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Serum Ceruloplasmin

Specimen Required

3-5cc Clotted Blood or Serum

Fasting Required

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Purpose of the Test

Blood caeruloplasmin levels are measured; to help diagnose Wilson disease or conditions associated with copper deficiencies

When this test is required

It is used along with copper measurements when someone has signs and symptoms that the doctor suspects may be due to Wilson disease such as: anaemia nausea tummy pain jaundice tiredness behavioural changes tremors difficulty walking and/or swallowing dystoniaRarely, caeruloplasmin may also be requested with serum copper when your doctor suspects that you have a copper deficiency and periodically if monitoring is recommended.

What the Test Detects

Preparation for the Test

No test preparation is needed

Sample Requirements

A blood sample taken from a vein in your arm

Additional Notes

Caeruloplasmin may be increased in a variety of circumstances which need to be considered when using it to diagnose or monitor Wilson disease or copper deficiency.  These circumstances may include: Caeruloplasmin levels increases when someone has inflammation, severe infection, tissue damage, and some cancers.  Increases are also seen during pregnancy and with the use of oestrogen, oral contraceptives, and medications such as carbamazepine, phenobarbital, and valproic acid.Caeruloplasmin is not a routine test. Unless your doctor suspects that you have Wilson disease or a problem with your copper metabolism, it is unlikely that you will ever have this test performed.