Description

A number of causes can result in a false-positive test for urine ketones.


Patient selection: urine test positive for ketones

 

Rapid urine tests for ketones detect acetacetic acid.

 

Causes of a false-positive for the urine ketone test:

(1) drugs with a free-sulfhydryl group (captopril, D-penicillamine, mesna)

(2) levodopa

(3) highly pigmented urine

(4) laboratory error

 

Trace positivity can be seen with:

(1) low urine pH

(2) urine with a high specific gravity


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