title: Factitious hearing loss and otorrhea in an adolescent boy.
abstract: Asialo, or beta(2), transferrin occurs in cerebrospinal fluid and a few other body fluids, e.g., perilymph and aqueous humor. It is used clinically as a marker protein to detect CSF otorrhea and rhinorrhea. Asialo-transferrin is separated from sialylated serum transferrin glycoforms by electrophoresis and detected by Western blotting. Potential pitfalls in interpreting Western blots occur when other transferrin isoforms approximate the migratory behavior of asialo-transferrin. In the present report an adolescent boy was seen by an otolaryngologist for otorrhea and acute hearing loss. The otorrhea fluid, subsequently identified as saliva, contained a transferrin isoform with electrophoretic mobility similar to that of asialo-transferrin.
authors.affiliation: Division of Clinical Immunopathology, Department of Pathology, University of Pittsburgh School of Medicine, 15213-2582, Pittsburgh, PA, USA.
authors.forename: R H
authors.initials: RH
authors.lastname: Kelly
authors.forename: C M
authors.initials: CM
authors.lastname: Kelly
authors.forename: S N
authors.initials: SN
authors.lastname: Busis
mesh_terms: D001212:Asialoglycoproteins / Q000032:analysis*; D015153:Blotting, Western; D002558:Cerebrospinal Fluid Otorrhea / Q000175:diagnosis*; D002648:Child; D004587:Electrophoresis, Agar Gel; D006312:Hearing Loss, Bilateral / Q000175:diagnosis*; D006801:Humans; D008297:Male; D014168:Transferrin / Q000031:analogs & derivatives* / Q000032:analysis
chemical_list: D001212:Asialoglycoproteins; D014168:Transferrin; C017031:asialotransferrins