Primary Name |
Protein S Functional |
Synonym |
Protein S activity |
Synonym |
-- |
Contraction |
PS |
Contraction |
-- |
Contraction |
-- |
UAB Procedure Number |
2500380 |
CPT Code |
85306 |
Specimen |
Collect one (1) blue-stopper tube (3.2% sodium citrate), filled to specified volume. Do not underfill or overfill.
|
Specimen Management |
Centrifuge blue-stopper tube within one (1) hour of collection, separate plasma and test or quick-freeze at -70°C. |
Specimen Accepted |
Daily including weekends |
Test Performed |
Two days a week |
Available Stat? |
No |
Description |
When the functional PS level is consistently decreased, the patient may have a congenital deficiency. Chronic PS deficiency confers a 2- to 11-fold risk of venous thrombosis. Acquired PS deficiency occurs in a number of inflammatory conditions, during pregnancy, following a thrombotic episode, and in liver disease. Protein S production is decreased during Coumadin (warfarin) therapy. The protein S assay should be ordered at least 10 days after a thrombotic event or after termination of Coumadin therapy. When the INR is >1.7 the protein S order is canceled. |
Reference Interval |
65%-140% |
Follow-up Test |
If the functional PS assay indicates a deficiency, total and free protein S antigen assays and the C4B binding protein immunoassay may be used to distinguish among qualitative and quantitative disorders. These tests will be sent to a reference lab.
|
Associated With |
Venous thrombosis |
Associated With |
Arterial thrombosis |
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