Test Background Citrate is a key intermediate in the tricarboxylic acid cycle. In urine it forms soluble complexes with cations such as Ca++, Mg++ and Fe++, thus inhibiting urinary crystallisation and stone formation. Low levels of urinary citrate excretion (<1.0 mmol/24 h) may be found in patients with distal renal tubular acidosis, malabsorption syndrome and urinary tract infection.
Clinical Indications Monitoring therapy for renal stones
Identifying decreased urinary citrate as a risk factor for stone formation
Investigation of renal tubular acidosis
Reference Range See report
Sample Required Random urine sample in universal container or 24 hour urine collection (acidified optional)
Sample Volume Random urine: 8 mL
or 24 hour urine collection
Turnaround Time Up to 6 weeks
Notes May be done on the same sample as oxalate.
Not currently performed in house; this is a referred test.