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Liver-Kidney Microsomal (LKM) Antibodies

CPT 86376
Synonyms
  • LKM
  • LKM-1 Antibodies

Test Details

Methodology

Enzyme-linked immunosorbent assay (ELISA)

Result Turnaround Time

2 - 3 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

The detection of LKM-1 antibodies is an aid in the diagnosis of autoimmune hepatitis, type 2 (AIH-2). LKM antibodies are markers of AIH-2 which usually begins in childhood and generally affects children younger than 18 years of age. LKM antibodies are associated with a more serious progression of the disease. The disease is most common between the ages of 2 to 14 and is more frequent in females than males (8:1). LKM-1 antibodies have been reported in up to 8% of patients with chronic HCV infection.

Limitations

A negative LKM-1 result does not rule out the presence of autoimmune hepatitis type 2. LKM-1 may be detected in some patients as a result of HCV infection and may not be the result of AIH-2.

Specimen Requirements

Specimen

Serum

Volume

1 mL

Minimum Volume

0.3 mL

Container

Red-top tube or gel-barrier tube

Collection Instructions

To avoid delays in turnaround time when requesting multiple tests on frozen samples, please submit separate frozen specimens for each test requested.

Stability Requirements

Temperature

Period

Room temperature

14 days

Refrigerated

14 days

Frozen

14 days

Freeze/thaw cycles

Stable x4

Reference Range

• Negative: 0.0−20.0

• Equivocal: 20.1−24.9

• Positive: >24.9

Storage Instructions

Room temperature

Causes for Rejection

Hemolysis; lipemia; gross bacterial contamination; heat-treated specimen; specimen with preservative added

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
163980 Liver-Kidney Microsomal Ab 32220-6 163982 Liver-Kidney Microsomal Ab Units 32220-6
Order Code163980
Order Code NameLiver-Kidney Microsomal Ab
Order Loinc32220-6
Result Code163982
Result Code NameLiver-Kidney Microsomal Ab
UofMUnits
Result LOINC32220-6