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Test Code Billings Clinic: 8285 Mayo: TRYPT Tryptase, Serum

Reporting Name

Tryptase, S

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Useful For

Evaluation of individuals with suspected mast cell activation, which may occur as a result of anaphylaxis or allergen challenge

 

Evaluation of patients with suspected cutaneous or systemic mastocytosis

Method Name

Fluorescence Enzyme Immunoassay (FEIA)


Specimen Required


Collection Container/Tube:

Preferred: Serum gel

Acceptable: Red top

Submission Container/Tube: Plastic vial

Specimen Volume: 0.5 mL

Collection Instructions: Centrifuge and aliquot serum into plastic vial

Additional Information: Tryptase degenerates very quickly when left in the presence of red blood cells.


Specimen Type

Serum

Specimen Minimum Volume

0.2 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Serum Frozen (preferred) 14 days
  Refrigerated  7 days

Reject Due To

Gross hemolysis OK
Gross lipemia OK
Gross icterus OK

Reference Values

<11.5 ng/mL

Interpretation

Transient tryptase concentrations greater than or equal to 11.5 ng/mL may be consistent with mast cell activation in the context of anaphylaxis or allergen challenge; measurement of tryptase in specimens obtained 1 to 6 hours and at least 24 hours after the episode may be useful in demonstrating a return to baseline concentrations.

 

Basal tryptase concentrations greater than or equal to 11.5 mg/mL may be consistent with cutaneous mastocytosis.

 

Basal tryptase concentrations greater than or equal to 20 ng/mL may be consistent with systemic mastocytosis.

Day(s) Performed

Monday through Friday

Report Available

2 to 5 days

Test Classification

This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.

CPT Code Information

83520

LOINC Code Information

Test ID Test Order Name Order LOINC Value
TRYPT Tryptase, S 21582-2

 

Result ID Test Result Name Result LOINC Value
TRYPT Tryptase, S 21582-2

Forms

If not ordering electronically, complete, print, and send a General Request (T239) with the specimen.

Testing Algorithm

For more information, see Mast Cell Disorder: Diagnostic Algorithm, Bone Marrow