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    Acid mucopolysaccharides

    Definition

    Acid mucopolysaccharides is a test that measures the amount of mucopolysaccharides excreted in the urine over a 24-hour period.

    Alternative Names

    AMP; Dermatan sulfate - urine; Urine heparan sulfate; Urine dermatan sulfate; Heparan sulfate - urine

    How the Test is Performed

    A 24-hour urine sample is needed.

    The health care provider will instruct you, if necessary, to discontinue drugs that may interfere with the test.

    • On day 1, urinate into the toilet when you get up in the morning.
    • Afterwards, collect all urine in a special container for the next 24 hours.
    • On day 2, urinate into the container when you get up in the morning.
    • Cap the container. Keep it in the refrigerator or a cool place during the collection period. Label the container with your name, the date, the time of completion, and return it as instructed. Deliver it to the laboratory or your health care provider as soon as possible upon completion.

    How to Prepare for the Test

    No special preparation is needed. Drink a normal volume of fluids, and consume a normal diet.

    How the Test Will Feel

    The test involves only normal urination, and there is no discomfort.

    Why the Test is Performed

    This test is performed to detect a rare disorder of excess acid mucopolysaccharides accumulation (especially dermatan sulfate and heparan sulfate) in the tissues. The severe form of this disorder can lead to Hurler syndrome. Typically this test is only ordered for infants where there is a family history of mucopolysaccharidosis.

    Normal Results

    Normal acid mucopolysaccharide values vary with age, and the normal range of values varies among laboratories. The laboratory performing the test should be consulted for interpretation of the test result.

    What Abnormal Results Mean

    Abnormally high levels of acid mucopolysaccharides reliably indicate mucopolysaccharidosis, and further detailed studies can identify which enzyme is defective.

    Risks

    There are no risks (except for the chance of inaccurate results if all of the urine is not collected during the 24-hour period).

    Considerations

    If the test was performed on an infant, remove all remaining collection-device adhesive from the skin with warm soap and water.


    Review Date: 4/29/2005
    Reviewed By: Frank A. Greco, M.D., Ph.D., Director, Biophysical Laborartory, The Lahey Clinic, Burlington, MA. Review provided by VeriMed Healthcare Network.
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