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University Hospitals Dorset NHS Foundation Trust

Autoimmune Repertoire

Tests outside the Immunology repertoire will be processed on a case by case basis

Please be aware that some of the following tests are confirmatory tests and their TAT reflects this

e.g. Endomysial antibody testing is performed following a first-time positive Tissue Transglutaminase antibody result or GAD testing performed first and IA2 testing completed if GAD result is negative.

Test Name

Relevance

Turn around time in days

Acetylcholine Receptor Abs

Myasthenia Gravis

21 days

Adrenal Abs

Addisonian adrenal insufficiency

28 days

Anti-β2-Glycoprotein IgG Abs

Antiphospholipid syndrome

7 days

Anti-Centromere Abs

CREST

24 days

Anti-Cyclic Citrullinated Peptide Antibody

Rheumatoid Arthritis

7 days

Anti-nuclear Abs (connective tissue screen)

Connective tissue disease

7 days

Anti-thyroid peroxidase Abs TPO

Graves’ and Hashimoto’s

7 days

Voltage-gated calcium channel Abs

Lambert Eaton myasthenic syndrome

28 days

Voltage-gated potassium channel Abs

 

CASPR2 and LGI1

Neurological disorders

28 days

Aquaporin-4 Abs

Neuromyelitis optica

28 days

AP50

Alternative haemolytic complement assay

28 days

Liver autoimmune profile

ANA  – connective tissue disease

10 days

 

Liver / kidney microsomal Abs – Autoimmune hepatitis

 

 

Mitochondria Abs- PBC

 

 

Smooth muscle Abs- chronic active hepatitis

 

Bronchiectasis

Bronchiectasis screen

40 days

CH50

Haemolytic complement assay – classical pathway (liposomal method)

28 days

C1-esterase

C1-Esterase inhibitor deficiency

28 days

C1-esterase functional

C1-Esterase inhibitor deficiency

56 days

Anti- C1Q Abs

Hypocomplementaemic Urticarial Vasculitis (HUV), Systemic Lupus Erythematosus(SLE)and Lupus Nephritis

28 days

C1Q level

Differential diagnosis of acquired angioedema. Low levels can be seen in SLE, glomerulonephritis and recurrent infections

28 days

Cardiolipin IgG / IgM

Antiphospholipid syndrome

7 days

Calprotectin

Differentiates between Inflammatory Bowel Diseases, Crohn’s Disease and Ulcerative Colitis and other bowel diseases

10 days

Connective Tissue Disease (CTD) Screen

Panel contains the following auto antibodies:

7 days

U1-snRNP

Sm

SS-A/Ro

SS-B/La

Centromere

Jo-1

SCL-70

dsDNA

Fibrillarin

RNA Pol III

Rib-P

PM-Scl

PCNA

Mi-2

SmD

Direct immunofluorescence (skin biopsies)

Skin biopsy investigation for bullous disease,SLE, DH, EBA, Lichen planus

14 days

Double stranded DNA Abs

SLE

14 days

Extractable nuclear antigens

Screen

14 days

 

Ro –      Sjogren’s, SLE

 

 

La-        Sjogren’s, SLE

 

 

Sm –      SLE specific

 

 

RNP-     MCTD, SLE

 

 

Jo-1 –     Polymyositis

 

 

Scl-70 – Scleroderma

 

Endomysial Abs (IgA)

Coeliac Disease

14 days

Glomerular Basement Abs (GBM)

Goodpasture’s Syndrome

7 days

Anti-Glutamic acid decarboxylase Abs (GAD)

Type I diabetes and stiff mans syndrome

28 days

Anti-GM1 & GQ1B Abs

Anti-ganglioside antibodies

28 days

Intrinsic Factor Abs

Pernicious Anaemia

14 days

IA2 antibodies

Type I diabetes

56 days

IGG subclasses / IGG4

Autoimmune pancreatitis and IgG4 associated diseases

28 days

Anti-MUSK

Myasthenia Gravis

49 days

Mitochondrial 2 Abs (M2)

Primary biliary cirrhosis

14 days

Anti-myelin associated glycoprotein Abs (MAG)

Adult onset neuropathy

28 days

Fixed Cell NMDA receptor Abs

Neurological disorders

28 days

Ovarian Abs

Primary autoimmune ovarian failure

28 days

Myeloperoxidase Abs (MPO)

(P-ANCA) Vasculitis

Urgent 1 day,

routine 7 days

Proteinase 3 Abs (PR3)

(C-ANCA) Granulomatosis with polyangiitis

Urgent 1 day,

routine 7 days

Paraneoplastic Abs (includes Yo, Hu, Ri Antibodies)

Paraneoplastic syndromes

28 days

Skin Abs

Pemphigoid (Basement membrane – BM), Pemphigus.

9 days

Tissue Transglutaminase IgA

Coeliac Disease

7 days

Tissue Transglutaminase IgG

Coeliac Disease

7 days

TSH Receptor Antibodies

Grave’s Disease

14 days

Please be aware that the following tests may be requested as further testing, based on the clinical details included in the request and clinical approval:

  • Crithidia (TAT 18 days)
  • Extended myositis panel (TAT 25 days)
  • Nucleosomes (TAT 40 days)
  • Histones and (TAT (31 days)
  • Extended Scleroderma panel (TAT 25 days)
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