Age 3 days to 1 year: Up to 50 ng/24 hours
Age 1-8 years: Up to 300 ng/24 hours
The following is the reference of urinary 17-OHPG in adults:
Males: Up to 2 µg/24 hours
Females: Up to 4.5 µg/24 hours
Elevated urinary 17-hydroxyprogesterone (17-OHPG) levels are associated with the following:
Polycystic ovarian syndrome (PCOS)
Collection and Panels
Specifics for collection and panels are as follows:
Specimen type: Urine
Specimen volume: 10 mL
Other instructions: Record duration and total volume
An elevated level of 17-OHPG, an intermediate in the synthesis of adrenocortical hormones, is the distinguishing characteristic of 21-hydroxylase (CYP21) deficiency, the most common form of CAH.
Urine 17-OHPG is also frequently elevated in patients with PCOS or idiopathic hirsutism.
CAH is a general term for a group of inherited disorders in which a defect in cortisol biosynthesis results in overproduction of adrenocorticotropin hormone (ACTH), with secondary adrenal hyperplasia as a consequence. Classic CAH is generally recognized at birth or in early childhood because of ambiguous genitalia, salt wasting, or early virilization. Nonclassic adrenal hyperplasia is generally recognized at or after puberty because of oligomenorrhea or virilizing signs in females.
Indications for testing of urinary 17-OHPG include the following:
In a male child with premature sexual development
In females with hirsutism, other signs of virilization, oligomenorrhea, or infertility
Patients should avoid use of corticosteroids, ACTH, estrogen, or gonadotropin medication for at least 48 hours before the start of urine collection.