Clinical relevance of macroprolactin

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Macroprolactin; A Frequent Cause of Misdiagnosed Hyperprolactinemia in Clinical Practice

INTRODUCTION Macroprolactin is a significant cause of misdiagnosis, unnecessary investigation, and inappropriate treatment in patients with hyperprolactinemia. Its frequency has not been clearly established due to technical difficulties in identifying it. Most laboratories and clinicians are unaware of macroprolactin interferences in prolactin assays. MATERIALS AND METHODS A comprehensive lit...

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Editorial: The Macroprolactin Problem

Human prolactin (PRL) is synthesized as a prehormone with a molecular weight of 26,000 kDa. When the preprolactin is cleaved, the resulting polypeptide has a molecular weight of 23,000 kDa, and this monomeric form accounts for the majority of total PRL. Serum also contains a 50,000-kDa form that is termed big PRL and another species with a molecular weight of greater than l00,000 kDa, which is ...

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Macroprolactin and hyperprolactinaemia.

The recent report on “macroprolactin and hyperprolactinaemia” is very interesting. Jamaluddin et al. noted that 4.4 % of the patients have macroprolactin and concluded that “macroprolactin is a significant cause of misdiagnosis, unnecessary investigation, and inappropriate treatment.” Similar to many other “macro” phenomenon (macroCK, macroamylase, etc.), the macroprolactin can result in aberra...

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macroprolactin; a frequent cause of misdiagnosed hyperprolactinemia in clinical practice

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ژورنال

عنوان ژورنال: Clinical Endocrinology

سال: 2005

ISSN: 0300-0664,1365-2265

DOI: 10.1111/j.1365-2265.2005.02243.x