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C6


Blood
Test performed by: LabPLUS Support Services transport this to a 3rd party for testing


This test may be vetted by a pathologist.

The clinical information for the test must be clearly written on the request form. If clinical information is not provided, or does not provide sufficient justification for the test, the test may be declined.

Declined tests :

If a test is declined, the specimen will be held for a reasonable period (usually 3 weeks but dependant on the viability of the sample). Medical practitioners seeking approval for a declined test should email the LabPLUS Immunology Team , giving the patient's name and NHI number and the clinical justification for the test. If unable to email, call the on-call Immunologist via Lablink (09-3078995).

Test vetting policy

Xiumei Wei

Senior Scientist, Immunology | SEALS

Room 14, SEALS Pathology Building

The Sutherland Hospital, Kareena Rd, Caringbah, NSW 2229

Tel: 02 9540 7769/7428 | Fax: 02 9540 8724

xiumei.wei@health.nsw.gov.au

www.seals.health.nsw.gov.au


Specimen Collection

The samples must be serum , spun and frozen within an hour of collection. The samples must be transported in dry ice and frozen.

The volume required is two separate tubes of 500 micro litres each (2 x 500uL)


SST

3.5 mL SST Serum (Preferred)

Plain

4 mL Plain Serum

Microsample

200 uL Microsample Serum
Assay Method

Radial Immunodiffusion


Diagnostic Use and Interpretation

Complement pathway assays will indicate gross deficiencies in a pathway. They will not identify the deficient component(s) or detect relatively minor deficiencies. Used in conjunction with the other complement tests they will assist in indicating the current status of the patient's complement system.

Serum complement activity increases or decreases with various diseases such as autoimmune diseases, liver diseases, and cancers. It is recommended to measure the serum complement activity for patients who carry or are suspected to carry the diseases shown in the following table.

Total complement activity

Disease where Activity is

Elevated

Disease where Activity is

Reduced

Chronic rheumatoid arthritis

Malignant tumour

Acute and chronic infection

Polyarteritis

Behcet's disease

Systemic sclerosis

Dermatomyositis

Sarcoidosis

Wegener's granulomatosis

Multiple myeloma

Reiter's syndrome

Systemic lupus erythematosus,

Malignant rheumatoid arthritis

Juvenile rheumatoid arthritis

Autoimmune haemolytic anaemia

Serum sickness

Hereditary angioneurotic oedema

Acquired C1inh deficiency

Disseminated intravascular coagulation

Cryoglobulinaemia

Felty's syndrome

Malaria

Membranoproliferative glomerulonephritis

Acute glomerulonephritis

Endotoxin shock

Parietal lypodystrophy

Haemodialysis

Factor I deficiency

Cirrhosis

Fulminant hepatitis

Hereditary complement deficiencies

References

1. Mancini, G, Vaerman, J P et al. (1964). Protides of the biological fluids.(XI Colloquium). Peters H. (ed.), Amsterdam, Elsevier Publishing Co.,370-373.

2. Mancini, G, Carbonara, A O and Heremans, JF (1965). Immunochemical quantitation of antigens by single radial immunodiffusion, Immunochem 2, 235-254.

3. Fahey, J L & McKelvey, E M (1965). Quantitative determination of serum immunoglobulins in antibody-agar plates. J. Immunol., 94, 84-90.

4. Clinical medicine 3 rd edition, Parveen Kumar and Michael Clark. Publisher Baillere Tindall 1994.


Contact Information

For further information contact the laboratory (09) 307 4949 ext 22000 or:

Associate Professor Rohan Ameratunga , Immunopathologist: Locator 93-5724

Or the LabPLUS Immunology Team


Specimen Transport Instructions for Referring Laboratories

The samples must be serum , spun and frozen within an hour of collection. The samples must be transported in dry ice and frozen.

The volume required is two separate tubes of 500 micro litres each (2 x 500uL)



Last updated at 13:58:14 26/04/2019