prevent irritation. |
| Special considerations: |
| Failure to have the urine sample promptly evaluated in the laboratory alters the results of the test. This test is ineffective in a neonate (the first six weeks after birth) who has not ingested dietary protein in the last 48 hours. |
Reviewed By: Michael C. Milone, M.D., Ph.D., Department of Pathology and Laboratory Medicine, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.
 |
A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is the first of its kind, requiring compliance with 53 standards of quality and accountability, verified by independent audit. A.D.A.M. is among the first to achieve this important distinction for online health information and services. A.D.A.M. is also a founding member of Hi-Ethics (www.hiethics.com) and subscribes to the principles of the Health on the Net Foundation (www.hon.ch). |
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2003 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
