Category

SPECIAL CHEMISTRY.

Sub Category

AUTOIMMUNE

Synonyms/Aliases

SCLERODERMA ANTIBODY; ANTI-TOPOISOMERASE ANTIBODY

Abbreviations

SCL-70; TOPO 1

Type

INDIVIDUAL TEST

Results

RESULTS READY/ REPORTED IN 7-10 WORKING DAYS

Method

NEPHELOMETRY

Temp

REFRIGERATED

Setup

BATCHED.

Components Parameters

NOT APPLICABLE

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY. MENTION ANA FINDINGS IF AVAILABLE

Patient preparation

NO PREPARATION REQUIRED

Sample type

SERUM

Container/ preservative

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

Sample volume

AT LEAST 3ML

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

A FOLLOW-UP TEST TO A POSITIVE ANA WHERE THERE IS SUSPICTION FOR SCLERODERMA/ SYSTEMIC SCLEROSIS. CAN BE ORDERED SINGLY OR AS PART OF OTHER PANELS E.G. EXTRACTABLE NUCLEAR ANTIGEN (ENA) PANEL.

Test Limitations/ Confounders

UP TO 40% OF PATIENTS WITH SYSTEMIC SCLEROSIS CAN BE SERONEGATIVE I.E. NEGATIVE RESULTS DO NOT EXCLUDE SCLERODERMA. IF THERE IS A HIGH INDEX OF SUSPICION, CONSIDER ANTI-CENTROMERE, ANTI-RNA POLYMERASE 3 & ANTI PM-SCL