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Test Code ANCA Anti-Neutrophil Cytoplasmic Antibody (ANCA)

Additional Codes

Epic Ordering Code LAB458
NBS code LBC04423
Service code 32303

Specimen Requirements

Submit only one of the following:

Preferred: Acceptable:
Yellow Top Red Top

Processing Requirements

Allow specimen to clot for 30 mins and centrifuge within 2 hours

Specimen type: Serum

Volume: 0.5mL

Specimen Stability

Specimen Type Serum
Ambient 2 days
Refrigerate 2 weeks (preferred)
Frozen 1 year

Specimen Condition

Haemolysis OK
Icterus OK
Lipaemia OK
Others Not applicable

Methodology

Enzyme Immunoassay

Days and Times Performed

Thursday, TAT 2 - 8 days

Reference Interval

MYPO:

No antibody detected:  < 20 U/mL

Positive:   ≥ 20 U/ml

 

PR3:

No antibody detected:  < 20 U/mL

Positive:   ≥ 20 U/mL   

Testing Laboratory

National University Hospital

Clinical Chemistry, 67724346

Useful For

Clinical Usage Autoantibodies against neutrophil cytoplasmic antigens have been found in patients with Wegener’s ranulomatosis, a disease associated with a necrotising granulomatous vasculitis affecting the upper and lower respiratory tract and the kidney. These antibodies have also been observed in microscopic polyarthriitis, SLE and vasculitis. They correlate best in individuals with a necrotising crescentic glomerulonephritis, with or without systemic complications.

Update

Last updated 16/07/2026

LOINC Code Information

MYPO 48404-8
PR3 74106-6

Alias

Antineutrophil Cytoplasmic Antibodies (ACPA)

Cytoplasmic Neutrophilic Ab

MPO/PR-3 (ANCA)

Panel Information

Panel includes the following tests:

  • Anti-Myeloperoxidase IgG
  • Anti-Proteinase 3 IgG