Test Directory

Test Code
PAAD
Test Name
Platelet Antibody, Direct
CPT Codes
86023 X 2
Included Tests
  • Platelet Antibodies Direct, IgG
  • Platelet Antibodies Direct, IgM
Expected Turnaround Time
2 - 3 days
Clinical Utility

Support the diagnosis of autoimmune thrombocytopenia (AITP).

Specimen and Container Info

Specimen Type: Whole Blood

Collection Container: Lavender Top (EDTA)

Alternate Collection Container: Pink Top (EDTA)

Desired Specimen Volume: 4 mL

Collection Instructions

Testing requires special attention to specimen collection and shipping in order to ensure the integrity of the sample. Technical Support/Referral Testing must be notified of specimen collection.

  1. Collect whole blood in a lavender top (EDTA) tube via venipuncture 8 a.m - 12 p.m Monday - Thursday only.
  2. Do not collect two days before a holiday.
  3. Fill tube to capacity with whole blood.
Processing and Submission Instructions
  1. Transport whole blood in the original collection container.
  2. Label tube with a room temperature sticker.
  3. Specimens must be analyzed within 48 hours of collection
Transport Instructions

Transport to the laboratory at room temperature. 

Stability Requirements

Room Temperature

48 hours
Causes for Rejection
  • Hemolysis
  • Clotted Specimens
Methodology
Qualitative Flow Cytometry
Reference Intervals

 See patient report.

Limitations

Detection of platelet-associated IgG and/or IgM may be used to separate thrombocytopenia of immune origin from nonimmune origin. Most patients with ITP have abnormally high levels of IgG associated with their platelets. Occasionally patients will have normal IgG levels but abnormally high levels of IgM. Dual staining and flow cytometric analysis ensures that only platelets are analyzed and relatively small volumes of blood are required. This assay does not distinguish between autoantibodies and alloantibodies, nor does it identify specific types of antiplatelet antibodies, such as those against HPA-1a.

Reference Lab
ARUP Laboratories
Testing Schedule
Routine, daily