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)