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Tryptase

Ordering Recommendation

Measure total tryptase to confirm mast cell activation in diseases such as mastocytosis, anaphylaxis, urticaria, and asthma. Not generally used acutely except where the diagnosis is unclear. Useful in the prognosis of systemic mastocytosis.

Mnemonic
EGGWHOLE
Methodology
Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Performed
Mon-Sat
Reported
1-2 days
New York DOH Approval Status
This test is New York DOH approved.
Specimen Required
Patient Preparation:
Collect:
Serum separator tube (SST).
Specimen Preparation:
Allow serum to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to a Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature:
Frozen.
Unacceptable Conditions:
Hemolyzed, icteric, or lipemic specimens.
Remarks:
Stability:
After separation from cells: Ambient: 48 hours; Refrigerated: 72 hours; Frozen: 1 month
Reference Interval
Less than 11.0 µg/L
Interpretive Data

Compliance Category: FDA
Note
This test measures total tryptase and does not distinguish between the alpha and beta protein types. Samples should preferably be collected between 15 minutes and three hours after the event suspected to have caused mast cell activation.
CPT Code
83520
Components
Component Chart Name
Tryptase
Component Test Code
0099173
LOINC
21582-2
Aliases
Total Tryptase
Tryptase, Autopsy (Tryptase)
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