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Test Code LAB1880 Antiphospholipid Antibody Panel

Useful For

The diagnosis of antiphospholipid syndrome (APS) as well as thrombotic disorders related to secondary antiphospholipid syndrome

Profile Information

Test Code Test Name Methodology Available Separately

Always

Performed

LAB1735

Cardiolipin IgG Antibody

Enzyme linked fluorescent immunoasay (EliA)

Yes Yes
LAB1736 Cardiolipin IgM Antibody

Enzyme linked fluorescent immunoasay (EliA)

Yes Yes
LAB478 Lupus Inhibitor Screen Photometric Detection Yes Yes
LAB1179 Beta-2 Glycoprotein 1 IgG & IgM Antibodies

Enzyme linked fluorescent immunoasay (EliA)

Yes Yes
LAB319 Dilute Russell Viper Venom Time (DRVVT) Photometric Detection Yes Yes

Testing Algorithm:

If the Lupus Inhibitor Screen (APTT) is prolonged, an APTT Mixing study will be performed at an additional charge.  A thrombin time will  be performed to rule out the presence of heparin.

If the DRVVT screen is positive, then DRVVT confirmation will be performed at an additional charge

Reflex Tests

Test Code Test Name Methodology

Available

Separately

Always

Performed

N/A APTT Mixing Study Photometric Detection Yes No
N/A DRVV Confirm Photometric Detection No No

 

Performing Laboratory

Bozeman Health Laboratory Services/Bozeman Outpatient Services at North 19th

Specimen Requirements

Both serum and whole blood (sodium citrate) samples are required

 

Specimen Type: Serum

Container/Tube: Red top or gold top

Specimen Volume: 1 mL
Specimen Minimum Volume: 0.5 mL

Collection Instructions: Centrifuge and separate serum from cells within 2 hours of collection.  

Specimen Rejection:

​1.  Grossly hemolyzed or lipemic samples will be rejected. 

2.  Repeatedly freezing and thawing samples can cause analyte deterioration. Thaw only once.

 

Specimen must arrive and be tested within 4 hours of draw.

Specimen Type: Whole blood
Container/Tube: Blue top (3.2% sodium citrate)

Specimen Volume: 2 full tubes

Collection Instructions: Click here to link to a You Tube video tutorial

1. Immediately after draw, invert tubes several times to mix blood with additive.

2. Send specimen in original tube.

3. If there is a delay in transport of >4 hours, specimen must be double-centrifuged to prepare a platelet-free plasma specimen as follows:

a. Immediately centrifuge at 3,200 rpm for 15 minutes.

b. Carefully remove plasma from cells avoiding platelet/buffy coat, and transfer plasma into a plastic tube.

c. Centrifuge plastic tube at 3,200 rpm for 15 minutes.

d. Carefully remove top portion of plasma and transfer plasma into a plastic tube leaving approximately 250 mcL in bottom to discard.

e. Double-centrifuged plasma should be aliquoted (0.5 mL-1 mL each) into clearly labeled plastic tubes. (Glass vial is not acceptable)

Note: Number of tests ordered will determine number of aliquots needed, generally 1 aliquot per test.

f. Specimens should be frozen at <-40° C, if possible, and sent together in same container with at least 5 lbs of dry ice. Specimens must arrive in a frozen state.

Additional Information: Double-centrifuged specimen is critical for accurate results as platelet contamination may cause spurious results.

Specimen Transport Temperature

Serum: Ambient <8 hours/Refrigerated>8 hours

Whole Blood (Na Citrate): Ambient <4 hours/Frozen >4 hours

Specimen Stability

 

Specimen Type Temperature Time
Serum Ambient 8 hours
  Refrigerated 48 hours
  Frozen 30 days
Whole Blood (unspun) Ambient 4 hours
Plasma Na Citrate (double spun) Frozen 14 days

 

Reference Values

See Individual Test Listings

Day(s) Test Set Up

Thursdays

 

Turnaround Time: 7 days

Test Classification and CPT Coding

86147x2-Cardiolipin x2

86146x2-Beta2Glycoprotein x2

85612-Russel viper venom time-undiluted

85613-Russel viper venom time-diluted

85730-PTT

85732-PTT plasma fraction (if needed)

85670-Thrombin Time (if needed)