Precipitin with Special Antigen Preparation
Test Code
SPECP
Since the laboratory does not have all the antigens that a patient could potentially be exposed to, environmental antigens can be prepared by the laboratory for use in the test, from materials collected and supplied by the patient. It is recommended to collect approximately a half-teaspoon-sized amount of solid material (or about 3 grams), e.g. bird droppings, or approximately 6 - 12 bird feathers. Ship the material in a small plastic bag that can be sealed tightly to maintain sample integrity and to prevent cross contamination.
Please call Client Services for further information 800.550.6227
Description
Please note this specific antigen test is used for antigens not currently available to our laboratory from a commercial source.
Precipitating antibodies against dust, fungal, animal and other protein antigens are detected by a double immunodiffusion Ouchterlony technique. This technique is often used to identify precipitating antibodies to environmental antigens in a patient's serum, which may give rise to hypersensitivity pneumonitis (HP). HP, an inflammation of the alveoli of the lung, initially presents with symptoms similar to influenza. If caught early and if exposure to the antigen is ceased, the condition can be reversed. Long term exposure, however, causes scarring of the lungs and difficulty breathing.
Collect
Collect blood in a plain red top or SST tube.
Patient Prep
Preferred volume: 1.0mL serum
Pediatric Collection
Minimum Volume: 0.5mL serum
Unacceptable Conditions
Plasma
Storage Transport Temp
Ship serum within 48 hours of collection if shipping at ambient temperature. Special antigen material can be kept at ambient temperature.
Preferably ship serum samples refrigerated or frozen on dry ice in a well-insulated container.
Send serum Priority Overnight via FedEx.
Stability
48 hours ambient. 7 days refrigerated, 1 year at minus 20°C or below. Avoid repeated freeze thaw cycles
Notes
Add 0.1 mL for each additional precipitin ordered.
Performed
Weekly
Methodology
Immunodiffusion
Turnaround Time
7 - 12 business days
Department
Precipitins
Synonyms
Immunodiffusion, bird precipitin
Study Offerings
Not offered
Reference Interval
Negative
Interpretation
Precipitating IgG antibodies are often present in serum of patients with hypersensitivity pneumonitis (HP) due to exposure to environmental antigens. The serum precipitin test assists in the diagnosis of HP.
CPT Code
86331
New York Approved
No: Run with Waiver
FDA
LDT