Test Code HK1 Hexokinase Enzyme Activity, Blood
Reporting Name
Hexokinase, BPerforming Laboratory
Mayo Clinic Laboratories in RochesterUseful For
The evaluation of individuals with Coombs-negative chronic hemolysis
Method Name
Kinetic Spectrophotometry (KS)
Specimen Required
Container/Tube:
Preferred: Yellow top (ACD solution B)
Acceptable: Lavender top (EDTA)
Specimen Volume: 6 mL
Collection Instructions: Send whole blood specimen in original tube. Do not aliquot.
Specimen Type
Whole Blood ACD-BSpecimen Minimum Volume
1 mL
Specimen Stability Information
Specimen Type | Temperature | Time | Special Container |
---|---|---|---|
Whole Blood ACD-B | Refrigerated | 20 days |
Reject Due To
Gross hemolysis | Reject |
Reference Values
≥ 12 months: 0.7-1.7 U/g Hb
Reference values have not been established for patients who are younger than12 months.
Interpretation
Clinical correlation or genetic confirmation may be required to establish hexokinase (HK) deficiency as a cause of hemolytic anemia as the assayed activity level in confirmed cases can vary from markedly decreased to borderline normal levels due to a compensated increase in enzyme by reticulocytes. Comparison of HK activity levels to other RBC enzyme activity can be very useful. Heterozygotes have moderately decreased to low normal HK levels and are expected to be clinically unaffected.
Increased HK activity may be seen when reticulocytes are increased and is not supportive of a diagnosis of HK deficiency.
Day(s) Performed
Tuesday, Thursday
Report Available
1 to 6 daysTest Classification
This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.CPT Code Information
82657
LOINC Code Information
Test ID | Test Order Name | Order LOINC Value |
---|---|---|
HK1 | Hexokinase, B | 49216-5 |
Result ID | Test Result Name | Result LOINC Value |
---|---|---|
HKCL | Hexokinase, B | 49216-5 |
Forms
If not ordering electronically, complete, print, and send a Benign Hematology Test Request (T755) with the specimen.