Haptoglobin, Plasma

 

Specimen requirement

Adult patient:

 

  Heparin gel tube

 

Minimum blood volume: 5 mL

Paediatric patient:

 

Paediatric heparin tube

 

Number of vials: 1

 

Minimum blood volume: 1.3 mL

Authorisation code required

No

24 Hr available service

Yes

 

(Call extension: 3353 for express result)

Method

Immunoassay

Reference interval

0.30 - 2.00 g/L

 

(Source: from manufacturer's kit insert)

Clinical indication

Diagnosis of intravascular haemolysis

Result interpretation

Haptoglobin binding of free haemoglobin results in removal of the complex from the circulation.

 

Reduced levels occur in haemolysis (particularly intravascular), megaloblastic anaemia (red cell turnover in marrow), following blood transfusion, massive tissue haemorrhage, and hepatocellular disease.

 

Congenital absence of haptoglobin has also been recognised.

 

High levels may be seen in pregnancy, with steroid or oestrogen therapy, in conditions associated with an acute phase response, and in biliary obstruction.

Measurement of uncertainty

See table.

Frequency of measurement

Daily