The results of laboratory tests have a substantial role in the diagnos
tics of diseases. However, laboratory results do not always correspond
with the patient's clinical status. They may be unexpected and surpri
sing. On the other hand, an abnormal laboratory result may be accepted
as such and interpreted as a sign of a disease. However, an abnormal
result may result from several factors other than disease. Conventiona
lly, these interfering factors have been divided into preanalytical an
d analytical factors and furthermore into factors acting in vivo and i
n vitro. The list of these factors is long and laborious to bear in mi
nd. In this review we focus on the factors which, in practice, most of
ten affect laboratory results in healthy individuals and which explain
an unexpected result.