Addison's disease occurs when the adrenal glands (located above each kidney) do not work normally and do not produce enough hormones. Addison's disease may also be called chronic adrenal insufficiency or hypocortisolism.
This screen is used to aid in the diagnosis of Addison's disease.
Significant deviations from the normal range may require further evaluation by your physician.
Adrenal Antibody Screen with Reflex to Titer
Adrenocorticotropic Hormone (ACTH)
Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils)
Comprehensive Metabolic Profile ( includes eGFR ): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen
Uric Acid, Serum (Gout Test)
Urinalysis Complete Profile: Color; appearance; specific gravity; pH; protein; glucose; occult blood; ketones; leukocyte esterase; nitrite; bilirubin; urobilinogen; microscopic examination of urine sediment.
Patient should fast for 12 hours preceding collection of specimen. ACTH should be drawn between 7 AM and 10 AM. If drawn at any other time, the reference ranges do not apply. Cortisol, Total not recommended when patient is on prednisone/prednisolone therapy due to cross reactivity with the antibody used in this assay. Uric Acid, Serum recommends to discuss discontinuing drugs causing increased uric acid concentration include diurectics, pyrazinamide, ethambutol, and nicotinic acid with your primary care physician before testing.
Estimated turnaround for results is 10 business days. If confirmation testing is required, the estimated time may be extended.