Category

SPECIAL CHEMISTRY.

Sub Category

AUTOIMMUNE

Synonyms/Aliases

MYASTHENIA GRAVIS ANTIBODY; ACHR BINDING ANTIBODY.

Abbreviations

ACHR

Type

INDIVIDUAL TEST

Results

RESULTS READY/ REPORTED IN 5 WORKING DAYS

Method

RADIOIMMUNOASSAY (RIA)

Temp

REFRIGERATED.

Setup

BATCHED.

Components Parameters

NOT APPLICABLE.

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY. AVOID USE OF ANAESTHETIC OR MUSCLE RELAXANT 24HRS PRIOR TO SAMPLING.

Patient preparation

AVOID GENERAL ANAESTHETIC/ MUSCLE RELAXANT FOR 24HRS PRIOR TO SAMPLE COLLECTION.

Sample type

SERUM

Container/ preservative

SERUM SEPARATOR TUBE (SST/ GEL) OR PLAIN (RED TOP) VACUTAINER.

Sample volume

10ML ALIQUOT OF 24 HOUR URINE. ORIGINAL (TOTAL) VOLUME IN ML MUST BE SPECIFIED ON THE REQUEST FORM.

Rejection criteria

LABELING ISSUE (UNLABELED/ MISLABELED); MISSING REQUEST FORM; MISMATCH BETWEEN REQUEST FORM & SAMPLE DETAILS; MISSING AGE/ GENDER; WRONG SAMPLE TYPE; INSUFFICIENT SAMPLE.

Other Instructions

CENTRIFUGE SST (SERUM GEL TUBES) WITHIN 1-2 HOURS OF COLLECTION. CENTRIFUGE RED TOP VACUTAINERS AND ALIQUOT SERUM WITHIN 1-2 HOURS OF COLLECTION. THE SEPARATION VIAL MUST BE LABELED WITH AT LEAST 2 PATIENT IDENTIFIERS AND THE SAMPLE TYPE.

Reference intervals

INTERPRETIVE DATA IS PROVIDED ON THE REPORT.

Clinical Utility

HIGHLY SPECIFIC FOR MYASTHENIA GRAVIS. USED TO DISTINGUISH MYASTHENIA GRAVIS FROM OTHER CONDITIONS WITH SIMILAR SYMPTOMS.

Test Limitations/ Confounders

10-15% OF PATIENTS WITH GENERALIZED MYASTHENIA GRAVIS AND 25-50% OF PATIENTS WITH OCULAR MYASTHENIA ARE SERONEGATIVE FOR ACHR.