LDH

Background

  • Lactate dehydrogenase; ubiquitous intracellular enzyme found in nearly all tissues
  • Non-specific marker of tissue damage or cell turnover

Normal Values

  • Normal: 140-280 U/L

Interpretation

  • Elevated in hemolysis, malignancy, hepatic disease, pulmonary embolism, myocardial infarction, rhabdomyolysis, and many other conditions
  • Part of hemolysis workup (elevated LDH + low haptoglobin + elevated indirect bilirubin + reticulocytosis)
  • Useful in Light's criteria for differentiating transudative vs exudative pleural effusions
  • Markedly elevated in tumor lysis syndrome and thrombotic microangiopathies (TTP/HUS)

See Also

References

Authors: