Test Code 62871825 Connective Tissue Disease Cascade
Specimen Requirements
Specimen Type: Serum
Container/Tube: Serum Gel
Allow to sit 30 minutes prior to spinning. Spin within 2 hours of collection.
Also acceptable: Red top tube
Specimen Transport Temperature
Refrigerated
Storage Temp Stability
Room Temperature: 8 hours
Refrigerated: 14 days
Methodology
Fluoroenzyme Immunoassay (EliA™)
Reference Range
See individual tests
ENA Screen IgG
Reference Ranges:
<0.7 = Negative
0.7-1.0 = Equivocal
>1.0 = Positive
SymphonyS - ENA screen is based on recombinant U1-RNP (RNP 70, A, C), SS-A/Ro (52 kDa, 60 kDa), SS-B/La, Jo-1, Scl-70, Centromere B proteins and a synthetic SmD3 peptide as antigen and is useful as an aid in the clinical diagnosis of patients with systemic lupus erythematosus (SLE), mixed connective tissue disease (MCTD), Sjogrens syndrome, scleroderma and polymyositis/dermatomyositis, in conjunction with other laboratory and clinical findings.
DNA DS Ab IgG
Reference Ranges:
<10 = Negative
10-15 = Equivocal
>15 = Positive
dsDNA - Positivity for anti-double stranded DNA (anti-dsDNA) IgG antibody is a diagnostic criterion of systemic lupus erythematosus (SLE). dsDNA antibodies (1:10 or greater) are found in 50-60 percent of SLE, 20-30 percent in Sjogren syndrome, 20-25 percent in mixed connective tissue disease (MCTD), and less than 5 percent in progressive systemic sclerosis (PSS). High titers of antibody to native (double stranded) DNA are specific for SLE.
Cyclic Citrullinated Peptide Antibody
Reference Ranges:
<7 = Negative
7-10 = Equivocal
>10 = Positive
CCP2 - Anti-cyclic citrullinated peptide (anti-CCP), IgG antibodies are present in about 69-83 percent of patients with rheumatoid arthritis (RA) and have specificities of 93-95 percent. The combination fo RF IgM and IgA plus IgG anti-CCP2 has been proposed to have a PPV close to 100%
Ribosome Ab
Reference Ranges:
<7 = Negative
7-10 = Equivocal
>10 = Positive
All testing performed on the Phadia 250 analyzer using Fluorescence Enzyme Immunoassay technology.
*Note: Reference ranges provided on this web site are for guidance only, and may not reflect the most recent changes. Refer to laboratory reports for current data.
Day(s) Test Set Up/TAT
Performed:
Monday, Wednesday
Not available STAT
TAT:
1-5 days
CPT Code
86200 x1
86225 x1
86235 x2