Beta-2 transferrin

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Beta-2 transferrin is a carbohydrate-free (desialated) isoform of transferrin, which is almost exclusively found in the cerebrospinal fluid. It is not found in blood, mucus or tears, thus making it a specific marker of cerebrospinal fluid, applied as an assay in cases where cerebrospinal fluid leakage is suspected.[1]

Beta-2 transferrin would also be positive in patients with perilymph fluid leaks, as it is also present in inner ear perilymph. Thus, beta-2 transferrin in otorrhea would be suggestive of either a CSF leak or a perilymph leak.[2]

References[edit]

  1. "How useful is glucose detection in diagnosing cerebrospinal fluid leak? The rational use of CT and Beta-2 transferrin assay in detection of cerebrospinal fluid fistula".Asian Journal of Surgery.2004;27(1)
    39–42.doi:10.1016/S1015-9584(09)60242-6.PMID:14719513.
  2. "Beta-2 transferrin assay in clinical management of cerebral spinal fluid and perilymphatic fluid leaks".J Otolaryngol.Oct 1993;22(5)
    341–4.PMID:8283502.