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TEST ID 21OH 21-Hydroxylase Antibodies, Serum

Reporting Name

21-Hydroxylase Ab, S

Specimen Type

Serum


Ordering Guidance


Testing for autoantibodies against 21-hydroxylase is recommended following confirmation of adrenal insufficiency to help differentiate between causes of primary adrenal insufficiency



Shipping Instructions


Ship specimen frozen on dry ice



Specimen Required


Collection Container/Tube:

Preferred: Red top

Acceptable: Serum gel

Submission Container/Tube: Plastic vial

Specimen Volume: 1 mL

Collection Instructions: Centrifuge and aliquot serum into a plastic vial to remove from cells or gel prior to shipping.


Specimen Minimum Volume

0.2 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Serum Frozen 14 days

Method Name

Enzyme-Linked Immunosorbent Assay (ELISA)

Reject Due To

Gross hemolysis Reject
Gross lipemia Reject
Gross icterus Reject

Reference Values

Negative

Day(s) Performed

Wednesday

Report Available

3 to 9 days

Specimen Retention Time

2 weeks

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

83516

Useful For

Investigating adrenal insufficiency

 

Aiding in the detection of those at risk of developing autoimmune adrenal failure in the future

Highlights

Addison disease is the most frequent cause of primary adrenal insufficiency.

 

Autoantibodies against 21-hydroxylase are present in up to 90% of Addison disease cases.

 

Measurement of anti-21-hydroxylase autoantibodies is useful in the evaluation of the cause of established primary adrenal insufficiency.