Newcastle Laboratories

Guanidinoacetate and creatine, urine

Clinical Background:

For investigation of suspected metabolic disorders of creatine biosynthesis or transport.  These disorders cause intellectual disability, speech impairment and epilepsy due to cerebral creatine def...

For investigation of suspected metabolic disorders of creatine biosynthesis or transport.  These disorders cause intellectual disability, speech impairment and epilepsy due to cerebral creatine deficiency.

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Test Details

  • Discipline:

    Biochemistry

    Biochemistry

  • Specimen Container Adult:

    Urine

    Urine

  • Specimen Container Paediatric:

    Urine

    Urine

  • Minimum Volume Adult:

    1 mL 

    1 mL 

  • Minimum Volume Paediatric:

    1 mL 

    1 mL 

  • Special Requirement:

    Freeze as soon as possible, within 2 hours if possible.

    Freeze as soon as possible, within 2 hours if possible.

  • Transport Requirements:

    NuTH Trust users: send sample to the laboratory to arrive within 2 hours

    External users: freeze the urine sample within 2 hours of collection and keep frozen during transport.



    NuTH Trust users: send sample to the laboratory to arrive within 2 hours

    External users: freeze the urine sample within 2 hours of collection and keep frozen during transport.



  • Reference Ranges:

    Creatine               < 5 years             6 – 1303 µmol/mmol creatinine

                                 5 – 12 years        9 – 617 µmol/mmol creatinine

                                 > 12 years    ...

    Creatine               < 5 years             6 – 1303 µmol/mmol creatinine

                                 5 – 12 years        9 – 617 µmol/mmol creatinine

                                 > 12 years           5 – 58 µmol/mmol creatinine

     

    Guanidinoacetate            < 4 years             19 – 210 µmol/mmol creatinine

                                            4 – 12 years        10 – 125 µmol/mmol creatinine

                                            > 12 years           10 – 69 µmol/mmol creatinine

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  • Factors Affecting Result:

    Creatine is produced by metabolism of creatinine in urine at ambient temperature which may result in falsely elevated results if samples are not frozen promptly.  

    Creatine is produced by metabolism of creatinine in urine at ambient temperature which may result in falsely elevated results if samples are not frozen promptly.  

  • Routine Contact Name:

    Duty Biochemist

  • Routine Telephone:

    Freeman: 0191 244 8889

    RVI: 0191 282 9719

    Freeman: 0191 244 8889

    RVI: 0191 282 9719

  • Routine Email:

  • Specialist Test:

    Yes

    Yes

  • Specialist Contact Name:

    Metabolic Clinical Scientist

    Metabolic Clinical Scientist

  • Specialist Telephone:

    0191 282 9685 (Consultant Clinical Scientist)

    0191 282 0334 (Metabolic Laboratory)

    0191 282 9685 (Consultant Clinical Scientist)

    0191 282 0334 (Metabolic Laboratory)

  • Specialist Email:

Availability:

Sample sent to an external laboratory for analysis.

Turn Around:

4 weeks

Send To:

Department of Blood Sciences

Level 3
Leazes Wing
Royal Victoria Infirmary
Queen Victoria Road
Newcastle upon Tyne
NE1 4LP

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