Ordering Recommendation

Use as the preferred initial diagnostic panel for suspected basement membrane zone antibody-associated skin and mucous membrane disorders that present with blistering, erosions, eczema, urticaria, pruritus, and/or mucositis. May be indicated by concurrent Direct Immunofluorescence, Tissue Biopsy (Cutaneous, Mucosal, Epithelial) (0092572).

Alternatively, order the comprehensive Immunobullous Disease Antibody Panel (3001409) for initial serum diagnostic assessment of epithelial antibody-associated diseases, pemphigoid, pemphigus, and their variants.

For more information about components, methodology, and specimen type, see the ARUP Immunobullous Disease Testing Comparison tool.

New York DOH Approval Status

This test is New York state approved.

Specimen Required

Patient Preparation
Collect

Plain Red or Serum Separator Tube (SST).

Specimen Preparation

Transfer 2 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Storage/Transport Temperature

Refrigerated/Ambient

Unacceptable Conditions

Hemolyzed or lipemic specimens. Plasma

Remarks

As a general rule, serum specimens should be shipped to the laboratory as soon as possible.
Store refrigerated unless shipping promptly (within 2 hours). Transport at ambient temperature to arrive within 7 days. If 7-14 days until received in laboratory, store and ship refrigerated. If greater than 14 days, serum specimens must be stored and shipped frozen.

Stability

Ambient: 1 week; Refrigerated: 2 weeks; Frozen: Indefinitely

Methodology

Semi-Quantitative Indirect Immunofluorescence (IIF)/Semi-Quantitative Enzyme-Linked Immunosorbent Assay (ELISA)

Performed

Varies

Reported

3-9 days

Reference Interval

By report

Interpretive Data

Refer to report.

Compliance Category

Performed by non-ARUP Laboratory

Note

For specimens less than 0.5 mL, call the Immunodermatology Laboratory at 801-581-7139.

Hotline History

N/A

CPT Codes

88346; 88350 x3; 83516 x3

Components

Component Test Code* Component Chart Name LOINC
3001664 Basement Membrane Zone Ab Panel 63566-4
3001667 EER Basement Membrane Zone Ab Panel
* 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

  • atypical epithelial antibody-associated disease
  • basement membrane zone antibody-associated disease
  • Brunsting-Perry cicatricial pemphigoid
  • Brunsting-Perry pemphigoid
  • bullous lupus erythematosus
  • bullous pemphigoid
  • bullous pemphigoid antigen 1 or BPAg1
  • bullous pemphigoid antigen 2 or BPAg2, NC16A
  • bullous systemic lupus erythematosus
  • childhood immunobullous disease
  • chronic bullous disease of childhood
  • cicatricial pemphigoid
  • collagen type 17
  • collagen type XVII
  • dermal basement membrane zone (floor) antibodies with split skin substrate
  • epidermal basement membrane zone (roof) antibodies with split skin substrate
  • epidermolysis bullosa acquisita (EBA)
  • epithelial antibody-associated disease
  • hemidesmosomal protein antibodies
  • hemidesmosome antibodies
  • IgA mucous membrane pemphigoid
  • IgA variant epidermolysis bullosa acquisita (EBA)
  • IgG/IgA basement membrane zone antibodies
  • immunobullous disease of childhood
  • indirect fluorescence assay
  • indirect fluorescent antibody (IFA)
  • indirect immunofluorescent assay
  • linear IgA bullous dermatosis
  • linear IgA disease
  • linear IgA/IgG bullous dermatosis
  • mixed epithelial antibody-associated disease
  • mixed immunobullous disease of childhood
  • mucous membrane pemphigoid
  • ocular cicatricial pemphigoid
  • pemphigoid variants
  • salt-split skin floor antibodies
  • salt-split skin roof antibodies
  • salt-split skin test
  • subepithelial immunobullous disease
  • type VII collagen antibodies
  • type XVII collagen, collagen type XVII
Basement Membrane Zone Antibody Panel