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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