2007961
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PCCA/ANNA by IFA with Reflex to Titer and Immunoblot

PCCA/ANNA
Example Reports
Detected
None Detected

Ordering Recommendation

Aid in the diagnosis of paraneoplastic neurologic syndromes associated with malignancy. Order based on clinical presentation.

New York DOH Approval Status

This test is New York state approved.

Specimen Required

Patient Preparation
Collect

Serum separator tube

Specimen Preparation

Separate serum from cells ASAP or within 2 hours of collection. Transfer 2 mL serum to an ARUP standard transport tube. (Min: 0.75 mL)

Storage/Transport Temperature

Refrigerated

Unacceptable Conditions

Contaminated, heat-inactivated, hemolyzed, or lipemic specimens.

Remarks
Stability

After separation from cells: Ambient: 24 hours; Refrigerated: 2 weeks; Frozen: 1 year

Methodology

Semi-Quantitative Indirect Fluorescent Antibody (IFA) / Qualitative Immunoblot

Performed

Sun, Wed, Fri

Reported

1-6 days

Reference Interval

Test Number
 Components
 Reference Interval
  Purkinje Cell/Neuronal Nuclear IgG Scrn None Detected

Interpretive Data



Compliance Category

Laboratory Developed Test (LDT)

Note

Purkinje cell (PCCA) antibody and neuronal nuclear (ANNA) antibody IgG are screened by IFA. If the IFA screen is indeterminate, then a Neuronal Nuclear Antibodies (Hu, Ri, Yo, and Tr/DNER) IgG by Immunoblot will be added. If the IFA screen is positive at 1:10 or greater, then a PCCA/ANNA antibodies titer and Neuronal Nuclear Antibodies (Hu, Ri, Yo, and Tr/DNER) IgG by Immunoblot will be added. Additional charges apply.

Hotline History

N/A

CPT Codes

86255; if reflexed add 84182 x4 and/or 86256

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Components

Component Test Code* Component Chart Name LOINC
2007962 Purkinje Cell/Neuronal Nuclear IgG Scrn 61177-2
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.

Aliases

  • ANNA
  • Tr(DNER)
  • ANNA-1
  • Antinuclear neuronal Ab
  • Neuronal Nuclear Antibody
  • Paraneoplastic Ab screen
  • Paraneoplastic Autoantibody Immunoblot Confirmation, Paraneoplastic Neurological Autoimmunity
  • Anti Ri
  • Anti-Hu
  • Anti-Yo
  • PCA-Tr
  • ANNA-2
  • PCA-1
  • PCA-3
  • Purkinje Cell Cytoplasmic Antibodies
PCCA/ANNA by IFA with Reflex to Titer and Immunoblot