Urate Crystal Identification

Synonyms

Gout, Crystal Identification, Urate Crystals, Tophi, Pseudogout

  • Tech Only CPT
  • Tech Pro CPT
  • PowerPath Code
  • Schedule Monday - Friday
  • Turn Around Time 48-72 hours
  • Disease State Gout
  • Methodology Microscopy/Polarized Light

Specimen Requirements

If gout is suspected, the tissue sample should be received in 100% alcohol or a sterile fresh.

Diagnostic Utility

Identifying the presence of urate crystals in tissue to aid in the diagnosis of gout.

Required Patient Info

All specimens must be labeled with two patient identifiers that can be linked to the requisition.

A paper or electronic requisition must accompany the specimen. Information on the requisition should include the following:
• Patient's name
• Birth date
• Billing instructions
• Specimen source
• Relevant patient history and procedure, to include a request for crystal identification
• Date and time of specimen collection
• Ordering physician's complete name

Storage and Transportation

Ambient for samples in 100% alcohol.
Refrigerate fresh specimens if delivery is delayed.

Cause for Rejection

Formalin should be avoided for tissues samples suspected for gout. Extended formalin fixation can dissolve urate crystals.