Test Directory
Anti-CFH Antibody
Justification
Factor H is a regulator of the alternative complement activation pathway. Acquired Factor H deficiency due to autoantibody production can lead to overactive complement. Continuous complement activation is associated with development of atypical Hemolytic Uremic Syndrome (aHUS) and Dense Deposit Disease (DDD).
Specimen Requirements
Sample Type | Volume Required | Minimum Volume | Stability | |
---|---|---|---|---|
PREFERRED | Serum | 1mL | 0.5mL | Room Temp.: 7 days Refrigerated: 7 days Frozen (-20C): 2 weeks Frozen (-80C): 6 months |
ALTERNATIVE | - | - | - | - |
REJECTION CRITERIA | Thawed in transit if shipped frozen, refrozen, clotted sample |
SPECIAL INSTRUCTIONS | - |
General Information
METHODOLOGY | ELISA |
STAT TAT | < 48 hours (M-F) |
STAT TAT Performance | > 90% of results released in 48 hours |
ROUTINE TAT | < 5 days (M-F) |
ALTERNATIVE NAMES | Anti-Complement Factor H Antibody, Complement Factor H Autoantibody; complement-mediated HUS; cm-HUS |
DESCRIPTION | Chromogenic ELISA for the quantitative detection of anti-complement factor H (CFH) antibodies. |
LIMITATIONS | Anti-CFH autoantibody levels may be significantly reduced by treatments such as plasmapheresis, rituximab, or cyclophosphamide therapy (Khandelwal (2015) Pediatr Nephrol 30, 3). |
NORMAL RANGE | < 20 Units/mL |
ASSOCIATED TESTING | - |
REFERENCES | 1. Dragon-Durey M, Loirat C, Cloarec S, et al. Anti-Factor H autoantibodies associated with atypical hemolytic uremic syndrome. J Am Soc Nephrol 2005;16:555-563. |
SAMPLE REPORT | Upon request |
NEW YORK STATE APPROVED | Yes |
Test Codes
ORDER CODE | P3358 |
CPT CODE | 83516 |
LOINC CODE | 4519-5 |