Test Code RFPN Rheumatoid Factor Panel, Serum
Additional Testing Requirements
Rheumatoid factor (RF) IgA and RF IgM should be tested in combination with CCP / Cyclic Citrullinated Peptide Antibodies, IgG, Serum; or following positive or equivocal results for either RHUT / Rheumatoid Factor, Serum; or RAPAN / Rheumatoid Arthritis Panel, Serum.
Specimen Required
Supplies: Sarstedt Aliquot Tube, 5 mL (T914)
Collection Container/Tube:
Preferred: Serum gel
Acceptable: Red top
Submission Container: Plastic vial
Specimen Volume: 1 mL
Collection Instructions: Centrifuge and aliquot serum into plastic vial.
Secondary ID
621421Useful For
Evaluating patients at-risk of rheumatoid arthritis (RA) or features of inflammatory arthritis
Differentiating the antibody isotype profile in patients positive for rheumatoid factor (RF)
Aid in the risk stratification of RF-seropositive patients with RA
Profile Information
Test ID | Reporting Name | Available Separately | Always Performed |
---|---|---|---|
RFA | Rheumatoid Factor IgA, S | No | Yes |
RFM | Rheumatoid Factor IgM, S | No | Yes |
Method Name
Chemiluminescent Immunoassay
Specimen Type
SerumSpecimen Minimum Volume
0.3 mL
Specimen Stability Information
Specimen Type | Temperature | Time | Special Container |
---|---|---|---|
Serum | Refrigerated (preferred) | 14 days | |
Frozen | 28 days | ||
Ambient | 48 hours |
Reject Due To
Gross hemolysis | Reject |
Gross lipemia | Reject |
Gross icterus | Reject |
Heat-treated specimens | Reject |
Reference Values
RHEUMATOID FACTOR, IgA
Negative: <20 CU
Positive: ≥20 CU
Reference values apply to all ages.
RHEUMATOID FACTOR, IgM
Negative: <5.0 IU/mL
Positive: ≥5.0 IU/mL
Reference values apply to all ages.
Interpretation
The presence of rheumatoid factor (RF) IgM or IgA at abnormal levels in association with anti-citrullinated peptide/protein antibodies has high specificity for a diagnosis of rheumatoid arthritis (RA). However, the presence of RF isotypes in any combination may be found in a variety of conditions, including Sjogren syndrome and hepatitis infections.
Method Description
The Inova BIO-FLASH system uses paramagnetic beads as the solid surface upon which to bind the targeted antibody. The beads used in the rheumatoid factor (RF) IgA and IgM kits are coated with rabbit polyclonal antibodies as the capture antigen. The serum sample is diluted by the instrument and combined in a cuvette with the beads and assay buffer for 10 minutes at 37° C. The beads are magnetized, and unbound materials are washed away. Detection antibody conjugated with isoluminol is added to the cuvette for another incubation at 37° C. The RF IgA kits contain anti-human IgA conjugate, while the RF IgM kits contain anti human IgM conjugate. After an additional wash, trigger reagents are added to the cuvette to initiate a light reaction proportional to the amount of bound isoluminol conjugate. The light produced by the reaction is measured by a detector as relative light unit (RLU). The RLU is applied to the working curve on the instrument. The RF IgA is reported as chemiluminescent units (CU), while the RF IgM is reported in IU/mL traceable to WHO Reference Reagent W1066.(Package inserts: QUANTA Flash RF IgA. Inova Diagnostics, Inc; V 4, 07/2019; QUANTA Flash RF IgM. Inova Diagnostics, Inc; V 4, 07/2019)
Day(s) Performed
Wednesday
Report Available
2 to 7 daysSpecimen Retention Time
14 daysPerforming Laboratory
Mayo Clinic Laboratories in RochesterCPT Code Information
86431 x2
LOINC Code Information
Test ID | Test Order Name | Order LOINC Value |
---|---|---|
RFPN | Rheumatoid Factor Panel, S | 106053-2 |
Result ID | Test Result Name | Result LOINC Value |
---|---|---|
RFM | Rheumatoid Factor IgM, S | 9338-5 |
RFA | Rheumatoid Factor IgA, S | 33313-8 |