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022

Test #

Epidermal Transglutaminase Antibodies - IgA (eTG ELISA)

CPT Code(s) #

83520

If Profile, Includes Tests:

N/A

Disease Name:

Dermatitis Herpetiformis

Type of Study:

Serum

Methodology:

ELISA

Substrate:

N/A

Reference Range:

Negative: < 16 AU/mL
Intermediate: 16-22 AU/mL
Positive: ≥ 22 AU/mL

Units:

AU/mL

Schedule:

Assay performed once every two weeks. Report availability is within 14 days from the time of specimen receipt.

Specimen Requirements:

Serum: Serum Separator Tube or red top tube, 2-5 mL preferred, 0.5 mL minimum sample volume. Separate serum from cells

Sample Stability:

Storage & Stability: 

  • Room temperature = 3 days 

  • 2-8ºC = 7 days 

  • -15ºC to -25ºC = samples in long-term storage

Clinical Relevance:

Patients with Dermatitis Herpetiformis (DH) have gluten induced circulating IgA autoantibodies to tissue transglutaminase (TG2) and epidermal transglutaminase (TG3). Recent data indicated that DH is IgA-TG3 immunocomplex mediated disease developing in some gluten sensitive enteropathy (GSE) patients. There is pathogenic TG3 deposition in the papillary dermis and small blood vessels in skin of patients, colocalized with granular IgA deposits. IgA epidermal transglutaminase antibodies ELISA is a sensitive test for initial diagnosis and follow up of patients with DH.

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