PIVKA II

Description
PIVKA-II (undercarboxylated FII) is a functional marker of vitamin K status. High PIVKA-II are suggestive of vitamin K deficiency. PIVKA-II is also raised in patients on warfarin treatment, patients with liver disease and liver malignancy even without vitamin K deficiency. The plasma/serum PIVKA-II assay is run on the Architect which is a two-step immunoassay using CMIA technology. Due to the relocation of the Nutristasis service to the Blackfriars Hub site, this test is not currently accredited by UKAS to ISO15189
Clinical details
Undercarboxylated prothrombin (PIVKA-II) provides a functional marker used alongside vitamin K1 as a marker of vitamin K status. It is also raised in the presence of vitamin K antagonists such as warfarin or rodenticide superwarfarins e.g. difenacoum and can be raised in liver disease.
Related condition
Reference range

17-51 mAU/mL

Units
mAU/mL
Synonyms
Undercarboxylated prothrombin
Testing site
Synnovis : Reference Services : Blackfriars Hub
Laboratory
Nutristasis Unit
Sample type and volume required
SST Minimum 0.5mL
Call in advance
No
Special sample instructions

Protect from light

Storage and transport
Sample must be protected from light, first class post
Turnaround time
10 days
Patient description
Undercarboxylated prothrombin (PIVKA-II) provides a functional marker used alongside vitamin K1 as a marker of vitamin K status. It is also raised in the presence of vitamin K antagonists such as warfarin or rodenticide superwarfarins and can be raised in liver disease. PIVKA-II is measured by ELISA.
Contacts

Nutristasis Unit at Blackfriars Hub
Phone: 0204 591 0055
Email: Nutristasis@synnovis.co.uk
Nutristasis
Floor 1, Synnovis Hub
Friars Bridge Court
41-43 Blackfriars Road
London
SE1 8NZ

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