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 |
|
||||||||||||
Stability |
|
||||||||||||
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.