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Orotic Acid, Urine
Availability:  Mon. - Fri., 0800 - 1700
Turnaround Time:  2 - 3 days.
Minimum Volume:  1.0 mL (at least 2.0 mL preferred).
Specimen Handling:  Random urine, morning specimen preferred.  Freeze without preservative.
Interpretive Reference Range:  Normal  < 4.7 mg/mg creatinine.
Use:  Useful, together with serum and urine amino acids, in localizing urea cycle defects.  Increased in
ornithine transcarbamylase (OTC) deficiency, citrullinemia, argininosuccinic acidemia,
HHH (hyperornithinemia-hyperammonemia-homocitrullinuria) syndrome, and hereditary
orotic aciduria.
Methodology:  Stable isotope dilution gas chromatography-mass spectrometry (GC/MS).
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Page updated 11/9/2009


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