Test Directory
Anti-CFH Antibody
Justification
Factor H is a regulator of the alternative complement activation pathway. Acquired Factor H deficiency due to autoantibody production can lead to overactive complement. Continuous complement activation is associated with development of atypical Hemolytic Uremic Syndrome (aHUS) and Dense Deposit Disease (DDD).
Specimen Requirements
| Sample Type | Volume Required | Minimum Volume | Stability | |
|---|---|---|---|---|
| PREFERRED | Serum | 1mL | 0.5mL | Room Temp.: 7 days Refrigerated: 7 days Frozen (-20C): 2 weeks Frozen (-80C): 6 months |
| ALTERNATIVE | - | - | - | - |
| REJECTION CRITERIA | Thawed in transit if shipped frozen, refrozen, clotted sample |
| SPECIAL INSTRUCTIONS | - |
General Information
| METHODOLOGY | ELISA |
| STAT TAT | < 48 hours (M-F) |
| STAT TAT Performance | > 90% of results released in 48 hours |
| ROUTINE TAT | < 5 days (M-F) |
| ALTERNATIVE NAMES | Anti-Complement Factor H Antibody, Complement Factor H Autoantibody; complement-mediated HUS; cm-HUS |
| DESCRIPTION | Chromogenic ELISA for the quantitative detection of anti-complement factor H (CFH) antibodies. |
| LIMITATIONS | Anti-CFH autoantibody levels may be significantly reduced by treatments such as plasmapheresis, rituximab, or cyclophosphamide therapy (Khandelwal (2015) Pediatr Nephrol 30, 3). |
| NORMAL RANGE | < 20 Units/mL |
| ASSOCIATED TESTING | - |
| REFERENCES | 1. Dragon-Durey M, Loirat C, Cloarec S, et al. Anti-Factor H autoantibodies associated with atypical hemolytic uremic syndrome. J Am Soc Nephrol 2005;16:555-563. |
| SAMPLE REPORT | Upon request |
| NEW YORK STATE APPROVED | Yes |
Test Codes
| ORDER CODE | P3358 |
| CPT CODE | 83516 |
| LOINC CODE | 4519-5 |