Connective Tissue Disease (CTD) Cascade

CPT: 86038
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Synonyms

  • Autoimmune (ANA) Rheumatic Disease

Special Instructions

Antinuclear Antibodies (ANA) by IFA testing is performed.

1) If ANA is positive, the following tests are performed: Anti-DsDNA (double-stranded) Ab by Farr (Radioimmunoassay), Anti-Sm, Complement C3, Complement C4, Anti-U1 RNP, Anti-Ro (SS-A), Anti-La (SS-B), Anti-Chromatin, Anti-Centromere, Anti-Scl70, Anti-Jo1, Anti-Cardiolipin Abs, IgG and IgM, and Anti-Beta 2 Glycoprotein I Abs, IgG and IgM.

2) If ANA by IFA is negative, RheumAssure (Rheumatoid Factor by Turbidimetry, Anti-CCP (Cyclic Citrullinated Peptide) Abs, IgG and IgA, and 14-3-3-eta is performed.

3) If 14-3-3-eta is negative, the Anti-TPO (Thyroperoxidase) Ab and Anti-Thyroglobulin Ab are performed.


Expected Turnaround Time

10 days


Related Documents


Specimen Requirements


Specimen

Serum


Volume

5 mL


Minimum Volume

4 mL


Container

2 red-top or gel-barrier tubes; transfer tubes


Collection

Separate serum from cells within one hour of collection. Transfer to a plastic transport tube before shipping.


Storage Instructions

Refrigerate.


Stability Requirements

Temperature

Period

Refrigerated

14 days


Test Details


Use

This profile may be useful in diagnosing connective tissue or systemic autoimmune rheumatic disease.


Methodology

ELISA, RIA, IFA, Turbidity, ICMS


LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
520340 CTD Cascade 000000
520340 CTD Cascade 520073 Anti-Nuclear Ab by IFA (RDL) 42254-3

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