Category

SEROLOGY/ IMMUNOLOGY

Sub Category

AUTOIMMUNE.

Synonyms/Aliases

MYASTHENIA GRAVIS PANEL.

Abbreviations

N/A

Type

PROFILE/ PANEL (BUNDLED TESTS).

7 DAYS

7 WORKING DAYS

Method

RADIOIMMUNOASSAY.

Temp

REFRIGERATED OR FROZEN.

Setup

BATCHED.

Components Parameters

1) MUSCLE SPECIFIC KINASE (MuSK) ANTIBODY, 2) ANTI SKELETAL (STRIATED) MUSCLE ANTIBODY (ASKA), 3) ACETYLCHOLINE RECEPTOR (AChR) ANTIBODY.

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

N/A.

Sample type

SERUM.

Container/ preservative

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

Sample volume

AT LEAST 5ML.

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

NEGATIVE.

Clinical Utility

TO DIAGNOSE GENERALIZED AND OCULAR MYASTHENIA GRAVIS. 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 BUT MAY BE SEROPOSITIVE FOR OTHER MARKERS E.G. MuSK.