Anti-Sm Ab (RDL)
Code:16012
| Includes | Antinuclear antibodies (ANA) Extractable nuclear antigen (ENA) antibodies |
|---|
Analysis details
Methodology
- Immunofluorescence assay (IFA)
- Enzyme immunoassay (EIA)
Expected Turnaround Time
1 day
Special Instructions
- Refrain from smoking for at least 30 minutes before the blood draw.
How to use
Anti-Sm Ab (RDL), often referred to as a connective tissue disease screen, supports the initial diagnostic assessment of suspected systemic autoimmune connective tissue diseases, including systemic lupus erythematosus, Sjögren syndrome, systemic sclerosis, polymyositis/dermatomyositis, and mixed connective tissue disease. The profile functions as an early triage tool to identify autoantibody-positive patients who should proceed to disease-specific antibody testing and comprehensive clinical evaluation.
Limitations
Systemic connective tissue diseases represent a heterogeneous set of immune-mediated conditions that share overlapping mechanisms, clinical manifestations, characteristic laboratory patterns, and related therapeutic approaches. More than 200 disorders fall within this spectrum; frequently encountered examples include rheumatoid arthritis, polymyositis, dermatomyositis, systemic lupus erythematosus, systemic sclerosis, Sjögren syndrome, the systemic vasculitides, and mixed connective tissue disease. Because presentations are multisystem and variable, diagnosis is multidisciplinary and relies heavily on laboratory data. Autoantibody testing—such as ANA and antibodies to extractable nuclear antigens—supports case identification and differential diagnosis within this group of disorders.
| Reference interval | — |
|---|---|
| Indications | Evaluation of suspected systemic autoimmune connective tissue disease, Unexplained or persistent fever, Chronic or unexplained fatigue (asthenia), Joint pain or inflammatory arthritis, Muscle pain or suspected myositis, Skin rash suggestive of connective tissue disease, Raynaud phenomenon, Seizures, Psychosis, Anemia, Proteinuria |
Possible Causes of Abnormal Results
Increased levels
- active systemic autoimmune connective tissue disease
Decreased levels
- immunosuppressive therapy
Specimen Requirements
| Specimen | Serum |
|---|---|
| Container | Red-top tube, no additive (serum) |
| Volume | 1 mL (min 0.3 mL) |
| Storage Instructions | Room temperature, Refrigerated, Frozen |
References
Gill JM, Quisel AM, Rocca PV, Walters DT. Diagnosis of systemic lupus erythematosus. Am Fam Physician. 2003 Dec 1;68(11):2179-86.
Lyons R, Narain S, Nichols C, Satoh M, Reeves WH. Effective use of autoantibody tests in the diagnosis of systemic autoimmune disease. Ann N Y Acad Sci. 2005 Jun;1050:217-28.