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Test Category: Immunology

Investigation Name:Histone Antibody

Alias or Abbreviation:Histone

Accreditation:UKAS ISO15189:2022 Accredited test: On scope

Intro:

Indication:
Systemic lupus erythematosus (SLE), drug induced SLE (DIL).
Further information:
Anti-histone antibodies are found in patients with SLE and patients with DIL. In SLE, anti-histone antibodies do not provide any better diagnostic information than DNA and anti-nuclear antibodies but in drug induced lupus, a typical antibody profile consists of antinuclear antibodies, anti-histone antibodies but rarely dsDNA antibodies and extractable nuclear antibodies.

Drugs implicated in DIL include hydralazine, procainamide and isoniazid. Histone antibodies can be positive in active lupus nephritis. Anti-histone antibodies have also been reported in selected cases of rheumatoid arthritis. Anti-histone antibody levels are reportedly higher in neuropsychiatric lupus.

Pathology Laboratory:Immunology Laboratory

Requestable Seperately?Yes

Minimum Sample Volume:2mL

Expected Turnaround Time:3 weeks

Test Code:HIST

Sample Type:

Serum Gel Tube (Gold top)

Complex Reference Range:Normal = <40 U/mL

Reference Laboratory Details:Immunology and Protein Reference unit, Sheffield

Referred to Another Laboratory?Yes

Storage Requirements:Ambient temperature

Posting Address / Requirements:1st class post/ Trust transport

Lead Contact Details:Clinical queries email: rwh-tr.bcpsimmunologyclinicalqueries@nhs.net

Email Address For Chasing Results:rwh-tr.ImmunologyLab@nhs.net

Site Sample Tested:Immunology, New Cross Hospital, Wolverhampton

Cost:Please email: bcpspathology.info@nhs.net for further details

Contact Number:01902 695 279 or Ext 85279