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What immune tests should my doctor order?

Discussion in 'Diagnostic Guidelines and Laboratory Testing' started by Fuschia, Mar 27, 2014.

  1. Fuschia

    Fuschia

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    I'm hoping to go see Dr Klimas/Rey/? when they sort out their waiting list. In the mean time, hoping to get a few tests done at home.

    I'm trying to get ones that would be done at the clinic so any patients of theirs please chime in. I have had the standard endocrine and general blood tests already. Plus a viral load and white blood cell, as well as rheumatoid factor and Lyme etc. below is a list of some of the tests they do at the hospital lab, the full immune list, warning, the list is very long! What would be a good basic set of immune tests to get, from this list? Top 5?

    Laboratory Medicine
    Search Results Summary
    Your search results for "Immunology, " are displayed below. Click on the result name for the full record.

    NameDepartmentSpecimen TypeSample Container & VolumeTurnaround Time
    Acetyl Choline Receptor abs. Immunology Clotted blood 5ml Red may take upto eight weeks
    Adrenal Antibodies Immunology clotted blood 5ml Red May take upto eight weeks
    Alpha-1-Antitrypsin Immunology Clotted Blood 5ml Red 2 working days
    Anti GAD antibodies Immunology clotted blood 5ml Red May take upto six weeks.
    Anti HU abs. Immunology Clotted blood 5ml Red may take upto eight weeks
    Anti RI antibodies Immunology Clotted blood 5ml Red may take upto eight weeks
    Anti-Amphiphysin Ab. Immunology Clotted blood 5ml Red may take upto eight weeks
    Anti-CCP Immunology Clotted blood 5ml Red 7 working days
    Anti-Proteinase 3 Immunology Clotted blood 5ml Red. 7 working days
    Anti-Voltage Gated Calcium Channel Immunology Clotted blood 5ml Red. may take upto eight weeks
    Anti-Yo abs. Immunology Clotted blood 5ml Red. may take upto eight weeks
    Anti-myeloperoxidase Immunology Clotted blood 5ml Red 7 working days
    Antinuclear Antibodies (ANA) Immunology Clotted blood 5ml Red. 4 working days. Please note this turnaround time is for 'normal' samples. If further testing (Double Stranded DNA Elisa (DNAE) or DNA Crithidea (DNAC)) is required the turnaround time will increase.
    Aquaporin 4 antibodies Immunology blood 5ml Red may take upto eight weeks
    B 2-Glycoprotein Immunology Clotted blood 5ml Red. 7 working days
    Basophil Histamine Release Test Immunology Serum 5ml Red may take upto eight weeks
    C1-Inhibitor function Immunology by arrangement contact laboratory.
    C3 Nephritic factor Immunology Fresh clotted blood 5ml Red. By arrangement
    CSF Oligoclonal band Immunology CSF+Clotted blood CSF 300ul; blood 5ml Red 10 working days
    Caeruloplasmin Immunology clotted blood 5ml Red. 2 working days
    Cardiac Antibodies Immunology Clotted blood 5ml Red. may take upto eight weeks
    Cardiolipin IgG abs Immunology Clotted blood 5ml Red. 7 working days
    Complement C1-Inhibitor Immunology clotted blood 5ml Red. 10 working days
    Complement C1q Immunology by arrangement contact laboratory. Upto three months.
    Complement C1r Immunology by arrangement contact laboratory.
    Complement C1s Immunology by arrangement
    Complement C2 Immunology By arrangement contact laboratory.
    Complement C3 Immunology clotted blood 5ml Red. 3 working days
    Complement C4 Immunology clotted blood 5ml Red. 3 working days
    Complement C5 Immunology by arrangement contact laboratory.
    Complement C6 Immunology by arrangement contact laboratory.
    Complement C7 Immunology by arrangement contact laboratory.
    Complement C8 Immunology by arrangement contact laboratory.
    Complement C9 Immunology By arrangement contact laboratory.
    Complement CH100 (alternate) Immunology clotted blood 5ml Red. 15 working days
    Complement CH100 (classical) Immunology clotted blood 5ml Red. 15 working days
    Complement Factor B Immunology clotted blood contact laboratory. contact laboratory.
    Complement Lectin (mannose binding lectin) Immunology clotted blood 5ml Red. may take upto eight weeks
    Cryoglobulins Immunology clotted blood at 37oC 5ml Red. 7 working days for a negative result A positive sample may take upto 15 working days to complete.
    DNA Screen Immunology Clotted blood 5ml Red. 7 working days
    ENA JO-1 Immunology Clotted blood 5ml Red. 14 working days
    ENA LA Immunology Clotted blood 5ml Red. 14 working days
    ENA RNP Immunology Clotted blood 5ml Red. 14 working days
    ENA RO Immunology Clotted blood 5ml Red. 14 working days
    ENA SCL-70 Immunology Clotted blood 5ml Red. 14 working days
    ENA SM Immunology Clotted blood 5ml Red. 3-16 working days
    ENA Screen Immunology Clotted blood 5ml Red. 14 working days
    Electrophoresis Immunology Clotted blood 5ml Red. 2 working days. Please note that this turnaround time is for 'Normal' results. If a sample requires further investigations (immunofixation) the turnaround time will increase.
    Electrophoresis (Urine) Immunology Urine (early morning sample) 25 ml 7 working days
    Endomysial Antibodies (IgA), EMA Immunology Clotted blood 5ml Red. 10 working days (inclusive of a preliminary Tissue Transglutaminase Antibody test)
    Factor B Immunology by arrangement contact laboratory.
    Factor D Immunology by arrangement contact laboratory.
    Factor H Immunology By arrangement contact laboratory.
    Factor I Immunology by arrangement contact laboratory.
    Ganglioside Abs. Immunology Clotted blood 5ml Red. may take upto eight weeks
    Genetic testing for inherited immune deficiency Immunology By arrangement contact laboratory.
    Glomerular Basement Membrane Abs Immunology Clotted blood 5ml Red. 7 working days.
    IgE Immunology clotted blood 5ml Red. 7 working days
    IgG 1 Immunology Clotted blood 5ml Red. 10 working days
    IgG EMA Immunology clotted blood 5ml Red. 7 working days
    IgG haemophilus influenza B Immunology clotted blood 5ml Red. 21 working days
    IgG pneumococcus Immunology clotted blood 5ml Red. 21 working days
    IgG tetanus toxoid Immunology clotted blood 5ml Red. 21 working days
    IgG2 Immunology clotted Blood 5ml Red. 10 working days
    IgG2 pneumococcus Immunology clotted blood 5ml Red. 21 working days
    IgG3 Immunology Clotted blood 5ml Red. 10 working days
    IgG4 Immunology Clotted blood Red 5ml 5 working days
    Immunofixation Immunology clotted blood 5ml Red. 6 working days
    Immunofixation (Urine) Immunology Urine (early morning sample) 25 ml 6 working days
    Immunoglobulin A (IgA) Immunology Clotted blood 5ml Red. 4 working days
    Immunoglobulin G (IgG) Immunology Clotted blood 5ml Red. 4 working days
    Immunoglobulin M (IgM) Immunology Clotted blood 5ml Red. 4 working days
    Insulin antibodies Immunology clotted blood 5ml Red. may take up to eight weeks.
    Islet Cell antibodies Immunology clotted blood 5ml Red. may take upto eight weeks.
    Liver/Kidney Microsome Antibodies (LKM) Immunology Clotted blood 5ml Red. 3-4 working days
    Lymphocyte MHC expression Immunology By arrangement contact laboratory.
    Lymphocyte Subsets B Cell% Immunology By arrangement contact laboratory 2 days
    Lymphocyte cytokine (or activation marker) expression Immunology By arrangement only contact laboratory.
    Lymphocyte proliferation Immunology By arrangement contact laboratory.
    Lymphocyte subsets B Cell enumeration Immunology By arrangement contact laboratory 2 working days
    Lymphocyte subsets NK cell % Immunology By arrangement contact laboratory 2 working days
    Lymphocyte subsets NK cell enumeration Immunology By arrangement contact laboratory 2 working days
    Mast cell tryptase Immunology clotted blood 5ml Red. 7 working days
    Mitochondrial Antibodies (MITA) Immunology Clotted blood 5ml Red. 3-4 working days. Please note this turnaround time is for 'normal' samples. If further testing (Mitochondrial (M2) Elisa (MITE)) is required the turnaround time will increase.
    Muscle tyrosine kinase Abs. Immunology Clotted blood 5ml Red. may take upto eight weeks
    Myelin associated Glycoprotein Antibody Immunology Clotted blood Red top may take upto eight weeks.
    NMDA Receptor Antibodies Immunology Clotted Blood 5ml Red. may take upto eight weeks
    Neutrophil Cyto. Abs Immunology Clotted blood 5ml Red. 2 working days.
    Neutrophil adhesion CD11a,b,c, CD18 Immunology by arrangement contact laboratory.
    Neutrophil chemotaxis (Reebuck skin window) Immunology by arrangement contact laboratory.
    Ovarian Antibodies Immunology clotted blood 5ml Red. may take upto eight weeks
    Oxidative burst Immunology By arrangement 2.5ml EDTA sample. Test is by arrangement only.
    P.D.H. Antibodies Immunology clotted blood 5ml Red. 7 working days
    Paraprotein Immunology clotted blood 5ml Red. 6 working days
    Parietal Cell Antibodies (PCA) Immunology Clotted blood 5ml Red. 3-4 working days.
    Properidin Immunology By arrangement contact laboratory.
    Rheumatoid Factor Immunology Clotted blood 5ml Red. 2-3 working days
    Skin Biopsy Immunology Fresh punch biopsy, sent on saline moistened gauze 3 mm 10 working days
    Skin Bullous Pemph. abs. Immunology clotted blood 5ml Red. 7 working days
    Skin Pemph. Vulgaris abs. Immunology clotted blood 5ml Red. 7 working days
    Smooth Muscle Antibodies (SMA) Immunology Clotted blood 5ml Red. 3-4 working days.
    Specific IgE to 'Blue Mussel' Immunology clotted blood 5ml Red. 7 working days
    Specific IgE to Aspergillus fum. Immunology clotted blood 5ml Red. 7 working days
    Specific IgE to Cagebird Mix (budgie, canary, finch, parakeet, parrot) Immunology clotted blood 5ml Red. 7working days
    Specific IgE to Candida/Yeast Immunology clotted blood 5ml Red. 7 working days
    Specific IgE to Cheese(mouldy) Immunology clotted blood 5ml Red. 7 working days
    Specific IgE to Chocolate Immunology clotted blood 5ml Red. 7 working days
    Specific IgE to Crab Immunology clotted blood 5ml Red. 7 working days
    Specific IgE to Dander Mix (cat, cow, dog, horse) Immunology clotted blood 5ml Red. 7 working days
    Specific IgE to Dog Dander Immunology clotted blood 5ml Red. 7 working days
    Specific IgE to Fish mix (cod, mussel, salmon, shrimp/prawn, tuna) Immunology clotted blood 5ml Red. 7 working days
    Specific IgE to Food mix (egg white, cod, milk, soya bean, wheat) Immunology clotted blood 5ml Red. 7 working days
    Specific IgE to Honey Bee Venom Immunology clotted blood 5ml Red 7 working days
    Specific IgE to Horse Immunology clotted blood 5ml Red. 7 working days
    Specific IgE to Kiwi Immunology clotted blood 5ml Red. 7 working days
    Specific IgE to Latex Immunology clotted blood 5ml Red. 7 working days
    Specific IgE to Milk Immunology clotted blood 5ml Red. 7 working days
    Specific IgE to Mixed Tree Pollens Immunology clotted blood 5ml Red. 7 working days
    Specific IgE to Nuts mix (almond, brazil, cocunut, hazel, peanut) Immunology clotted blood 5ml Red. 7 working days
    Specific IgE to Omega-5-gliadin Immunology Clotted blood 5ml Red 7 working days
    Specific IgE to Peanut Immunology clotted blood 5ml Red. 7 working days
    Specific IgE to Penicilloyl G Immunology clotted blood 5ml Red. 7 working days
    Specific IgE to Penicilloyl V Immunology clotted blood 5ml Red. 7 working days
    Specific IgE to Protein mix (pork, beef, egg yolk, chicken, turkey) Immunology clotted blood 5ml Red. 7 working days
    Specific IgE to Shrimp/Prawn Immunology clotted blood 5ml Red. 7 working days
    Specific IgE to Soya Bean Immunology clotted blood 5ml Red. 7 working days
    Specific IgE to Wheat Immunology clotted blood 5ml Red. 7 working days
    Specific IgE toWasp Venom Immunology clotted blood 5ml Red. 7 working days
    Specific IgG to Budgie Immunology clotted blood 5ml Red. 14 working days
    Specific IgG to Pidgeon Immunology clotted blood 5ml Red. 14 working days
    Specific Ige to Cat Dander Immunology clotted blood 5ml Red. 7 working days
    Specific Ige to Grass Pollen mix Immunology clotted blood 5ml Red 7 working days
    Specific Ige to Moulds mix Immunology clotted blood 5ml Red. 7 working days
    Specific Ige toTuna Immunology clotted blood 5ml Red. 7 days
    T- Cell subsets CD 4% Immunology EDTA 2.5ml PurpleEDTA, one sample is sufficient for all T-cell subsets 2 working days
    T-Cell subsets CD 3 count Immunology Blood 2.5ml PurpleEDTA, one sample is sufficient for all T-cell subsets 2 working days
    T-Cell subsets CD 3% Immunology EDTA 2.5ml PurpleEDTA, one sample is sufficient for all T-cell subsets 2 working days
    T-Cell subsets CD 4 count Immunology EDTA 2.5ml PurpleEDTA, one sample is sufficient for all T-cell subsets 2 working days
    T-Cell subsets CD 8 count Immunology EDTA 2.5ml PurpleEDTA, one sample is sufficient for all T-cell subsets 2 Working days
    T-Cell subsets CD 8% Immunology EDTA 2.5ml PurpleEDTA, one sample is sufficient for all T-cell subsets 2 working days
    TPMT functional activity Immunology EDTA 2.5ml PurpleEDTA may take upto eight weeks
    TPO Antibodies Immunology clotted blood 5ml Red. 7 working days
    Tissue Transglutaminase (tTG) IgA Immunology Clotted blood 5ml Red. 7 working days. Please note this turnaround time is for 'normal' samples. If further testing (Endomysial Antibodies) is required the turnaround time will increase.
    Transferrin Immunology clotted blood 5ml Red. 2 working days
    Urinary Casts Immunology Fresh urine 25ml 2 working days
    Urinary paraprotein Immunology Urine (early morning sample) 25 ml 7 working days
    Voltage Gated Potassium Channnel Abs. Immunology serum RED may take upto eight weeks.
    b2 Microglobulin Immunology clotted blood 5ml Red. 2 working days
    k/l ratio Immunology clotted blood 5ml Red. 3 working days
    specific IgE to Fruit mix (apple, banana, orange, peach) Immunology clotted blood 5ml Red. 7 working days
    specific IgE to House Dust Mite Immunology clotted blood 5ml Red. 7 working days
    specific IgE to Strawberry Immunology clotted blood 5ml Red. 7 working days
    specific IgE to Tomato Immunology clotted blood 5ml Red. 7 working days
    specific IgG to Aspergillus Fumigatus Immunology clotted blood 5ml Red. 14 working days
    specific IgG to Micropolysporum Faeni Immunology clotted blood 5ml Red. 7 working days
    155 of 155 results
     
  2. SOC

    SOC Senior Member

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    Drs Klimas and Rey have their own tests, not all of which are available commercially, I believe. I would not try to get immune tests done beforehand because the docs will probably still want to do more. Also, they have a great immunology lab, so why get tests from a less knowledgeable group?

    I've had the full run of testing at Dr Klimas/Rey's office multiple times and I don't recognize most of the tests you listed. The immune tests I've had are their Cytokine Multiplex-18, some kind of flow cytometry that counts different types of immune cells, and NK cell functional assay. I've also had some pathogen tests done, depending on my symptoms.

    I suggest you be patient and let the experts order the tests they think they need.
     
    heapsreal likes this.

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