Test Code PBHA Lead, Hair
Reporting Name
Lead, HairUseful For
Detecting lead exposure using hair specimens
Method Name
Inductively Coupled Plasma-Mass Spectrometry (ICP-MS)
Performing Laboratory
Mayo Clinic Laboratories in RochesterSpecimen Type
HairNecessary Information
Indicate source of hair (axillary, head, or pubic), if known
Specimen Required
Supplies: Hair and Nails Collection Kit (T565)
Specimen Volume: 0.2 g
Collection Instructions: Prepare and transport specimen per the instructions in the kit or see Collecting Hair and Nails for Metals Testing.
Specimen Minimum Volume
0.05 g
Specimen Stability Information
Specimen Type | Temperature | Time | Special Container |
---|---|---|---|
Hair | Ambient (preferred) | ||
Frozen | |||
Refrigerated |
Reject Due To
All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.Special Instructions
Reference Values
<4.0 mcg/g of hair
Reference values apply to all ages.
Day(s) Performed
Tuesday
CPT Code Information
83655
LOINC Code Information
Test ID | Test Order Name | Order LOINC Value |
---|---|---|
PBHA | Lead, Hair | 5673-9 |
Result ID | Test Result Name | Result LOINC Value |
---|---|---|
31898 | Lead, Hair | 5673-9 |
PBHSC | Specimen Source | 31208-2 |
Test Classification
This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.Clinical Information
Hair analysis for lead can be used to corroborate blood analysis or to document past lead exposure. If the hair is collected and segmented in a time sequence (based on length from root), the approximate time of exposure can be assessed.
Interpretation
Normal hair lead content is below 4.0 mcg/g. While hair lead content above 10.0 mcg/g may indicate significant lead exposure, hair is also subject to potential external contamination with environmental lead and contaminants in artificial hair treatments (eg, dyeing, bleaching, or permanents). Ultimately, the hair lead content needs to be interpreted in addition to the overall clinical scenario including symptoms, physical findings, and other diagnostic results when determining further actions.
Cautions
Blood lead analysis has the strongest correlation with toxicity.
Method Description
The metal of interest is analyzed by inductively coupled plasma mass spectrometry.(Unpublished Mayo method)