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TSH Receptor antibodies
Short Description : TRAB
Also known as : [Thyroid Stimulating Antibody],[Thyroid Stimulating Immunoglobulin],[Thyrotropin Receptor antibodies (TRAbs)]


Blood
Test performed by: LabPLUS VIM Serology


Requests for 'thyroid antibodies' will only be tested for anti-TPO (thyroid peroxidase antibodies).

TSH receptor antibody testing will only be performed when specifically requested

Thyroid antibodies

Assay Method

17 July 2014 Roche COBAS platform.

The methodology employed at LabPlus is identical to that used at Waikato Hospital Laboratory where this test was previously referred for testing.


Specimen Collection

Information for referring laboratories: Sample stable at 2 - 8 o C for 3 days. Send frozen if delay is >2 days.


SST

3.5 mL SST Serum (Preferred)

Plain

4 mL Plain Serum

Microsample

2 mL Paediatric Microsample Serum
Reference Intervals

Uncertainty of Measurement : 6%


Abnormal - Units: IU/L
Age RangeMale
All>= 1.76
Negative
Age RangeEither Sex
All< 1.75[1]

[1] Values between 1.75 - 5.00 IU/L are considered borderline. If further clarification is required please contact either a Clinical Immunopathologist or Chemical Pathologist.

Turnaround Time: Between 1 day and 2 days
Diagnostic Use and Interpretation

TSH receptor antibodies (also called Thyrotropin receptor antibodies;TRAbs) are helpful in determining that Grave's Disease (GD) is the cause of a patient presenting with hyperthyroidism. It is particularly useful when Technetium scintigraphy is either unavailable or contra-indicated (for example in pregnancy). TSH receptor Abs are also used to assess the risk of foetal or neonatal hyperthyroidism in pregnant women with GD. Levels should be measured in early pregnancy and again at 22-26 weeks of gestation if found to be elevated. The measurement is not required in pregnant women with GD who are euthyroid, have an intact thyroid and who are not taking anti-thyroid medication. TRABs are sometimes used to assess whether anti-thyroid therapy can be stopped in a patient with GD. The assay has been assessed to have about a 95% sensitivity and 99% specificity for GD.

Reference :

Hyperthyroidism and other causes of thyrotoxicosis: Management Guidelines of the American Thyroid Association and the American Association of Clinical Endocrinologists. Thyroid 2011;6:593-646


Contact Information

For further information contact the laboratory, (09) 307 4949 ext 22103 or:
Associate Professor Rohan Ameratunga , Immunopathologist: Locator 93-5724,

Dr Richard Steele , or The LabPLUS Immunology Team


Specimen Transport Instructions for Referring Laboratories

If there is going to be a greater than 24 hour delay in sending separated serum to the laboratory, send frozen



Last updated at 09:35:59 13/07/2020