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17-hydroxyprogesterone in serum/plasma
Indications:
- evaluation of congenital adrenal hyperplasia
- evaluation of corpus luteum contribution of progestational activity during pregnancy
Reference interval:
- premature infant: 26-568 ng/dL
- newborn 7-77 ng/dL
- prepubertal children : 3-90 ng/dL
- adults: 27-199 ng/mL
- pregnancy: 200-1200 ng/dL
- postmenopause: < 70 ng/dL
Clinical significance:
- 17-hydroxyprogesterone has a circadian variation with highest serum values in the AM
- leuteal phase variation indicates corpus luteum activity
Increases:
- congenital adrenal hyperplasia from 21-hydroxylase deficiency
Decreases:
- male pseudohemophrodism
- Addison's disease
Methods:
- RIA
Specimen:
- early morning specimen preferred
- freeze immediately
- store at 4 degrees C for up to 4 days
Related
17-hydroxyprogesterone (Duralutin, Makena, Prodrox)
General
17-hydroxyprogesterone in body fluid
References
- Clinical Guide to Laboratory Tests, 4th edition, HB Wu ed,
WB Saunders, Philadelphia, 2006
- Lab Tests Online: 17-Hydroxyprogesterone
http://labtestsonline.org/understanding/analytes/6-17hydroxy/tab/test
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