Test Directory

Test Code
FPOR
Test Name
Porphyrins, Fecal
CPT Codes
84126
Included Tests
  • Heptacarboxyl I
  • Coproporphyrin I
  • Hexacarboxyl III
  • Heptacarboxyl III
  • Pentacarboxyl I
  • Coproporphyrin III
  • Protoporphyrin
  • Isocoproporphyrin
  • Uroporphyrin I
  • Isoheptacarboxyl
  • Isohexacarboxyl
  • Hexacarboxyl I
  • Isopentacarboxyl
  • Coprolll/Coprol ratio
  • Pentacarboxyl III
  • Uroporphyrin III
Expected Turnaround Time
12 - 18 days
Clinical Utility

Evaluation of patients who present with signs or symptoms suggestive of porphyria cutanea tarda, hereditary coproporphyria, variegate porphyria, congenital erythropoietic porphyria, erythropoietic protoporphyria, or X-linked dominant protoporphyria.

Specimen and Container Info

Specimen Type: Timed Stool

Collection Container: Timed Stool Collection Kit

Desired Specimen Volume: Entire Collection

Collection Instructions
  1. Collect all stool specimens within a 24, 48, 72, or 96 hour timeframe.
  2. 24-Hour collection is adequate if the collection volume is at least 100 g.
Processing and Submission Instructions
  1. Length of collection period is required.
  2. Document on the collection container the duration of the collection period.
  3. Include a list of medications the patient is currently taking.
  4. Transport timed stool in the original collection container. Freeze.
Patient Preparation

For 3 days before collection and during the entire specimen collection period, patient must refrain from eating red meat and or taking any aspirin-containing medications.

Patient should not use barium, laxatives, or enemas for 24 hours before starting, as well as during, specimen collection.

Transport Instructions

Transport to the laboratory frozen. 

Stability Requirements

Refrigerated

14 days

Frozen

14 days

Causes for Rejection
  • Specimens in preservative
  • Specimens weighing less than 10 grams
Methodology
High-pressure liquid chromatography with fluorescence detection (HPLC/FL)
Reference Intervals

See patient report.

Limitations

Specimens smaller than 100 g may not provide accurate results. Aspirin ingestion may cause minimal gastrointestinal bleeding, leading to false elevations of protoporphyrin.

Alternate Names
  • Congenital Erythropoietic Porphyria (CEP)
  • Coproporphyrins
  • Erythropoietic Protoporphyria (EPP)
  • Hereditary Coproporphyria (HCP)
  • Hexacarboxyl porphyrins
  • Porphyria Cutanea Tarda (PCT)
  • Porphyrin isomers
  • Protoporphyrin
  • Uroporphyrins
  • Variegate Porphyria (VP)
  • Isocoproporphyrin
  • X-linked Dominant Protoporphyria (XLDPP or XDP)
  • Fecal porphyrins
Reference Lab
Labcorp Of America Holdings
Testing Schedule
Routine, 2 times per week