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Parietal Cell Antibody
Last Modified:
8/21/2023 2:46:39 PM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
1.0 mL Serum in a SST
Gold Top Tube
Collection Instructions:
Minimum Volume:
0.3 mL
Transport & Storage: Temperature/Stability:
14 days Refrigerated
30 days Frozen
Rejection Criteria:
Gross hemolysis • Grossly lipemic
Reference Range:
Negative: < or = 20.0 Units
Equivocal: 20.1 - 24.9 Units
Positive: > or = 25.0 Units
Critical Ranges:
Test Comments:
Anti-gastric parietal cell antibodies (Anti-GPA) were previously tested for by indirect immunofluorescence assay (IFA), using mouse stomach as a substrate. Identification of the specific antibody target as H+/K ATPase protein (a gastric proton pump) has led to the development of an ELISA based assay. Antibodies to this protein are present in approximately 80% of patients with pernicious anemia and a small percentage of the general adult population. The latter percentage increases with age and may reflect the presence of atrophic gastritis. A negative test does not exclude a diagnosis of pernicious anemia. A test for
intrinsic factor blocking antibody (IFab) may provide serological evidence in support of the diagnosis in some of these patients.
Methodology:
Enzyme Linked Immunosorbent Assay
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
1 to 4 days
Days Performed:
Tuesday, Thursday, Saturday
Sites Performed:
Quest - Chantilly
PHL Test Code:
PARI3
EPIC Test Code:
IMO207
Send Out Test Code:
15114
Alternate Test Names:
Anti-Parietal Cell Antibody; Gastric Parietal Cell Antibody
Included Tests:
CPT Coding:
83516
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