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Test Code CHROMA Chromatin Antibodies

Useful For

A positive result supports diagnosis of SLE, drug-induced lupus erythematosus, and juvenile idiopathic arthritis. Can be ordered as a confirmatory test after a positive homogeneous pattern by ANA IFA.


See the Mixed Connective Tissue Disease Panel Algorithm for suggested testing strategy.

Synonyms/Keywords

Histone

Specimen Requirements

Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)
Pediatric Minimum Volume
(no repeat)
No Serum Red Top Tube (RTT) or Serum Separator Tube (SST)   1.0 mL 0.4 mL 0.3 mL

Collection/Processing Instructions

Separate serum from cells within 2 hours of collection.

Specimen Stability Information

Specimen Type Temperature Time
Serum Refrigerate 7 days
Frozen 6 months

Rejection Criteria

Gross lipemia
Gross hemolysis
Heat inactivated samples

Test Information

Chromatin reactive autoantibody is unique to histone-DNA complexes and may not be reactive to individual components.

Interpretations

A positive result supports diagnosis of SLE.

Reference Range Information

Performing Location Reference Range
Marshfield

Negative: <1.0

Analytical measuring range is 0.2 -8.0 AI (Antibody Index)

Marshfield Labs Performing Department

Marshfield Labs Immunodiagnostics

Performing Information

Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield Monday through Friday 1 day Multiplex Flow Immunoassay/Bio-Rad BioPlex 2200

CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
86235        

Outreach CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
86235        

Ordering Applications

Ordering Application Description
Cerner Chromatin Antibodies