Liver-Kidney Microsomal (LKM) Antibodies

CPT: 86376
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Synonyms

  • LKM
  • LKM-1 Antibodies

Expected Turnaround Time

2 - 3 days


Related Documents


Specimen Requirements


Specimen

Serum


Volume

1 mL


Minimum Volume

0.3 mL


Container

Red-top tube or gel-barrier tube


Collection

To avoid delays in turnaround time when requesting multiple tests on frozen samples, please submit separate frozen specimens for each test requested.


Storage Instructions

Room temperature


Stability Requirements

Temperature

Period

Room temperature

14 days

Refrigerated

14 days

Frozen

14 days

Freeze/thaw cycles

Stable x4


Causes for Rejection

Hemolysis; lipemia; gross bacterial contamination; heat-treated specimen; specimen with preservative added


Test Details


Use

The detection of LKM-1 antibodies is an aid in the diagnosis of autoimmune hepatitis, type 2 (AIH-2). LKM antibodies are markers of AIH-2 which usually begins in childhood and generally affects children younger than 18 years of age. LKM antibodies are associated with a more serious progression of the disease. The disease is most common between the ages of 2 to 14 and is more frequent in females than males (8:1). LKM-1 antibodies have been reported in up to 8% of patients with chronic HCV infection.


Limitations

A negative LKM-1 result does not rule out the presence of autoimmune hepatitis type 2. LKM-1 may be detected in some patients as a result of HCV infection and may not be the result of AIH-2.


Methodology

Enzyme-linked immunosorbent assay (ELISA)


Reference Interval

• Negative: 0.0−20.0

• Equivocal: 20.1−24.9

• Positive: >24.9


LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
163980 Liver-Kidney Microsomal Ab 32220-6 163982 Liver-Kidney Microsomal Ab Units 32220-6

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