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Biochemistry

Testosterone

Testosterone

Reference Range

Adults (Alinity immunoassay):

Female: <1.9 nmol/L

Male aged 18-49 years: 8.3 - 30.2 nmol/L

Male aged >50 years: 7.7 - 24.8 nmol/L

 

Adults (mass spectrometry):

Female: <1.9 nmol/L

Male: 7.0-27.0 nmol/L

  

Paediatrics:

Group

Testosterone (nmol/L)

Neonates

Not reported (can be elevated during year 1)

Female Tanner 1

<0.6

Male Tanner 1

<0.7

 

Reference for mass spectrometry reference ranges: 

  • Kushnir et al (2010). Liquid Chromatography–Tandem Mass Spectrometry Assay for Androstenedione, Dehydroepiandrosterone, and Testosterone with Pediatric and Adult Reference Intervals. Clinical Chemistry 2010:56;1138–77.
  • Turnaround Time: 24 hours (immunoassay), 5 working days (mass spec)
Theophylline

Theophylline

Reference Range

Therapeutic range: 10-20 mg/L (Pre-dose)

  • Minimum time for patient to reach steady state without loading or after dosage change is 2 days
  • Turnaround Time: 24 hours
Faecal Elastase-1

Faecal Elastase-1

Reference Range

Normal: >200 ug/g

Mild to moderate exocrine pancreatic insufficiency: 100 – 200 ug/g

Severe exocrine pancreatic insufficiency: <100 ug/g

  • Turnaround Time: 15 days
Adrenocorticotrophic Hormone (ACTH)

Adrenocorticotrophic Hormone (ACTH)

Reference Range

Provided by referral laboratory

  • Turnaround Time: 14 days
Thiopurine S-Methyltransferase (TPMT)

Thiopurine S-Methyltransferase (TPMT)

Reference Range

 

TPMT phenotype/activity reference ranges:

  • <6 nmol/ghb/hr = Deficient
  • 6-34 nmol/gHb/hr = Low
  • 35-79 nmol/gHb/hr = Normal
  • >79 nmol/gHb/hr = High

TPMT genotype classifications:

  • WT = wild-type, normal result
  • H3 = TPMT 1*/3* - heterozygous for TPMT, this would indicate a reduced activity.  Advise reduce dose of azothioprine.
  • H2 = TPMT 1*/2* - heterozygous for TPMT, this would indicate a reduced activity.  Advise reduce dose of azothioprine
  • H03 = TPMT 3*/3* - homozygous for TPMT, this would indicated deficient TPMT activity.  Advise stop treatment with azothioprine.
  • H02 = TPMT 2*/2* - homozygous for TPMT, this would indicated deficient TPMT activity.  Advise stop treatment with azothioprine.
  • Turnaround Time: 14 days

Alanine Aminotransferase (ALT)

Reference Range

Adult male and female reference range: 0-55 IU/L (Abbott Alinity)

  • Turnaround Time: 24 hours
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