Plasma Fluorescence Scanning and Fecal Porphyrin Analysis for the Diagnosis of Variegate Porphyria: Precise Determination of Sensitivity and Specificity with Detection of Protoporphyrinogen Oxidase Mutations as a Reference Standard
Author(s) -
Richard Hift,
Brandon P. Davidson,
C. van der Hooft,
Doreen Meissner,
Peter N. Meissner
Publication year - 2004
Publication title -
clinical chemistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.705
H-Index - 218
eISSN - 1530-8561
pISSN - 0009-9147
DOI - 10.1373/clinchem.2003.025213
Subject(s) - protoporphyrinogen oxidase , porphyrin , asymptomatic , porphyria , fluorescence , medicine , feces , chemistry , gastroenterology , biology , biochemistry , gene , microbiology and biotechnology , physics , quantum mechanics
Variegate porphyria (VP) is the autosomal dominant disorder associated with deficiency of the enzyme protoporphyrinogen oxidase (PPOX). Plasma fluorescence scanning has been reported to be a more sensitive test for VP than traditional fecal chromatography. Previous comparisons of these techniques predated identification of the PPOX gene. We assessed these techniques in a large group of patients characterized for VP at the DNA level.
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