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Autoimmune
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| ANA ELISA |
Antinuclear
antibodies (ANA) are a group of autoantibodies
that bind to various cell nuclear antigens.
The detection of ANA is useful in screening
for rheumatic diseases, including Systemic Lupus
Erythematosus (SLE), Mixed Connective Tissue
Disease (MCTD), Sjogren’s Syndrome (SS) and
Progressive Systemic Sclerosis (PSS).
CPT
Code: 86038
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| Anti-SS-B
(La) |
SS-B
antibodies are found in patients with SLE, RA and
Sjogren’s Syndrome. These antibodies have also
been found in patients with Systemic Sclerosis and
Neonatal Lupus Erythematosus.
Antibodies to SS-B rarely occur in the
absence of anti-SS-A antibodies. The risk of
nephritis is higher in patients with SS-A
antibodies in the absence of SS-B antibodies.
CPT
Code: 86235
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| Anti-Sm |
Sm
antibodies are highly specific markers for SLE and
may be found in up to 30% of SLE patients. They
are commonly associated with nephritis and in
severe cases with central nervous system
involvement.
CPT
Code: 86235
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| Anti-RNP |
RNP
antibodies may be found in up to 50% of SLE
patients and in up to 95% of patients with MCTD.
High levels of antibodies to the Sm/RNP complex,
in the absence of anti-Sm antibodies are typical
of MCTD.
CPT
Code: 86235
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| Anti-Jo-1 |
This
antibody was found in 20-30% patients with
Polymyositis/Dermatomyositis (PM/DM) and in 30-40%
of patients with PM, particularly in more than 60%
of patients with PM combined with interstitial
lung disease and is rarely found in other collagen
diseases.
CPT
Code: 86235 |
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| Anti-Centromere |
These
have been detected in between 49% and 96% of CREST
syndrome patients, with particular association
with Raynaud’s phenomenon. They have also been
reported in a number of cases of primary biliary
cirrhosis in association with scleroderma.
CPT
Code: 83520
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| Anti-Mitochondria |
The
detection of these antibodies is very useful for
the diagnosis of hepatic disease, in particular,
95% of biopsy-proven cases of primary biliary
cirrhosis (PBC).
CPT
Code: 83520
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| APA
ELISA |
The
APA ELISA is intended for use as an aid in the
diagnosis of patients presenting with the symptoms
and signs of fibromyalgia syndrome, as an aid in
differentiating fibromyalgia patients from
patients with other autoimmune diseases and as an
aid in identifying a subgroup of fibromyalgia
patients having a unique characteristic immune
response.
CPT Code:
83250
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