Deoxyribonucleic acid (DNA) antibody; single stranded
CPT4 code
Name of the Procedure:
Deoxyribonucleic acid (DNA) Antibody; Single Stranded (ssDNA Antibody Test)
Summary
The ssDNA antibody test is a blood test that detects the presence of antibodies against single-stranded DNA. This test helps diagnose specific autoimmune diseases, particularly systemic lupus erythematosus (SLE).
Purpose
The ssDNA antibody test is primarily used to investigate underlying autoimmune conditions. It helps in diagnosing and monitoring diseases like systemic lupus erythematosus (SLE) by detecting abnormal immune responses.
Indications
- Patients exhibiting symptoms of autoimmune disorders such as joint pain, skin rashes, and unexplained fever.
- Positive antinuclear antibody (ANA) test results warrant further investigation with the ssDNA antibody test.
- Individuals with a family history of autoimmune diseases.
- Persistent unwellness without a clear cause, suggesting an autoimmune etiology.
Preparation
- No specific fasting or dietary restrictions are required before the test.
- Patients should inform their healthcare provider about all medications and supplements they are taking.
- It may be helpful to have a baseline test of other related autoimmune markers for comparison.
Procedure Description
- Blood Draw: A healthcare provider will draw a small sample of blood from a vein, usually in the arm.
- Laboratory Analysis: The blood sample is sent to a laboratory, where specific tests are conducted to detect the presence of antibodies against single-stranded DNA.
- Reporting: The results are analyzed and interpreted by a medical professional, typically a rheumatologist or immunologist.
Duration
The blood draw itself takes about 5-10 minutes. Laboratory analysis and reporting typically take a few days to a week.
Setting
The procedure is performed in an outpatient setting, such as a hospital lab, outpatient clinic, or doctor’s office.
Personnel
A phlebotomist or nurse usually performs the blood draw, and a laboratory technician conducts the analysis. A rheumatologist or immunologist interprets the results.
Risks and Complications
- Common Risks: Mild discomfort, bruising, or bleeding at the site of the blood draw.
- Rare Risks: Infection at the puncture site, fainting, or dizziness.
Benefits
- Provides crucial information for diagnosing autoimmune diseases like SLE.
- Helps tailor appropriate treatment and management plans.
- Can monitor disease progression or response to treatment.
Recovery
- Post-procedure care is minimal; patients can resume normal activities immediately.
- Keeping the puncture site clean and dry can prevent infection.
- Follow-up appointments may be necessary based on the test results.
Alternatives
- Antinuclear Antibody (ANA) Test: Broader screening for autoimmune diseases.
- Double-Stranded DNA (dsDNA) Antibody Test: More specific for lupus but less sensitive in early disease.
- Complement Levels (C3, C4): Indicate inflammation but are not specific.
- Each alternative has its pros and cons; the choice depends on the clinical scenario and physician preference.
Patient Experience
- During the Procedure: Minor discomfort or a slight prick during the blood draw.
- After the Procedure: Possible tenderness or bruising at the needle site, which can be managed with over-the-counter pain relief and a cold compress if needed.
- Patients can typically resume normal activities immediately after the procedure.