Indirect immunoflourescence titration of serum for pemphigus auto-antibodies

Description
Indirect immunofluorescence (IIF) is performed on serum samples using 3 standard substrates: monkey oesophagus, normal human skin and human split skin, to detect IgG and IgA antibodies associated with autoimmune blistering diseases, including all sub-types of pemphigus and pemphigoid, epidermolysis bullosa acquisita and linear IgA disease. Any positive immunofluorescence picked up by the above screen is further titred out, to provide a semi-quantitative assessment of autoantibody load. Transitional epithelium (rat bladder) substrate is also used, where there is clinical suspicion of paraneoplastic pemphigus.
Related condition
Synonyms

Skin antibodies, IIF, split skin.

Testing site
Synnovis : Tissue Sciences : St Thomas' Hospital
Laboratory
Immunodermatology
Sample type and volume required

1x serum separator tube (SST) or at least 0.5 ml pre-separated serum

Special sample instructions

SST should be received in lab within 48 hours of collection (1 month for separated serum stored at 4°C).

Turnaround time

8 working days

Contacts

Immunodermatology Laboratory at St Thomas’
Phone: 020 7188 6364
Email: immunodermatology@synnovis.co.uk
St John’s Institute of Dermatology
St Thomas’ Hospital
Westminster Bridge Road
London SE1 7EH
Opening hours: Mon-Fri, 09:00 -17:00

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