DIAGNOSIS
Transcription
DIAGNOSIS
AUTOIMMUNE DISORDERS - A Highly Variable Group... Complex Manifestations...Periodic Episodes...Overlap Syndrome DIAGNOSIS Therefore is Challenging Resolve the complexity with VIMTA's HEURISTICS A Rational Approach By COMPREHENSIVE PANELS For Screening Diagnosis Confirmation Monitoring Risk Prediction Indicating Extent of Overlap Syndrome Accurate...Differential...Definitive...Diagnosis... KEY HIGHLIGHTS EXTENDED IMMUNE PROFILE PANEL ? Wide Spectrum of Range Offerings ? Highly specific markers combined to form Rational Panels CD19, CD3, CD4, CD8, CD16+56 ? Panels offering advantages of diagnosing Overlap Syndrome ? Enumeration of entire lymphocyte subsets by Flowcytometry: B cells, T cells (with ? Intra and Inter Panel advantages CD4/CD8 counts) and NK cells ? Fast TAT ? Useful assay in work up of patients born with congenital immunodeficiency states ? Comprehensive and conclusive diagnosis in the backdrop of clinical history ? Useful in patients suffering from secondary immunodeficiency states induced due to immunosuppressive therapy or HIV infection ANA BLOT CAPSULE I ANA BLOT CAPSULE II ANA, ds-DNA, SS-A, SS-B, RNP-G SS-A, SS-B, RNP-G, SCL 70, JO1 ? Useful test for complete workup of suspected SLE patients COLLAGEN CAPSULE ARTHRITIS CAPSULE ? Useful panel to differentiate between SLE, Scleroderma and Inflammatory Myopathies (dermatomyositis and polymyositis) ? To diagnose SLE, spontaneous SLE, annular variety of subacute cutaneous SLE, Neonatal Lupus Erythematosus ? To help in diagnosis of mixed connective tissue disorders having features of SLE, Scleroderma and Polymyositis ? SS-A, SS-B and RNP are more specifically associated with SLE ? SCL-70 is a common association with Scleroderma ANA, ds DNA, ANCA, C3, C5, CRP, RF, UA ? To confirm diagnosis for Systemic Lupus Erythematosus Inflammatory Myopathies ? Panel of Biochemical and Immunological markers to screen for diseases affecting joints ? To diagnose Vasculitis, Rheumatoid Arthritis and ? JO-1 is almost exclusively associated with ASO, ANA, C4, CRP, UA, Ca, RF, UR Gout ? Screening test for Autoimmune Disorders, Rheumatoid Arthritis, Gout ? Overlap Syndrome of Musculo-skeletal Disorders SLE CAPSULE Also Available : STAND ALONE TEST RANGE CBP, ESR, Creatinine, RA, ASO, ds-DNA ? To screen for SLE, Rheumatoid Arthritis and previous Streptococcus Pyogenes Infection ? Also indicates extent of muscular and renal involvement HLA B-27 tTG AUTO HEP ? Primarily ordered to help strengthen or confirm a ? Less Invasive blood test for screening celiac disease, other gluten-sensitive conditions ? Anti-tissue Transglutaminase Antibody (tTG) : IgA - Highly specific serologic markers for celiac diseases and dermatitis herpetiformis ? Anti-Gliadin Antibodies (AGA): IgG - More sensitive for screening the patients at risk for Celiac Disease and diagnosing gluten sensitive enteropathies IgA- monitoring patients on gluten free diets CCP ANTIBODIES ANA, AMA, ASMA, LKM-1 ? Overlap of Primary Biliary Cirrhosis and Autoimmune Hepatitis ? To diagnose Primary Biliary Cirrhosis ? To distinguish Autoimmune Hepatitis from other causes of liver injury or disorder ? To screen for autoimmune diseases, chronic active hepatitis,extra hepatic biliary obstruction,non obstructive biliary tract disease,viral hepatitis and cryptogenic cirrhosis suspected diagnosis of seronegative inflammatory arthropathies like Ankylozing Spondylitis, Reiters Syndrome and Anterior Uveitis ? Dignose and evaluate conditions causing arthritis ? Predictive Marker for Risk Assessment ? Advantage of performing the test both on PCR and Flowcytometry ? Disease specific autoantibody in early cases of RA, where clinical symptoms are milder and nonspecific ? Superior to IgM RF in predicting an erosive disease course. ? Valuable in providing diagnostic, prognostic and therapeutic information in patients with Rheumatoid Arthritis ? 95-98% Specificity COMPREHENSIVE STAND ALONE TEST RANGE TEST CODE 562 85 42 583 45 46 47 49 51 54 55 57 43 564 59 95 90 91 107 603 482 329 369 371 377 392 393 274 INVESTIGATION Anti-Gliadin IgA, IgG Antibody Acetyl Choline Receptor Antibody Anti ds DNA Antibody-Qual, Quant Anti Endomysial Antibody IgA, IgG Anti Mitochondrial Antibody Anti Mitochondrial Antibody Titre Anti Neutrophill Cytoplasmic Antibody(p-ANCA/c-ANCA)-Qual,Quant Anti Nuclear Antibody Anti Nuclear Antibody -Qual, Quant Anti Smooth Muscle Antibodies-Qual, Quant Anti Sperm Antibodies Anti Streptolysin O Titre Anti TPO Anti Transglutaminase IgA, IgG Antibodies Anti Thyroglobulin Antibodies c-ANCA C3- Complement 3 C4- Complement 4 Cardiolipin Antibodies-IgA, IgG, IgM CCP Antibodies Circulating Immune Complex P-ANCA RF-IgA, IgG, IgM Antibodies Rheumatoid Factor RA Test Scl 70 IgG Antibodies SS-A (Ro) IgG Antibodies SS-B (La) IgG Antibodies Jo-1 Antibodies For more information on Sample Collection, contact at: VIMTA LABS LTD. ® Life Sciences Facility, CLINICAL REFERENCE LABORATORY 5, Alexandria Knowledge Park (Formerly S.P. Biotech Park), Genome Valley, Hyderabad- 500 078, India. Phone: +91-040-67404020, +91-040-67404040, +91-0120-2424086 URL: www.vimta.com, email: helpline@vimta.com