BP180 and BP230 (Bullous Pemphigoid), IgG Antibodies

CPT: 83516(x2)
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Synonyms

  • BP180 and BP230 IgG
  • Pemphigoid Autoantibodies

Expected Turnaround Time

5 days


Related Documents


Specimen Requirements


Specimen

Serum


Volume

2 mL


Minimum Volume

1 mL (Note: This volume does not allow for repeat testing.)


Container

Gel-barrier tube, red-top tube or serum transfer tube


Collection

Serum samples may be stored for up to eight hours at room temperature before freezing at -20°C. Samples should not be repeatedly frozen and thawed.


Storage Instructions

Frozen at -20°C


Stability Requirements

Temperature

Period

Room temperature

Unstable (stability provided by manufacturer or literature reference)

Refrigerated

Unstable (stability provided by manufacturer or literature reference)

Frozen

14 days (stability provided by manufacturer or literature reference)

Freeze/thaw cycles

Stable x3 (stability provided by manufacturer or literature reference)


Causes for Rejection

Bacterial contamination, hemolysis, lipemia


Test Details


Use

This test is a preferred screening test for patients suspected to have bullous pemphigoid and its variants. The antibody levels can be used to monitor the effectiveness of drug treatment.

The diverse spectrum of pemphigoid diseases is characterized by the formation of subepidermal blisters, which can develop in both the skin and mucous membranes. These conditions involve circulating autoantibodies that specifically target components found in the dermal-epidermal junction. Bullous pemphigoid (BP) presents with tense, swollen blisters that can appear on either inflamed or non-inflamed skin, with mucous membranes being rarely affected. The patient's serum contains IgG antibodies that primarily target hemidesmosomal proteins, namely BP180 and BP230. BP180 is a transmembrane glycoprotein with its primary immunogenic epitopes located in the extracellular 16th non-collagenous domain (BP180-NC16 A).

Pemphigoid gestationis is a variant of BP that occurs in pregnant women and during the postpartum period, resulting in the development of urticarial plaques and/or tense blisters. Mucous membrane pemphigoid affects one or more mucous membranes such as the oral, ocular, genital and anal regions, and can also involve the skin. Patients with this condition exhibit low-titer IgG/IgA autoantibodies directed against components of the basement membrane zone, with BP180 and laminin 332 being the two primary targets.


Methodology

Enzyme Immunoassay (EIA)


LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
163995 BP180 and BP230 IgG 92671-7 163996 BP180 IgG RU/mL 53842-1
163995 BP180 and BP230 IgG 92671-7 163997 BP230 IgG RU/mL 53843-9

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