Serum IgA (turbidimetric); Transglutaminase IgA/IgG Antibody (Multiplex Flow Immunoassay); Deamidated Gliadin IgA/IgG Antibody (Multiplex Flow Immunoassay); Endomysial IgA (ELISA)
The Celiac Disease Algorithm is utilized to streamline the serological testing for the diagnosis of celiac disease. The algorithm initially orders a serum IgA. Depending on the IgA result, further testing is reflexively ordered and processed. If the serum IgA is very low (<6 mg/dL), transglutaminase IgG AB (TTGG) and deamidated gliadin IgG AB (GLADG) are automatically performed. If the serum IgA low (>6, but below age matched reference range), transglutaminase IgG and IgA antibody tests (TTGG, TTGA), and deamidated gliadin IgG and IgA antibody tests (GLADG, GLADA) are reflexively performed. If the initial serum IgA result is normal or elevated, transglutaminase IgA AB (TTGA) is performed. If the transglutaminase IgA AB is negative (<15) or positive (>30), no further testing is performed. Testing is complete. If the transglutaminase IgA AB is weakly positive (15-30), endomysial IgA AB (EMA) and deamidated gliadin IgA AB (GLADA) testing are reflexively performed.
Refer to individual test entries.
8 hours (initial IgA test); refer to individual test entries for reflexive testing.
- Celiac Panel
Collect specimen in a red top or SST tube. Centrifuge, aliquot serum into a plastic vial and refrigerate for 7 days or freeze for longer storage.
By ordering this test the clinician acknowledges that additional reflex testing will be performed and billed at a separate additional charge if indicated.