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Serum Haptoglobin

Specimen Required

3-5cc Clotted Blood or Serum

Fasting Required

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Purpose of the Test

To help detect and evaluate haemolytic anaemia

When this test is required

The haptoglobin test may be requested if you have symptoms and signs of anaemia, such as paleness and weakness, along with findings suggestive of haemolytic anaemia, such as jaundice and dark urine. The test may be used with a reticulocyte count and a blood film when you have an abnormally low RBC count, haemoglobin, and/or haematocrit test result. It may also be used with a direct antiglobulin test when you have had a blood transfusion and are suspected of having a transfusion reaction or to investigate a suspected autoimmune haemolytic anaemia. The doctor may also request the test alongside a total or indirect bilirubin test.

What the Test Detects

This test measures the amount of haptoglobin in the blood. Haptoglobin is a protein produced by the liver. Its purpose is to find and attach itself to free haemoglobin in the blood. This forms a complex that is rapidly removed from the circulation by the liver and the iron is then recycled. Haemoglobin is a protein that transports oxygen throughout the body. It is normally found inside red blood cells (RBCs); very little is found…This test measures the amount of haptoglobin in the blood. Haptoglobin is a protein produced by the liver. Its purpose is to find and attach itself to free haemoglobin in the blood. This forms a complex that is rapidly removed from the circulation by the liver and the iron is then recycled. Haemoglobin is a protein that transports oxygen throughout the body. It is normally found inside red blood cells (RBCs); very little is found free, except when RBCs are destroyed and their haemoglobin is released. When large numbers of RBCs are destroyed, haptoglobin concentrations in the blood will temporarily decrease as the consumption of haptoglobin exceeds that produced by the liver. Increased RBC destruction may be due to inherited or acquired conditions that cause haemolysis of RBCs. Causes of haemolysis include: transfusion reactions, certain drugs, and/or mechanical breakage, such as may be seen with some artificial heart valves. Acquired haemolysis may also result from dysregulation of the immune system causing the body to destroy its own cells. The destruction may be mild or severe, acute or chronic, and it can lead to haemolytic anaemia. Patients with haemolytic anaemia may experience symptoms such as tiredness, weakness, and shortness of breath and their skin may be pale or jaundiced. Liver disease may also result in low haptoglobin levels as liver damage may reduce both the production of haptoglobin and the removal of the haptoglobin-haemoglobin complexes. See MoreSee Less

Preparation for the Test

No test preparation is needed.

Sample Requirements

A blood sample taken from a vein in your arm.

Additional Notes

Haptoglobin is an “acute-phase” protein; this means that it will be increased in many inflammatory diseases, such as ulcerative colitis, acute rheumatic disease, heart attack, and severe infection. This can complicate the interpretation of the haptoglobin results. Haptoglobin testing is not used to help diagnose or monitor these conditions.Haptoglobin levels may be affected by massive blood loss and by conditions associated with kidney dysfunction, as well as liver disease.Drugs that can increase haptoglobin levels include androgens and corticosteroids such as prednisolone. Drugs that can decrease haptoglobin concentrations include isoniazid, quinidine, streptomycin, and birth control pills.