Epic Test Code LAB728 Striated Muscle Antibodies, IgG with Reflex to Titer
Additional Codes
ARUP:0050746
Performing Location(s)
ARUP
Ordering Recommendation
Recommended for differential evaluation of neuromuscular junction diseases including myasthenia gravis (MG).
Specimen Type
Serum
Preferred Container
Gold Top Tube
Minimum Volume
1 mL serum
Storage Requirements
Refrigerated.
Specimen Stability
Ambient: 48 hours
Refrigerated: 2 weeks
Frozen: 1 year (avoid repeated freeze/thaw cycles)
Transportation Needs
Refrigerated.
Causes for Rejection
Mislabeled or unlabeled specimen.
Less than 50% draw for Vacutainer tubes
Plasma
Contaminated
hemolyzed
severely lipemic specimens
Available STAT
No
Days of Analysis
Mon-Sat
Turnaround Time
1-4 days once recived into performing lab
Interpretive Data
When detected in the presence of acetylcholine receptor (AChR) antibody, striated muscle antibodies, which bind in a cross-striational pattern to skeletal and heart muscle tissue sections, are associated with late-onset myasthenia gravis (MG). Striated muscle antibodies recognize epitopes on three major muscle proteins, including: titin, ryanodine receptor (RyR) and Kv1.4 (an alpha subunit of voltage-gated potassium channel [VGKC]). Isolated cases of striated muscle antibodies may be seen in patients with certain autoimmune diseases, rheumatic fever, myocardial infarction, and following some cardiotomy procedures.
This test was developed and its performance characteristics determined by ARUP Laboratories. It has not been cleared or approved by the US Food and Drug Administration. This test was performed in a CLIA certified laboratory and is intended for clinical purposes.
CPT Code
86255; if reflexed, add 86256
Last Updated
21-Dec-21 BHD
Methodology
Semi-Quantitative Indirect Fluorescent Antibody
Reference Ranges
Less than 1:40