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N-Methylhistamine, Random Urine

Test ID: NMHRU

Test

Aliases/Synonyms

1-Methylhistamine;Histamine Metabolites;Urinary N-Methylhistamine;NMHR;NMH;N-Methylhistamine

Method

Various

Method Description

N-Methylhistamine: LC-MS/MS
Creatinine: Enzymatic Colorimetric Assay

Report Includes

N-Methylhistamine; Creatinine

Specimens

Urine

Random urine collections are preferred for patients with episodic symptoms, for example in the context of allergic reactions, brought on by specific environmental factors.
Patients with chronic mast cell activation often have chronically elevated N-methylhistamine (NMH) levels and will sometimes have intermittent NMH elevations. In these cases, a 24-hour urine collection is preferred; order N-Methylhistamine, 24 Hour Urine

Test Location

Mayo Clinical Labs, Minnesota USA

Test Version

29-Sep-2022

Specimen

Specimens

Urine

Random urine collections are preferred for patients with episodic symptoms, for example in the context of allergic reactions, brought on by specific environmental factors.
Patients with chronic mast cell activation often have chronically elevated N-methylhistamine (NMH) levels and will sometimes have intermittent NMH elevations. In these cases, a 24-hour urine collection is preferred; order N-Methylhistamine, 24 Hour Urine

Collection Containers

Mid-Stream Urine Container

Sample Volume

5 ml

Minimum Volume

3 ml

Patient Preparation

Patient must not be taking monoamine oxidase inhibitors (MAOI) or aminoguanidine as these medications increase N-methylhistamine (NMH) levels.

Collection & Handling

Collection Instructions

Collect a random urine specimen within a few hours of symptom onset. No Preservative.

Handling Information

Store and send cold or frozen.

Stability

Ambient 14 days
Refrigerated 28 days
Frozen 28 days

Test Version

29-Sep-2022

Performance / Interpretation

Method

Various

Method Description

N-Methylhistamine: LC-MS/MS
Creatinine: Enzymatic Colorimetric Assay

Turnaround Time

11 days

Results

Name Units Reference Range Conversion Factor
N-methylhistamine mcg/g creatinine
  • 0-5 y: 120-510
  • 6-16 y: 70-330
  • > 16 y:30-200
Creatinine mg/dL
  • Interpret with other clinical dtata

Test Location

Mayo Clinical Labs, Minnesota USA

Test Version

29-Sep-2022

Interface / Setup

HL7 Interface Codes

Order Code Result Codes Units
NMHR U 63387N-Methylhistamine, Random, U mcg/g Cr
63388Creatinine, Random, U mg/dL

Test Version

29-Sep-2022