Deoxycorticosterone
Order Code: DOC
Epic Lab Code: LAB2991
Order Form: A-1a Miscellaneous Request or Epic Req
Commercial Mail-out Laboratory
6240 RCP
356-3527
Specimen:
Serum
Collection Medium:
Red top tube
Minimum:
Preferred Minimum: 3.0 mL serum
Absolute Minimum: 1.1 mL serum (allows for one run only at reference lab).
Rejection Criteria:
No gels or specimens received room temperature
Analytic Time:
Set-up at reference laboratory on Tuesday; reports within 2 days from set-up.
Reference Range:
Adult Male 3.5-11.5 ng/dL Adult Female Follicular 1.5-8.5 ng/dL Luteal 3.5-13.0 ng/dL Pregnancy First Trimester 5-25 ng/dL Second Trimester 10-75 ng/dL Third Trimester 30-110 ng/dL Post-ACTH Stimulation 60 Minutes Males and Premenopausal Females (Follicular Phase) 14-33 ng/dL Pediatric ACTH Stimulation Baseline (ng/mL) 60 Minutes (ng/mL) <1 Year 7-57 20-160 1-5 Years 4-49 26-140 6-12 Years Male 9-34 33-140 6-12 Years Female 2-13 19-61 Tanner Stages II-III Male 4-30 12-74 Female 2-12 13-63 Tanner Stages IV-V Male 5-14 19-46 Female 5-10 23-40
Comments:
DOC is a precursor of corticosterone and aldosterone. The elevations of DOC observed in patients with 11-hydroxylase deficiency (the second leading cause of congenital adrenal hyperplasia) may reflect the hypertension observed. Patients with DOC-secreting tumors also exhibit hypertension.
Methodology:
Extraction, Chromatography, Radioimmunoassay (RIA)
CPT Code:
82633