Comprehensive Systemic Sclerosis Panel
Ordering Recommendation
Comprehensive evaluation for systemic sclerosis (SSc) when suspicion for SSc is high and patient presents with features of overlap syndrome. For patients with distinct features of SSc, order Criteria Systemic Sclerosis Panel (3000479).
New York DOH Approval Status
Specimen Required
Serum separator tube (SST).
Separate from cells ASAP or within 2 hours of collection. Transfer 3 mL serum to an ARUP standard transport tube. (Min: 1.5 mL)
Refrigerated. Also acceptable: Room temperature or frozen.
Hemolyzed, hyperlipemic, icteric, heat-treated, or contaminated specimens
Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 month
Methodology
Qualitative Immunoblot / Semi-Quantitative Indirect Fluorescent Antibody (IFA) / Semi-Quantitative Multiplex Bead Assay / Semi-Quantitative Enzyme-Linked Immunosorbent Assay (ELISA)
Performed
Thu
Reported
1-8 days
Reference Interval
| Test Number |
Components |
Reference Interval |
|---|---|---|
| Smith/RNP (ENA) Ab, IgG | 40 AU/mL or less | |
| Scleroderma (Scl-70) (ENA) Antibody, IgG | 40 AU/mL or less | |
| RNA Polymerase III Antibody, IgG | 19 Units or less | |
| PM/Scl 100 Antibody, IgG | Negative | |
| Fibrillarin (U3 RNP) Ab, IgG | Negative | |
| Antinuclear Antibody (ANA), HEp-2, IgG | Less than 1:80 |
Interpretive Data
Refer to report.
| Component |
Interpretation |
|---|---|
| Scleroderma (Scl-70) (ENA) Antibody, IgG | 29 AU/mL or less: Negative 30-40 AU/mL: Equivocal 41 AU/mL or greater: Positive |
| Smith/RNP (ENA) Antibody, IgG | 29 AU/mL or less: Negative 30-40 AU/mL: Equivocal 41 AU/mL or greater: Positive |
| RNA Polymerase III Antibody, IgG | 19 Units or less: Negative 20-39 Units: Weak Positive 40-80 Unit: Moderate Positive 81 Units or greater: Strong Positive |
Laboratory Developed Test (LDT)
Note
Panel includes: Antinuclear Antibody (ANA) with HEp-2 Substrate, IgG by IFA, Scleroderma (Scl-70) (ENA) Antibody, IgG, RNA Polymerase III Antibody, IgG, Smith/RNP (ENA) Antibody, IgG, Fibrillarin (U3 RNP) Antibody, IgG, PM/Scl-100 Antibody, IgG by Immunoblot.
Hotline History
Hotline History
CPT Codes
86039; 86235 x4; 83516
Components
| Component Test Code* | Component Chart Name | LOINC |
|---|---|---|
| 0050470 | Smith/RNP (ENA) Ab, IgG | 33567-9 |
| 0050599 | Scleroderma (Scl-70) (ENA) Antibody, IgG | 47322-3 |
| 2001602 | RNA Polymerase III Antibody, IgG | 79182-2 |
| 2003041 | PM/Scl 100 Antibody, IgG | 81732-0 |
| 2012174 | Fibrillarin (U3 RNP) Ab, IgG | 49963-2 |
| 3000090 | Antinuclear Antibody (ANA), HEp-2, IgG | 21424-7 |
| 3000096 | ANA Interpretive Comment | 49311-4 |
















