Test

Anti HMGCR

Other Test Request Name

  • Anti-HMG-CoA reductase Antibody
  • 3-hydroxy-3-methyl-glutaryl-CoA reductase antibodies

Test Composition

Not applicable

Intended Use

They have been implicated in the occurrence of acquired inflammatory myopathies related to the existence of anti-HMGCR antibodies. The assay of anti-HMGCR antibodies (also present in 50% of thse not receiving statins) allows the diagnosis of necrotising autoimmune myopathy and commencing an effective immunosuppressant treatment.

Methodology

Chemiluminescence

Laboratory Section

Special Test

Special Instructions/Patient Preparations

No patient preparation necessary.

Collection/Sample Container

Red or Gold tube

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

3 mL Serum

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

•   Room Temperature (15-25°C)

24 Hours

•   Refrigerated Temperature (2-8°C)

7 Days

•   Freezer Temperature (-20°C)

28 Days

Transport Temperature

Transport specimen at 2 – 8 °C (with cold packs)

Rejection Criteria

  • Hemolyzed specimen
  • Quantity Not sufficient
  • Improperly labeled specimen
  • Markedly lipemic specimen

Running Day

Batch Running

Cut Off TimeFriday, 4:00 PM

TAT/Releasing of Results

3 months after cut-off (excluding Saturdays, Sundays and Holidays)

Reference Interval/Result Interpretation

Available upon request

Limitations/Interferences

None specified

Frequently Asked Questions (FAQs)

Not applicable

Related Words/Test

Necrotizing Autoimmune Myopathy (NAM)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Test

Anti Mitochondrial Ab (IF)

Other Test Request Name

  • Mitochondrial Antibodies
  • Anti-Mitochondrial Antibodies (AMA) Test

Test Composition

Not Applicable

Intended Use

This test detects the presence of antibodies against mitochondria, which is useful in the diagnosis of Primary Biliary Cirrhosis (PBC).

Methodology

Indirect Immunofluorescence Test

Laboratory Section

Serology

Special Instructions/Patient Preparations

No Patient preparation required.

 

 

Collection/Sample Container

Plain Red Top or Gold Top.

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

2 - 3 mL Serum

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

•   Room Temperature (15-25°C)

Not specified

•   Refrigerated Temperature (2-8°C)

7 days

•   Freezer Temperature (-20°C)

2 Weeks

Transport Temperature

Trasport specimen at 2ºC to 10ºC (with cold packs)

Rejection Criteria

  • Hemolyzed specimen
  • Markedly lipemic specimen
  • Exceeded sample stability requirement
  • Quantity not sufficient
  • Improperly labeled specimen
  • Improper collection tube used

Running DayWednesday

 

 

 

 

 

 

 

Cut Off Time

Tuesday, 8:00PM

TAT/Releasing of Results

Thursday, 4:00PM

Reference Interval/Result Interpretation

Significant Level:

  • Children (<18 years old) : ≥20
  • Adult (≥18 years old) : ≥40

Limitations/Interferences

None Identified

Frequently Asked Questions (FAQs)

Not Applicable

Related Words/Test

  • Mitochondrial Antibody
  • Anit-mitochondrial Antibody
  • Anti-mitochondrial M2 Antibody
  • Primary Biliary Cirrhosis (PBC)

 

 

 

 

 

Test

Anti MOG (IF)

Other Test Request Name

Anti-Myelin Oligodendrocyte

Test Composition

Not applicable

Intended Use

Myelin Oligodendrocyte glycoprotein (MOG) is a key CNS-specific autoantigen for primary demyelination in multiple sclerosis.

Methodology

Immunofluorescence

Laboratory Section

Special Test

Special Instructions/Patient Preparations

No patient preparation necessary.

Collection/Sample Container

Red or Gold tube

 

 

 

 

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

3 mL Serum

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

•   Room Temperature (15-25°C)

24 Hours

•   Refrigerated Temperature (2-8°C)

7 Days

•   Freezer Temperature (-20°C)

28 Days

Transport Temperature

Transport specimen at 2 – 8 °C (with cold packs)

 

 

 

Rejection Criteria

  • Hemolyzed specimen
  • Quantity Not sufficient
  • Improperly labeled specimen
  • Markedly lipemic specimen

Running Day

Batch Running

Cut Off Time

Friday, 4:00 PM

TAT/Releasing of Results

1 month after cut-off (excluding Saturdays, Sundays and Holidays)

Reference Interval/Result Interpretation

 

 

Available upon request

Limitations/Interferences

None specified

Frequently Asked Questions (FAQs)

Not applicable

Related Words/Test

Inflammatory demyelinating disease of the central nervous system, neuromyelitis optica spectrum disorder

 

 

 

Test

Anti MPO(Myeloperoxidase)

Other Test Request Name

  • Myeloperoxidase - anti-antibodies
  • Anti-myeloperoxidase antibodies
  • MPO - anti-antibodies

Test Composition

Not applicable

Intended Use

Anti-ANCA Ab represents a recently developed marker which is very useful in the diagnosis of vasculitis.

Methodology

Flow Immunofluorimetry

Laboratory Section

Special Test

Special Instructions/Patient Preparations

  • No patient preparation required
  • Note patient’s diagnosis/medical history and record in clinical information.

Collection/Sample Container

Red or Gold tube

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

 

 

3 mL Serum

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

 

•   Room Temperature (15-25°C)

24 Hours

•   Refrigerated Temperature (2-8°C)

7 Days

•   Freezer Temperature (-20°C)

 

30 Days

Transport Temperature

Transport specimen at 2 – 8 °C (with cold packs)

Rejection Criteria

 

  • Hemolyzed specimen
  • Quantity Not sufficient
  • Improperly labeled specimen
  • Markedly lipemic sample

 

Running Day

Batch Running

Cut Off Time

Friday, 4:00 PM

TAT/Releasing of Results

2 weeks after cut-off (excluding Saturdays, Sundays and Holidays)

Reference Interval/Result Interpretation

Available upon request

Limitations/Interferences

 

 

 

None specified.

Frequently Asked Questions (FAQs)

Not applicable

Related Words/Test

Types of vasculitis, neutrophil primary granules and monocyte lysosomes

 

 

 

 

Test

Anti Mullerian Hormone

Other Test Request Name

  • AMH
  • AMH Hormone Test
  • Mullerian Inhibiting Substance (MIS)
  • Mullerian Inhibitory Factor (MIF)
  • Mullerian-Inhibiting Hormone (MIH)

Test Composition

Not applicable

Intended Use

Used for the assessment of ovarian reserve and the prediction of response to controlled ovarian stimulation (COS) in conjunction with other clinical and laboratory findings.

Methodology

Electrochemiluminescence Immunoassay (ECLIA)

Laboratory Section

Immunology

Special Instructions/Patient Preparations

• Samples should not be taken from patients receiving therapy with high biotin doses (i.e. > 5 mg/day) until at least 8 hours following the last biotin administration.

Collection/Sample Container

Red or Gold tube

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

1-3 mL Serum

Alternative Specimen and Volume Requirement

1-3 mL Plasma (Li-Heparin)

Specimen Stability

•   Room Temperature (15-25°C)

3 Days

•   Refrigerated Temperature (2-8°C)

5 Days

•   Freezer Temperature (-20°C)

6 Months (Freeze only once)

Transport Temperature

Transport specimen at 2°C – 8 °C (with cold packs)

Rejection Criteria

• Hemolyzed specimen
• Markedly lipemic sample
• Exceeded sample stability requirement
• Quantity not sufficient
• Improperly labeled specimen
• Improper collection tube used
• Plasma specimen from EDTA tube

Running Day

Batch Running (7 Days TAT)

Cut Off Time

7:00 PM

TAT/Releasing of Results

ROUTINE (on running days)
• 4 hours after receipt of specimen/ arrival of messenger
STAT (on running days only)
• 2½ hours from extraction/messenger arrival

Reference Interval/Result Interpretation

MALE: 1.43-11.60 ng/mL
FEMALE:
<20Y: No reference range established
20Y & 1 Day - 25Y: 1.66-9.49 ng/mL
25Y & 1 Day - 30Y: 1.88-9.16 ng/mL
30Y & 1 Day - 35Y: 0.67-7.55 ng/mL
35Y & 1 Day - 40Y: 0.78-5.24 ng/mL
40Y & 1 Day - 45Y: 0.10-2.96 ng/mL
45Y & 1 Day - 51Y: 0.05-2.06 ng/mL

Limitations/Interferences

• Samples should not be taken from patients receiving therapy with high biotin doses (i.e. > 5 mg/day) until at least 8 hours following the last biotin administration.
• In rare cases, interference due to extremely high titers of antibodies to analyte?specific antibodies, streptavidin or ruthenium can occur.

Frequently Asked Questions (FAQs)

Q : Should every woman of child-bearing years have an AMH test?

A : For most women, the AMH test is not considered necessary unless they are having fertility issues. Most women will not need to have this test performed.

 

Q : Should every male child have an AMH test?

A : No, testing is not routinely needed. It is only indicated when there are questions about a baby's sexual development.

Related Words/Test

FSH, LH, Inhibin B, Estrogens, Testosterone, Progesterone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Test

Anti Musk

Other Test Request Name

  • Muscle Specific Tyrosine Kinase
  • Anti-Receptor Tyrosine Kinase A

Test Composition

Not Applicable

Intended Use

Myasthenia marker, to be tested for when Anti-acethylcholine Receptor Antibodies are negative (10 to 20% of cases).

For the formation and maintenance of the neuromuscular junction.

Methodology

Enzyme Immunoassay (EIA)

Laboratory Section

Special Test

Special Instructions/Patient Preparations

No patient preparation necessary.

Collection/Sample Container

Red or Gold tube

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

3 mL Serum

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

•   Room Temperature (15-25°C)

24 Hours

•   Refrigerated Temperature (2-8°C)

 

 

 

 

 

7 Days

•   Freezer Temperature (-20°C)

28 Days

Transport Temperature

Transport specimen at 2 – 8 °C (with cold packs)

Rejection Criteria

  • Hemolyzed specimen
  • Quantity Not sufficient
  • Improperly labeled specimen
  • Markedly lipemic sample

Running Day

Batch Running

 

 

Cut Off Time

Friday, 4:00 PM

TAT/Releasing of Results

1 month after cut-off (excluding Saturdays, Sundays and Holidays)

Reference Interval/Result Interpretation

 

 

 

Available upon request

Limitations/Interferences

None specified.

Frequently Asked Questions (FAQs)

Not applicable

Related Words/Test

Myasthenia marker

 

 

 

 

 

Test

Anti NMDA Receptor (CSF)

Other Test Request Name

  • Anti-iGluR2
  • Anti-NR2 glutamate receptors antibodies
  • Anti-NR2 (NMDA receptor)

Test Composition

Not Applicable

Intended Use

Confirm diagnosis of anti NMDAR encephalitis.

Maybe used in monitoring treatment response in individuals who are antibody positive.

Methodology

Immunoflourescence

Laboratory SectionSpecial Test

Special Instructions/Patient Preparations

  • No patient preparation necessary.
  • Sample must be properly packed (triple packaging)

Collection/Sample Container

Plastic leak proof sterile container (screw cap) 

NOTE: Sample must be properly packed (triple packaging)

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

2mLCerebrospinal Fluid (CSF)

Alternative Specimen and Volume Requirement

 

 

 

Not Applicable

Specimen Stability

•   Room Temperature (15-25°C)

24 Hours

•   Refrigerated Temperature (2-8°C)

7 Days

•   Freezer Temperature (-20°C)

28 Days

Transport Temperature

Transport specimen at 2 – 8 °C (with cold packs)

Rejection Criteria

 

 

 

 

  • Insufficient volume
  • Incorrect storage and transport temperature of specimen
  • Insufficient volume
  • Incorrect collection container used
  • Improperly labeled specimen

Running Day

Batch running

Cut Off Time

Friday, 4:00 PM

TAT/Releasing of Results

1 month after cut-off (excluding Saturdays, Sundays and Holidays

Reference Interval/Result Interpretation

Available upon request

Limitations/Interferences

 

 

 

None specified

Frequently Asked Questions (FAQs)

Not Applicable

Related Words/Test

Not Applicable

 

 

 

 

 

 

Test

Anti SRP/Myositis Marker

Other Test Request Name

  • Anti-NXP2 (p140/MJ)
  • Mi-2 - anti-antibodies
  • PL12 - anti-antibodies
  • Ku - anti-antibodies
  • Anti-PL7 antibodies
  • Anti-EJ-antibodies
  • Myositis dot
  • TIF 1
  • SAE
  • Anti isoleucyl RNAt synthetase antibodies(OJ)
  • Anti-SRP antibodies
  • NXP2
  • TIF
  • Anti alanyl RNAt synthetase antibodies (PL12)
  • Anti threonyl RNAt synthetase antibodies (PL7)
  • Necrotising myositis
  • Anti-PM75-antibodies
  • Anti-PM100-antibodies
  • SRP - anti-antibodies
  • AMDA
  • Anti-SAE2 antibodies
  • PM75 - anti-antibodies
  • OJ - anti-antibodies
  • PM1 - anti - antibodies
  • Anti - PM1 antibodies
  • Anti MDA-5/CADM 140 antibodies
  • Anti RNAt synthetase antibodies
  • Anti-PM-Scl antibodies
  • Anti-Mi2 antibodies
  • Anti TIF p155/1400 antibodies
  • Anti Histidyl RNAt synthetase (JO1)
  • PM-Scl - anti-antibodies
  • MD5
  • Anti-SAE1 antibodies
  • Polymyositis
  • Anti-OJ-antibodies
  • tRNA synthetases - anti-antibodies
  • Anti-Ku antibodies
  • Anti-tRNA synthetase antibodies
  • PM100 - anti-antibodies
  • Myositis markers
  • PL7 - anti-antibodies
  • EJ - anti-antibodies

Test Composition

  • Anti−Mi2 alpha
  • Anti−Mi2 beta
  • Anti−TIF1 gamma
  • Anti−MDA5
  • Anti−NXP2
  • Anti−SAE
  • Anti−Ku
  • Anti−PM 100
  • Anti−PM 75
  • Anti−Jo1
  • Anti−SRP
  • Anti−PL7
  • Anti−PL12
  • Anti−EJ
  • Anti−OJ

Intended Use

These Antibodies have a cytoplasmic aspect on Hep2 cells (used for Anti nuclear Abs screening). They are associated with a Polymyositis Type including myositis, Raynaud phenomen, lung fibrosis, articular pain and palm hyperkeratosis.

Methodology

Immunodot

Laboratory Section

Not Applicable

Special Instructions/Patient Preparations

No patient preparatiion necessary.

Collection/Sample Container

Red or Gold Tube

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

3 mL Serum

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

•   Room Temperature (15-25°C)

24 Hours

•   Refrigerated Temperature (2-8°C)

7 Days

•   Freezer Temperature (-20°C)

28 Days

Transport Temperature

Transport specimen at 2 – 8 °C (with cold packs)

Rejection Criteria

  • Hemolyzed specimen
  • Quantity Not sufficient
  • Improperly labeled specimen
  • Markedly lipemic sample

Running Day

Batch Running

Cut Off Time

Friday, 12:00 PM

TAT/Releasing of Results

2 weeks after cut-off (excluding Saturdays, Sundays and Holidays)

Reference Interval/Result Interpretation

Not Applicable

Limitations/Interferences

 

 

 

 

 

 

 

Not Applicable

Frequently Asked Questions (FAQs)

Q: What are the symptoms of myositis?

A:Symptoms of Myositis

  • Rash.
  • Fatigue.
  • Thickening of the skin on the hands.
  • Difficulty swallowing.
  • Difficulty breathing.

Q: How quickly does myositis progress?

A:Polymyositis and dermatomyositis are usually chronic (long-lasting) but typically improve after one to two months of treatment. Inclusion body myositis is also chronic. Since there is no reliably effective treatment for inclusion body myositis, symptoms usually worsen gradually over a period of years.

Q: Does myositis cause tingling?

A:Mild facial weakness may occur in one-third of IBM patients; though there are usually no sensory symptoms, such as numbness and tingling, up to 30% of patients have sensory findings on exam or electrophysiological testing, such as nerve conduction studies as part of an electromyogram (EMG).

Q: What triggers myositis?

A:Myositis means inflammation of the muscles that you use to move your body. An injury, infection, or autoimmune disease can cause it. Two specific kinds are polymyositis and dermatomyositis. Polymyositis causes muscle weakness, usually in the muscles closest to the trunk of your body.

Q: Who gets myositis?

A:Anyone can get myositis, but it usually affects women more than men. Adults between the ages of 30 and 60, and children between the ages of 5 and 15 are more likely to get myositis.

Related Words/Test

Polymyositis, Dermatomyositis, Idiopathic Inflammatory Myopathy 

 

 

 

 

 

 

Test

Anti Thyroxine Peroxidase

Other Test Request Name

• Thyroid Antimicrosomal Antibody
• Thyroid Peroxidase Antibody
• Anti-TPO
• Anti-Microsomal Antibodies (AMA)

Test Composition

Not applicable

Intended Use

• Helps diagnose an autoimmune thyroid disease and to distinguish it from other forms of thyroid dysfunction
• Thyroid antibodies are autoantibodies targeted against one or more components on the thyroid. Graves' disease and Hashimoto's thyroiditis are commonly associated with the presence of anti-thyroid autoantibodies.

Methodology

Chemiluminescent Microparticle Immunoassay (CMIA)

Laboratory Section

Immunology

Special Instructions/Patient Preparations

No patient preparation necessary.

 

Collection/Sample Container

Red or Gold tube

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

1-3 mL Serum

Alternative Specimen and Volume Requirement

1-3 mL Plasma (Li-heparin, Na-Heparin, EDTA)

Specimen Stability

•   Room Temperature (15-25°C)

8 Hours

•   Refrigerated Temperature (2-8°C)

72 Hours

•   Freezer Temperature (-20°C)

30 Days

Transport Temperature

Transport specimen at 2°C – 8 °C (with cold packs)

Rejection Criteria

• Hemolyzed specimen
• Markedly lipemic specimen
• Specimen stored/transported outside the temperature range
• Quantity not sufficient
• Improperly labeled specimens

Running Day

Monday, Thursday

Cut Off Time

Monday to Saturday:10:00 PM

Sunday:6:00PM

 

 

TAT/Releasing of Results

ROUTINE (on running days)
• 4 hours after receipt of specimen/ arrival of messenger
STAT (on running days only)
• 2½ hours from extraction/messenger arrival

Reference Interval/Result Interpretation

0.00-5.61 IU/mL

Limitations/Interferences

• Some specimens may not dilute linearly because of the heterogeneity of the autoantibodies with respect to physiochemical properties.
• Specimens from patients who have received preparations of mouse monoclonal antibodies for diagnosis or therapy may contain human antimouse antibodies (HAMA). Such specimens may show either falsely elevated or depressed values when tested with assay kits that employ mouse monoclonal antibodies.
• Heterophilic antibodies in human serum can react with reagent immunoglobulins, interfering with in vitro immunoassay. The presence of heterophilic antibodies in a patient specimen may cause anomalous values to be observed.

Frequently Asked Questions (FAQs)

Not applicable

Related Words/Test

Thyroid Antibodies, Thyroid Autoantibodies; Antithyroid Antibodies; Antimicrosomal Antibody; Thyroid Microsomal Antibody; Thyroid Peroxidase Antibody; Thyroperoxidase Antibody; TPO; Anti-TPO; TBII; Antithyroglobulin Antibody; TgAb; TSH Receptor Antibody; TRAb; Thyrotropin Receptor Antibodies; Thyroid Stimulating Immunoglobulin; TSI, Thyroid Peroxidase Antibody; Thyroglobulin Antibody; Thyroid Stimulating Hormone Receptor Antibody

 

 

 

 

 

 

 

 

 

Test

Anti- Gliadin Ab IGG (EIA)

Other Test Request Name

  • Anti deamidated gliadin antibodies
  • Gliadin - anti-IgG antibodies

Test Composition

Not applicable

Intended Use

A marker for celiac disease - assayed in parallel to the anti-endomysium, anti-transglutaminase and anti-reticulin antibody test.

Useful for deciding weather or not a jejunal biopsy is warranted. The IgG assay is more sensitive but less specific.

Methodology

Fluorescent enzyme-immunoassay

 

Laboratory Section

Special Test

Special Instructions/Patient Preparations

No patient preparation necessary.

Collection/Sample Container

Red or Gold tube

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

3 mL Serum

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

•   Room Temperature (15-25°C)

24 Hours

•   Refrigerated Temperature (2-8°C)

7 Days

•   Freezer Temperature (-20°C)

28 Days

Transport Temperature

Transport specimen at 2 – 8 °C (with cold packs)

Rejection Criteria

  • Hemolyzed specimen
  • Quantity Not sufficient
  • Improperly labeled specimen
  • Markedly lipemic sample

Running Day

Batch Running

 

Cut Off Time

Friday, 4:00 PM

TAT/Releasing of Results

2 weeks after cut-off (excluding Saturdays, Sundays and Holidays)

Reference Interval/Result Interpretation

Available upon request

Limitations/Interferences

None specified.

Frequently Asked Questions (FAQs)

Not applicable

Related Words/Test

Celiac disease, Anti-tissue Transglutaminase Antibody; tTG; tTGA; Endomysial Antibody; EMA; DGP; ARA; Total IgA, Tissue Transglutaminase Antibody; Deaminated Gliadin Peptide Antibodies; Anti-Endomysial Antibodies; Anti-Reticulin Antibodies; Quantitative Immunoglobulin A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Test

Anti-Smooth Muscle Ab (IF)

Other Test Request Name

  • Smooth Muscle Antibodies (SMA)
  • Anti-Smooth Muscle Antibodies (ASMA) Test

Test Composition

Not Applicable

Intended Use

This test detects the presence of antibodies against smooth muscle, which is useful in the diagnosis of type I autoimmune hepatitis (Type I AIH).

Methodology

Indirect Immunofluorescence Test

Laboratory Section

Serology Section

Special Instructions/Patient Preparations

No patient preparation required.

Collection/Sample Container

Plain Red Top or Gold Top

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

2 - 3 mL Serum

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

 

 

 

 

•   Room Temperature (15-25°C)

Not specified

•   Refrigerated Temperature (2-8°C)

7 days

•   Freezer Temperature (-20°C)

2 weeks

Transport Temperature

Transport specimen at 2 – 10 °C (with cold packs)

 

Rejection Criteria

  • Hemolyzed specimen
  • Markedly lipemic specimen
  • Exceeded sample stability requirement
  • Quantity not sufficient
  • Improperly labeled specimen
  • Improper collection tube used

Running Day

Wednesday

Cut Off Time

Tuesday, 8:00PM

TAT/Releasing of Results

 

Thursday, 4:00PM

Reference Interval/Result Interpretation

Significant Level:

  • Children (<18 years old): ≥20
  • Adult (≥18 years old) : ≥40

Limitations/Interferences

Not applicable.

Frequently Asked Questions (FAQs)

Not applicable

Related Words/Test

  • Actin antibodies
  • Autoimmune hepatitis
  • Autoimmune liver disease
  • Autoantibodies

 

 

 

 

 

Test

Antibody Screening-TEST TEMPORARILY UNAVAILABLE

Other Test Request Name

Not applicable

Test Composition

Not applicable

Intended Use

Routinely used in conjunction with typing and cross matching before the administration of blood products, especially RBCs, to avoid transfusion reactions and to prevent notably decreased survival of transfused RBCs. It is also used in antenatal screening to detect the presence of antibodies in a pregnant woman's serum that could result in hemolytic disease of the fetus and newborn.

Methodology

Column Agglutination Technology

Laboratory Section

Special Test

Special Instructions/Patient Preparations

No patient preparation required

Collection/Sample Container

1) Plain Red Topand(3 pcs) 4 mL EDTA

Note: Use of 2mL EDTA tube is highly discouraged.

           Use of Gel Separator tubes are NOT acceptable

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

3pcs of 4ml EDTA whole blood and 1 Red top whole blood

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

•   Room Temperature (15-25°C)

Not Specified

•   Refrigerated Temperature (2-8°C)

7 days

•   Freezer Temperature (-20°C)

Not Specified

Transport Temperature

Transport specimen at 2 – 8 °C (with cold packs)

Rejection Criteria

  • Improperly labeled specimens
  • Clotted EDTA
  • Serum collected in Serum Separator/Gel Separator Tubes
  • Use of 2mL EDTA tube
  • Hemolyzed specimens
  • Quantity not sufficient
  • Specimen stored and/or transported outside the required temperature

Running Day

Monday to Saturday

Cut Off Time

 

4:00 PM

TAT/Releasing of Results

After 5 days (excluding Saturdays, Sundays and Holiday)

Reference Interval/Result Interpretation

NEGATIVE

Limitations/Interferences

Antibody picture is valid only for 3 days if transfusion is performed.

Frequently Asked Questions (FAQs)

Q: Do I need to have this test done?

A: This is usually performed in patients requiring blood transfusion, patients with suspected transfusion reactions, blood donors and pregnant women.

Related Words/Test

Antibody Identification, Antibody Panel, Pre-transfusion testing, Antenatal Screening, Alloantibodies, Autoantibodies, Cross-matching

 

 

 

 

 

 

 

 

 

 

 

 

Test

APAS Work Up

Other Test Request Name

  • APS
  • Anti-phospholipid antibody test
  • APA test
  • APLA test
  • Anti-cardiolipin antibody syndrome
  • aCL syndrome
  • Hughes syndrome
  • Lupus anticoagulant syndrome

Test Composition

• Partial Thromboplastin Time
• SCT
• DRVVT
• Anti CardiolipinIgG
• Anti CardiolipinIgM

Intended Use

• For autoimmune disorder that is associated with pregnancy.
• Anti-phospholid Antibodies Syndrome (APAS) Work up is used to determine the cause of improper blood clot formation, recurrent miscarriage, low platelet count and/or prolonged Activated Partial Thromboplastin time (APTT).

Methodology

Multi-wavelength transmitted light method
• DRVVT
• SCT
• PTT

Enzyme Link Immunosorbent Assay (ELISA)
• Anti-Cardiolipin IgM
• Anti-Cardiolipin IgG

Laboratory Section

Hematology

Special Instructions/Patient Preparations

  • No patient preparation necessary.
  • DO NOT use glass as collection and transport tube (for PTT, DRVV, and SCT)

Collection/Sample Container

Two (2) Citrated Blue top
• DRVVT
• SCT
• PTT

One (1) Gold top
• Anti-Cardiolipin IgG
• Anti-Cardiolipin IgM

 

 

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

• Plasma: at least 2mL
• Serum: at least 1 mL

Alternative Specimen and Volume Requirement

Not applicable:
• DRVVT
• SCT
• PTT

Red top:
• Anti-Cardiolipin IgG
• Anti-Cardiolipin IgM

Specimen Stability

•   Room Temperature (15-25°C)

• PTT: 4 hours

•   Refrigerated Temperature (2-8°C)

ACA IgG & ACA IgM: 4days

•   Freezer Temperature (-20°C)

7 Days

ACA IgG & ACA IgM: >4days

Transport Temperature

• Anti-Cardiolipin IgG and IgM (Serum) – transport at 2°C to 10°C (with cold packs)
• DRVVT, SCT and PTT (Plasma)– transport at room temperature (15°C to 25°C)
NOTE:
• Sample must be sent to laboratory immediately after collection.
• Samples that cannot be sent to HPD laboratory within 4 hours should be stored at -20°C and should be transported with dry ice.

Rejection Criteria

• Improper use of anticoagulant
• Insufficient volume of blood to anticoagulant (<90% filled)
• Improperly labeled specimens
• Hemolyzed specimens
• Specimen stored and transported outside the temperature requirement

 

 

 

 

 

 

 

Running Day

Wednesday and Saturday
• Anti-CardiolipinIgG

• Anti-CardiolipinIgM

• DRVV

• SCT
Daily
• PTT

Cut Off Time

Wednesday and Saturday;  2:00 pm

Anti-CardiolipinIgG

Anti-CardiolipinIgM

DRVVT

SCT

Monday up to Saturday, 8:00pm

PTT

Sunday, 4:00 PM

PTT

TAT/Releasing of Results

Thursday and Sunday; 9:00 AM

  • Anti-CardiolipinIgG
  • Anti-CardiolipinIgM
  • DRVVT
  • SCT

3 hours after receipt of specimen/ messenger arrival

·         PTT

Reference Interval/Result Interpretation

• APTT: 25.00-40.00Seconds
• DRVVT: 0.80-1.20
• SCT: 1.08-1.21
• Anti-Cardiolipin IgG:

NEGATIVE   =          <12.00 GPL-U/mL

POSITIVE  =             >18.00 GPL-U/mL

EQUIVOCAL =          12.00 – 18.00 GPL-U/mL

• Anti-Cardiolipin IgM:

NEGATIVE   =          <12.00 MPL-U/mL

POSITIVE  =             >18.00 MPL-U/mL

EQUIVOCAL =          12.00 – 18.00 MPL-U/mL

Limitations/Interferences

• Dysfibrinogenemia
• Heparin intake
• Intrinsic pathway deficiencies
• Presence of factor inhibitors
• Hepatic disorders
• Treatments with vitamin K antagonists
• Treatment with thrombin inhibitors
• DIC

Frequently Asked Questions (FAQs)

Not applicable

Related Words/Test

Lupus Anticoagulant Testing, Cardiolipin Antibodies, Partial Thromboplastin Time (PTT, aPTT), Beta-2 Glycoprotein 1 Antibodies, Antinuclear Antibody (ANA), Autoimmune Diseases, Excessive Clotting Disorders, Antiphospholipid Syndrome, Lupus, Pregnancy.

 

 

 

 

 

 

 

 

 

TestApolipoprotein B
Other Test Request Name
  • ApoB
  • Lipoprotein B
  • Apolipoprotein B-100
Test Composition

Not Applicable

Intended Use

These lipid (cholesterol, triglycerides and phospholipids) transport proteins represent the main constituent of Low Density Lipoprotein particles. High levels of this apolipoprotein B concomitant with low levels of apolipoprotein A1 constitute a strong risk factor for atherosclerosis.

Apolipoprotein B-100 (also called apolipoprotein B or apo B) is a protein  that is involved in the metabolism of lipids and is the main protein constituent of lipoproteins such as very low-density lipoprotein (VLDL)  and low-debsity lipoprotein  (LDL, the "bad cholesterol"). This test measures the amount of apo B in the blood.

Methodology

Immuno turbidimetry

Laboratory Section

Special Test

Special Instructions/Patient Preparations

Fasting 8-12 Hours.

Collection/Sample Container

Red or Gold Top

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

3 mL Serum

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability 
•   Room Temperature (15-25°C)

24 Hours

•   Refrigerated Temperature (2-8°C)

7 Days

•   Freezer Temperature (-20°C)

28 Days

Transport Temperature

Transport specimen at 2 – 8 °C (with cold packs)

Rejection Criteria
  • Hemolyzed specimen
  • Markedly lipemic specimen
  • Exceeded sample stability requirement
  • Quantity not sufficient
  • Improperly labeled specimen
  • Improper collection tube used
Running Day

Batch Running

Cut Off Time

Friday, 4:00 PM

TAT/Releasing of Results

2 weeks after (excluding Saturdays, Sundays and Holidays)

Reference Interval/Result Interpretation

Available upon request

Limitations/Interferences

None specified

Frequently Asked Questions (FAQs)

Q: Why get tested?

A:To help evaluate your risk of developing cardiobascular disease (CVD); sometimes to help monitor treatment for high cholesterol or to help diagnose a rare inherited apolipoprotein B (apo B) deficiency

Q: When to get tested?

A:When you have a personal or family history of heart disease and/or high cholesterol and triglyceride levels and your healthcare provider is trying to determine your risk of developing CVD; sometimes on a regular basis when you are being treated for high cholesterol; rarely when your healthcare practitioner suspects that you have an inherited apo B deficiency

Q: When is it ordered?

A:Apo B may be measured, along with an  apo A-or other lipid tests,when a healthcare practitioner is trying to evaluate someone's risk of developing (CVD) and when a person has a personal or family history of heart disease and/or abnormal lipid levels, especially when the person has significantly elevated triglyceride levels.

Sometimes apo B is ordered to monitor a person who is undergoing treatment for high cholesterol.

Q: What can I do to lower my apo B?

A:Diet and exercise changes that lower LDL levels (and increase HDL, the "good" cholesterol) will lower your apo B levels and decrease your risk of heart disease.

Related Words/Test

Evaluate the risk for cardiovascular disease, Lipid Panel, LDL Cholesterol, Cholesterol, Triglycerides, HDL Cholesterol, Apo A-I, Lipoprotein A, High-sensitivity C-reactive Protein (hs-CRP), Homocysteine, Cardiac Risk Assessment,

 

 

Test

Apolipoprotein E Genotype

Other Test Request Name

  • Apo E Genotype
  • Cardio IQ APO E Genotype
  • CardioIQ®
  • Apolipoprotein E Genotype

Test Composition

Not applicable

Intended Use

This test determines the subtypes of apoe which will aid in the risk assessment of corornary heart disease (CHD) and hyperlipoproteinemia.

Methodology

Real-Time Polymerase Chain Reaction (RT-PCR)

Laboratory Section

Special Test

Special Instructions/Patient Preparations

No patient preparation necessary.

Collection/Sample Container

EDTA or Violet TubeSpecimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

2 pcs of 4 mL EDTA whole blood

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

•   Room Temperature (15-25°C)

24 Hours

•   Refrigerated Temperature (2-8°C)

7 Days

•   Freezer Temperature (-20°C)

28 Days

Transport Temperature

Transport specimen at 2 – 8 °C (with cold packs)

Rejection Criteria

  • Clotted specimen
  • Quantity Not sufficient
  • Improperly labeled specimen
  • Over-filled or Under-filled tube
  • Specimen stored and transported outside the required temperature

Running Day

Batch Running

Cut Off Time

Monday, 12:00 PM

TAT/Releasing of Results

2 weeks after cut-off (excluding Saturdays, Sundays and Holidays)

Reference Interval/Result Interpretation

Not Applicable

Limitations/Interferences

None specified

Frequently Asked Questions (FAQs)

Not applicable

Related Words/Test

APOE Cardiac Risk, Apolipoprotein E Genotyping, Atherosclerosis,
hypercholesterolemi