Reference intervals for urinary catecholamines and metabolites from birth to adulthood
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Updated: Jun 27, 2026

A Convenient Method for Extraction and Analysis with High-Pressure Liquid Chromatography of Catecholamine Neurotransmitters and Their Metabolites
Published on: March 1, 2018
Eric Pussard1, Michel Neveux, Nelly Guigueno
1Service de Génétique Moléculaire, Pharmacogénétique et Hormonologie, Hôpital de Bicêtre, 78 rue du Général Leclerc, Le Kremlin Bicêtre, France. eric.pussard@bct.aphp.fr
Objective:
To establish reference intervals for urinary excretion of biogenic amines from birth to adulthood.
Design And Methods:
865 outpatients were categorized into nine groups ranging from birthday to 25 years. Free catecholamines, total metanephrines, vanillylmandelic and homovanillic acids were determined in urine samples by HPLC with amperometric detection.
Results:
The ratio of each analyte-to-creatinine declined gradually from birth to 15-18 years reaching adults values. No difference was observed by sex except a lower excretion of epinephrine and metanephrine in girls than in boys below 1 year.
Conclusion:
Our data provide age-appropriate reference ranges for the diagnosis of tumors from neural crest in children.
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