Total Protein

Hepatic Panel

Normal Reference Ranges

Adult

6.0 - 8.3 g/dL

Pediatric

6.0 - 8.0 g/dL

Clinical Significance

Measures all proteins in blood (primarily Albumin and Globulins). An elevated Total Protein with a low or normal Albumin (the 'albumin-globulin gap') strongly suggests a paraproteinemia like Multiple Myeloma.

Causes of High

  • Multiple myeloma
  • Chronic inflammation / Infection (HIV, Hepatitis C)
  • Dehydration

Causes of Low

  • Malnutrition
  • Severe liver disease
  • Nephrotic syndrome
  • Protein-losing enteropathy