Test Code LAB1964 Celiac Serology Cascade
Additional Codes:
CELIAC IGA
Includes:
The Celiac serology cascade follows a reflexive testing algorithm in which serum IgA levels will be initially measured. If the serum IgA level is <7.0 mg/dL, an anti-tissue transglutaminase (tTG) IgG assay will be performed. Otherwise, an anti-tissue transglutaminase (tTG) IgA assay will be performed. A positive result with any of the screening assays (anti-tTG IgA, anti-tTG IgG, anti-DGP IgA or anti-DGP IgG) supports the diagnosis of Celiac disease.
Collection:
Specimen: Blood
Container: Serum Separator or Plain Red Top Tube
Volume: 6 mL; Minimum 4 mL
Pediatric Collection:
Two Gold or Red microtainers filled to 600 uL.
Storage Instructions:
Specimen may be held overnight at Room Temperature. Refrigerate for storage beyond 12 hours. Serum may be stored for up to 7 days at 2-8C. For longer storage, serum must be frozen at -20 or colder.
Turnaround Time (TAT):
Same day as performed
Test Availability:
IgA performed 24 hours a day / 7 days a week. TTG and Gliadin testing performed on Monday – Friday.
Assay:
1.0 ml serum
Send To:
UMC MAIN LABORATORY Specimen Receiving – EH319 Extension Hospital
Reference Interval:
TTG IgA and TTG IgG
<15 U/mL - Negative
>15 U/mL - Positive
IGA
Age | IgA Range |
< 1 year | < 30 mg/dL |
1 year - < 3 years | < 90 mg/dL |
3 years - < 6 years | 30 - 150 mg/dL |
6 years - < 14 years | 50 - 220 mg/dL |
14 years - < 19 years | 50 - 290 mg/dL |
> 19 years |
65 - 421 mg/dL (Female) 63 - 484 mg/dL (Male) |