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Test Code PALB Prealbumin

Additional Codes

Cerner

NextGen

Prealbumin

Prealbumin

PREAB

 

Alternate Name(s)

PAB

Thyroxin-Binding Prealbumin

TBPA

Transthyretin

Methodology

Immunoturbidemetric, Blanked Endpoint

Patient Preparation

None

Collection Instructions

Standard phlebotomy practices.

Specimen Requirements

Container

Specimen Type

Tube

Lithium Heparin Plasma

PST

 or  or 

Serum

 or 

SST

 or  or 

 

Stability

Storage

Temperature

Stability

Room Temperature

18-28°C

≤ 1 day

If separated within 2 hours

Refrigerated

 2-8°C

≤ 14 days

If separated within 2 hours

Frozen

≤-18 °C

Not  recommended

Rejection Criteria

Gross Hemolysis

Result Reporting and Reference Values

Reported in mg/dL.

No reference range studies exist for patients less than 19 years old.

Age

Low

High

Critical Low

Critical High

19-150 years

17.0

36.0

N/A

N/A

Reflex Testing

None

Limitations

Not Defined

Useful For

Prealbumin (thyroxin-binding prealbumin, thransthyretin) transports the thyroid hormones thyroxin (T4) and triiodothyronine (T3).  It also transports vitamin A in association with retinol binding globulin.

Prealbumin is a negative acute-phase reactant with decreased levels found in inflammation, malignancy, cirrhosis of the liver, and protein-wasting diseases of the gut or kidneys. Increased concentrations can be seen in Hodgkin’s disease or a prealbumin-producing tumor.  Prealbumin is a sensitive indicator of nutritional status due to its short half-life, high tryptophan content, high proportion of essential-to-nonessential amino acids, and small pool size.