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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

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