Epic Test Code LAB838 Acetylcholine Receptor Blocking Antibody, Serum
Additional Codes
Quest Code: 34459
Performing Location(s)
Quest
Specimen Type
Serum
Preferred Container
Red Top Tube or SST
Blood Tube Draw Volume
Min 50% draw volume
Minumum Volume to Submit for Testing
1 mL serum
Storage Requirements
Room temperature: 14 days
Refrigerated: 14 days
Frozen: 30 days
Transportation Needs
Refrigerated
Causes of Rejection
Mislabeled or unlabeled specimen
Less than 50% draw for Vacutainer tubes
Gross hemolysis
Grossly lipemic
Microbially contaminated
Maximum Laboratory Time
Report available: 4-7 days
Days of Analysis
Sun, Tues, Thurs
Additional Information
Myasthenia Gravis (MG) is an autoimmune neuromuscular disorder characterized by muscle weakness, most commonly due to autoantibody-mediated loss of functional acetylcholine receptors (AChR) in the neuromuscular junction. AChR binding autoantibodies are diagnostic of MG, and are found in 85-90% of MG patients. AChR blocking autoantibodies prevent inter-action of binding antibodies with the AChR. Fewer than 1% of patients have blocking antibodies without binding antibodies. Blocking antibodies are present in about 50% of patients with MG, but rare in other conditions. Therefore, blocking antibodies have utility in ruling out a possible false positive binding assay and detecting the rare patient without AChR binding antibodies.
Reference Interval
<15 % Inhibition
Methodology
Radioimmunoassay (RIA)
CPT Code
86042
Last Updated
5-Oct-18