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ENA (EXTRACTABLE NUCLEAR ANTIGENS) AB EVALUATION w/REFLEX

test app

 
 
TEST NAME: EXTRACTBLE NUCLEAR ANTIGENS (ENA) SCREEN, SERUM
Testing Algorithm: If ENA screen is positive, Anti-RNP Antibody; Anti-Sm Antibody, Anti-SSA/Ro Antibody; Anti-SSB/La Antibody; Anti-Scl-70 Antibody; and Anti-Jo-1 Antibody will be performed at an additional charge.
LAB DEPT: Core Lab sendouts
 
SPECIMEN REQUIREMENTS
Specimen Type:
Blood
Container/Tube
 
Preferred:
Gold/Red SST Vacutainer®.
 
Acceptable:
Plain, Red-top Vacutainer®.
 
Collection Volume:
3.0 mL (minimum 2.0 mL)
 
Patient Preparation:
None
 
Sample Rejection:
Mislabeled or unlabeled specimens.
 
Special Instructions:
None
 
LOGISTICS
Test Availability:
Daily
Turnaround Time:
1-2 days
Test set-up:
Monday-Sunday
Cut off time:
10:00 a.m.
Lab Testing Section:
Send-outs
Referred to:
Barnes-Jewish Hospital Laboratory at IOH
 
INTERPRETIVE
Reference Values:
Negative
Positive screens will be reflexed to specific testing for the following antigens: Jo-1 Ab, RNP Ab, Scl-70 Ab, Smith Ab, SS-A Ab, and SS-B/La Ab.  Further testing for dsDNA, Cetromere, or Ribosomal P antibodies is suggested in patient with a positive screen and negative specific antibodies.
Literature References:
Package Insert: BioPlex 2200 ANA Screen kit. BioRad Laboratories, Inc. 03/2012
Critical Values:
None established
Limitations:
NA
Methodology:
Multiplex Flow Immunoassay
 
ADDITIONAL INFORMATION
For SLCH Laboratory use only
Lab Processing instructions:
Centrifuge specimen to separate. If specimen is collected in plain red-top tube, aliquot serum into a 5-ml screw-capped, plastic vial for transport.
 
Processed Volume:
minimum 1.0 mL serum
 
Transport Temperature:
Ambient
 
Analyte Stability:
Ambient (unprocessed): 24 hours
PROCESSED
Ambient: 3 days
Refrigerated: 1 week
Frozen: 6 months
 
Notes:
avoid repeat freezing/thawing of specimen
 
GENERAL INFORMATION
EPIC order name:
ENA Antibody Evaluation with Reflex  (EPIC Test# LAB6464)
Cerner order name:
ENA Screen
CPT Codes:
86235-ENA antibody
86235 x 6-ENA antibody (if appropriate)
LOINC Value:
ENA Screen:
47383-5
SSA Ab:
33569-5
RNP Ab:
51928-0
SSB Ab:
45142-7
Smith Ab:
43182-5
Scl-70 Ab:
5348-8
 
Jo-1 Ab:
5234-0
 
 
Synonyms:
 
Last Updated: 01/24
Last Reviewed: 01/24