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Alcohol and Alcoholism Advance Access originally published online on November 28, 2008
Alcohol and Alcoholism 2009 44(1):62-66; doi:10.1093/alcalc/agn096
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© The Author 2008. Published by Oxford University Press on behalf of the Medical Council on Alcohol. All rights reserved

Ethyl Glucuronide Determination: Head Hair versus Non-Head Hair

Isabelle Kerekes1, Michel Yegles1,*, Ulfert Grimm2 and Robert Wennig1

1 Laboratoire National de Santé–Toxicologie, Université du Luxembourg, 162a, av. de la Faïencerie, L-1511 Luxembourg and
2 Kantonsspital–Institut für Rechtsmedezin, Ch-9007 St. Gallen, Switzerland

* Corresponding author: Laboratoire National de Santé–Toxicologie, Université du Luxembourg, 162a, av. de la Faïencerie, L-1511 Luxembourg. Tel: +352-4666446728; Fax: +352-221331; E-mail: michel.yegles{at}lns.etat.lu

Received 3 July 2008; first review notified 21 August 2008; in revised form 11 September 2008; accepted 16 October 2008; advance access publication 28 November 2008


   Abstract

Introduction: In previous studies, hair analysis of ethyl glucuronide (EtG), a non-volatile, water-soluble, direct metabolite of ethanol, was shown to be adequate for the detection of social and chronic excessive alcohol consumption. As in some cases scalp hair is not available, the analysis of hair from alternative anatomical sites becomes of interest. Aims: In this study, hair samples from head, beard, chest, armpit, stomach, pubis, arms and legs from 32 subjects were analyzed when available, in order to compare the EtG concentrations and to study if the cut-offs used for head hair could be used for non-head hair. Methods: EtG was determined by GC/MS in negative chemical ionization mode using EtG-d5 as internal standard, after extraction by solid phase extraction using Oasis MAX columns and pentafluoropropionic anhydride (PFPA) derivatization. Results: The results showed that in the cases of negative findings in head hair (EtG < 7 pg/mg), in 7 out of 12 cases negative results could also be found in non-head hair. The five others were positive, due to a positive EtG finding in pubic hair. In 20 cases of positive EtG results for head hair, in all cases positive results could also be found in non-head hair. Conclusions: In conclusion, although preliminary results indicate a clear trend regarding the accordance between EtG results in head hair and non-head hair, interpretation of non-head hair results remains to be carefully done for pubic hair, for which often higher concentrations have been found.


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