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)