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Antineutrophil Cytoplasmic Antibody (ANCA) Profile

CPT 83516(x2); 86037(x3)
Synonyms
  • MPO-ANCA
  • PR3-ANCA

Test Details

Methodology

ANCA: indirect fluorescent antibody (IFA); MPO and PR3: Multiplex Flow Immunoassay

Result Turnaround Time

4 - 7 days

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Related Documents

Use

For diagnosis and monitoring inflammatory activity in primary systemic small vessel vasculitides. The anti-PR3-ANCA Immunoassay is useful for confirming positive ANCA results by IFA, particularly with the cANCA pattern. Presence of anti-PR3 antibodies is highly specific for Wegener granulomatous (WG) disease, for which the sensitivity is reported to be 98%. Levels of anti-PR3 are elevated during active phases of disease and lower during remission. Monitoring anti-PR3 levels, therefore, can aid in disease management. The anti-MPO-ANCA Immunoassay is useful for confirming positive ANCA results by IFA, particularly with the P-ANCA pattern. Presence of anti-MPO antibodies is highly specific for idiopathic and vasculitis-associated crescentic glomerulonephritis, classic polyarteritis nodosa, Churg-Strauss syndrome, and polyangiitis overlap syndrome without renal involvement. Levels of anti-MPO are elevated during active phases of disease and lower during remission. Therefore, monitoring anti-MPO levels can aid in disease management.

Specimen Requirements

Specimen

Serum

Volume

3 mL

Minimum Volume

1.5 mL (Note: This volume does not allow for repeat testing.)

Container

Red-top tube or gel-barrier tube

Stability Requirements

Temperature

Period

Room temperature

14 days

Refrigerated

14 days

Frozen

14 days

Freeze/thaw cycles

Stable x3

Storage Instructions

Room temperature

Causes for Rejection

Hemolysis; lipemia; gross bacterial contamination

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
163061 ANCA Profile 163060 Anti-MPO Antibodies units 46266-3
163061 ANCA Profile 163068 Anti-PR3 Antibodies units 46267-1
163061 ANCA Profile 162400 Cytoplasmic (C-ANCA) titer 14277-8
163061 ANCA Profile 162401 Perinuclear (P-ANCA) titer 14278-6
163061 ANCA Profile 162402 Atypical pANCA titer 49503-6
Order Code163061
Order Code NameANCA Profile
Order Loinc
Result Code163060
Result Code NameAnti-MPO Antibodies
UofMunits
Result LOINC46266-3
Order Code163061
Order Code NameANCA Profile
Order Loinc
Result Code163068
Result Code NameAnti-PR3 Antibodies
UofMunits
Result LOINC46267-1
Order Code163061
Order Code NameANCA Profile
Order Loinc
Result Code162400
Result Code NameCytoplasmic (C-ANCA)
UofMtiter
Result LOINC14277-8
Order Code163061
Order Code NameANCA Profile
Order Loinc
Result Code162401
Result Code NamePerinuclear (P-ANCA)
UofMtiter
Result LOINC14278-6
Order Code163061
Order Code NameANCA Profile
Order Loinc
Result Code162402
Result Code NameAtypical pANCA
UofMtiter
Result LOINC49503-6