Unit Code 9731:
C-Reactive Protein (CRP), Serum
Useful For
Detecting systemic inflammatory processes
Detecting infection and assessing response to antibiotic treatment
of bacterial infections
Differentiating between active and inactive disease forms with
concurrent infection
Clinical Information
C-reactive protein (CRP) is 1 of the most sensitive acute-phase
reactants for inflammation. CRP is synthesized by the liver and
consists of 5 identical polypeptide chains that form a 5-membered
ring with a molecular weight of 120,000 daltons. CRP levels can
increase dramatically (100-fold or more) after severe trauma,
bacterial infection, inflammation, surgery, or neoplastic proliferation.
CRP has been used to assess activity of inflammatory disease,
to detect infections after surgery, to detect transplant rejection,
and to monitor these inflammatory processes.
Reference Values
< or =8.0 mg/L
Interpretation
Elevated values are consistent with an acute inflammatory process.
Cautions
Elevated CRP values are nonspecific and should not be interpreted
without a complete clinical history.
Oral contraceptives may increase CRP levels.
#82047 "C-Reactive Protein, High Sensitivity, Serum" is the appropriate
CRP test to order to assess risk of cardiovascular disease or events.
Special Instructions and Forms
Clinical Reference
Tietz NW, Burtis CA, Ashwood ER: In Tietz Textbook of Clinical
Chemistry. 3rd edition. Edited by CA Burtis, ER Ashwood.
Philadelphia, WB Saunders Company, 1999


