Inner Ear 68KD Antibody

- : Immunology

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

Physician Name :

Address:

Ph: ( ) - Fax: ( ) -

Additional Report to:

Ph: ( ) - Fax: ( ) -

TESTS REQUESTED
Test Name:	ICD9 Code: (required)
1. Inner Ear 68KD Antibody
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

68KDA

Test Workstation :

CLEVE

Specimen Type:

Blood

Tube Type:

Red top (no anticoagulant)

Collection Volume:

1.5 mL (minimum 0.3 mL)

Cause for Rejection:

Specimen rejection: plasma, urine, heat inactivated and contaminated specimens.

Storage:

Refrigerated

Availability:

Sent to reference laboratory

Methodology:

Immunoblot (IB), Qualitative

Special Instructions:

This test is not recommended for evaluation of general hearing loss. The presence of HSP70 IgG antibodies may be useful in predicting corticosteroid responsiveness in a subset of patient's with autoimmune inner ear disease (AIED)characterized by idiopathic rapidly progressive sensorineural hearing loss (SNHL). HSP70 IgG antibodies are also associated with a number of autoimmune diseases and have been reported in apparently healthy individuals. A negative result does not rule out response to treatment or diagnosis of AIED.

Lab/Phone:

330-543-8418

TAT:

2-9 days

Additional Info:

Reference range: Negative

CPT Code:

83516

Synonyms:

HSP70 Antibody

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Inner Ear 68KD Antibody

- : Immunology

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