Zinc Protoporphyrin - Clinical Utility

Clinical Utility

Measurement of zinc protoporphyrin in red cells has been used as a screening test for lead poisoning. and for iron deficiency. There are a number of specific clinical situations in which this measurement has been found to be useful.

Zinc protoporphyrin levels can be elevated as the result of a number of conditions, for instance:

  • lead poisoning
  • iron deficiency
  • sickle cell anemia
  • sideroblastic anemia
  • anemia of chronic disease
  • vanadium exposure

The virtue of ZPP testing as a screen is that all of these conditions can be considered worth discovering.

The fluorescent properties of ZPP in intact red cells allows the ZPP/heme molar ratio to be measured quickly, at low cost, and in a small sample volume.

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