Acetylcholine Receptor (Muscle) Binding Antibody (Sendout)

General Information

Lab Name
ACh Receptor (Muscle) Binding Antibody (Sendout)
Lab Code
RACHRM
Epic Name
ACh Receptor (Muscle) Binding Antibody (Sendout)
External Test Id
ARBI
Description

This is the primary diagnostic test for Myasthenia Gravis.

Useful For:

  • A first-order test for the laboratory diagnosis of myasthenia gravis (MG)
  • Detecting "subclinical MG" in recipients of D-penicillamine, in patients with thymoma without clinical evidence of MG, and in patients with graft-versus-host disease
  • Distinguishing acquired disease (90% positive) from congenital disease (negative)
  • Monitoring disease progression in MG or response to immunotherapy
  • An adjunct to the test for P/Q-type calcium channel binding antibodies as a diagnostic aid for Lambert-Eaton myasthenic syndrome (LES) or primary lung carcinoma

Ordering Notes:

Synonyms
Acetylcholine Receptor Binding Antibody, ACHR Binding Ab, ARBI, Myasthenia gravis
Components

Interpretation

Method

Radioimmunoassay (RIA)

Reference Range
Units: nmol/L
Female Male
AgeRange AgeRange
0-0-0.02 0-0-0.02

Effective date: 01/20/2005

Ordering & Collection

Specimen Type
Blood
Collection

6 mL blood in RED or GOLD SST

Handling Instructions

Outside Laboratories: Centrifuge sample and transfer serum to a separate plastic vial. Refrigerate serum.

Stability: Refrigerated (preferred): 28 days; Frozen: 28 days; Ambient: 72 hours.

Reject Due To: Gross hemolysis, lipemia, or icterus.

Quantity
Requested: 1.5 mL serum
Minimum: 1 mL serum

Processing

Receiving Instructions

Centrifuge sample and transfer serum to a separate plastic vial. Refrigerate serum.

Sendouts:

  • Order Mayo Test: ARBI.
  • Interfaced: Yes.

Stability: Refrigerated (preferred): 28 days; Frozen: 28 days; Ambient: 72 hours.

Reject Due To: Gross hemolysis, lipemia, or icterus.

Misc Sendout

Performance

Lab Department
Sendouts Mayo Lab (RF)(MARF)
Frequency
Performed: Monday - Sunday. Report Available: 3-6 days.
Available STAT?
No
Performing Location(s)
Sendout Mayo Clinic Laboratories
800-533-1710

200 First Street Southwest
Rochester, MN 55901

Billing & Coding

CPT Codes
86041
LOINC
11034-6
Interfaced Order Code
UOW1798
Interfaced Result Code
UOW1798