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Clinical Chemistry 34: 2070-2075, 1988;
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Clinical Chemistry, Vol 34, 2070-2075, Copyright © 1988 by American Association for Clinical Chemistry

Nonspecificity of a direct 17 alpha-hydroxyprogesterone radioimmunoassay kit when used with samples from neonates

SK Makela and G Ellis
Department of Biochemistry, Hospital for Sick Children, Toronto, Canada.

We analyzed 240 samples for 17 alpha-hydroxyprogesterone (17-OHP) with the direct-assay kit ("Coat-A-Count" method for serum samples) from Diagnostic Products Corp. (DPC). The specimens were from 50 patients with known or suspected congenital adrenal hyperplasia (CAH); 74 mostly hospitalized neonates and infants, ages three days to three months; and 116 other patients, ages six months to 23 years. Samples from the CAH group were also analyzed with our in-house assay. For 39 of the neonatal samples, the analysis with the DPC assay was repeated with re- solubilized material that had been extracted from the serum with organic solvents. Values for "17-OHP" measured with the DPC direct assay were high, not only in CAH patients, but also in many of the unaffected neonates and infants. The extraction properties of the cross- reacting immunoreactive material into various organic solvent systems were different from those of 17-OHP, and were more like those of steroid sulfates. Because of this significant cross-reactivity, we recommend that the DPC kit not be used for sera from children younger than six months of age, unless the method is modified to include an extraction step.


The following articles in journals at HighWire Press have cited this article:


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J. Clin. Endocrinol. Metab.Home page
M. P. Caulfield, T. Lynn, M. E. Gottschalk, K. L. Jones, N. F. Taylor, E. M. Malunowicz, C. H. L. Shackleton, R. E. Reitz, and D. A. Fisher
The Diagnosis of Congenital Adrenal Hyperplasia in the Newborn by Gas Chromatography/Mass Spectrometry Analysis of Random Urine Specimens
J. Clin. Endocrinol. Metab., August 1, 2002; 87(8): 3682 - 3690.
[Abstract] [Full Text] [PDF]




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