Imperial Collage Healthcare


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

May be done on the same sample as oxalate. Not currently performed in house; this is a referred test.

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