Additional Information:
SS-A(Ro) is found in 60 to 70 percent of patients with Sjögren’s syndrome and 30 to 40 percent of patients with SLE. SS-B(La) is found in 50 to 60 percent of Sjögren’s syndrome and 10 to 15 percent of SLE. SS-A cannot be demonstrated by immunofluorescence (it is soluble in the buffers used), but SS-B may be seen as a speckled antinuclear pattern. SS-A and SS-B are particularly useful in ANA-negative cases of SLE, being present in a majority of such cases. Patients who are ANA-positive and who have SS-A but not SS-B are very likely to have nephritis. Antibodies to SS-A are also associated with HLA loci DR3 and DR2 and with hereditary deficiency of C2. Anti-SS-A and anti-SS-B are found in virtually all children with neonatal lupus. Patients with SS-A may also have antibodies to cardiolipin, lupus anticoagulant, and clinical thromboses. This has been termed antiphospholipid antibody syndrome.
CPT Code(s):
86235 (x 2)
Specimen Requirements:
Type: Serum
Container/Tube: Red-top tube or gel-barrier tube
Sample Volume: 1 mL
Minimum Volume: 0.5 mL (Repeat testing is not possible with this specimen volume.)
Storage: Store specimens at room temperature after collection.
Stability (collection to time of analysis/testing):
- Ambient: 14 days
- Refrigerated: 14 days
- Frozen: 14 days
- Freeze/Thaw Cycles: Stable (x 3)
Rejection Criteria:
- Hemolysis
- Icterus
- Lipemia
- Bacterial contamination
Use:
This test aids in the diagnosis of Sjögren’s syndrome (especially with vasculitis) and lupus patients with Sjögren’s overlap syndrome. It includes the semiquantitative result of IgG class antibodies.
Methodology:
Multiplex flow immunoassay
Reported:
3 – 5 days
Reference Values:
0.0 – 0.9 AI