Description

The drug interacts with the neutrophil causing a conformational change that reveals a previously hidden neutrophil membrane epitope. The immune system attacks this epitope - so the antibody is against the neutrophil, not the drug. Testing takes washed neutrophils (not the patient's neutrophils) and tests the patient's serum for antibodies against the neutrophils in the presence of the drug in question. Patient's serum is tested with and without the drug, and the test is positive when the difference (or ratio) of the two reaches a particular level. This is important because it is believed to be the cause of some forms of immune neutropenia and testing is usually done to assess the possibility that a given drug has caused the neutropenia. However stopping the drug usually reverses the neutropenia and may speak for itself. Flow cytometry is a common if not the most common way to test for this phenomenon. The culprit is mostly IgG antibodies, but IgM and IgA have also been implicated. Per a lab with much experience with these tests the presence of drug dependent antibodies against WBCs are very rare compared the analogous phenomena with platelets. For drugs other than quinine they find a positive WBC drug dependent antibody only once every 2-3 years. Source: Regenstrief Help

Basic Part Properties

Part Name
induced neutrophil Ab.IgM
Part Display Name
induced neutrophil IgM
Part Type
Suffix
Created On
2013-03-27
Construct for LOINC Short Name
(neut) IgM

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CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=LP172766-0

Language Variants Get Info

TagLanguageTranslation
zh-CNChinese (China)诱导型嗜中性粒细胞抗体.IgM
Synonyms: 诱导型(诱导性、诱发型)嗜中性粒细胞(中性粒细胞)抗体.IgM
es-ESSpanish (Spain)Acs. IgM neutrófilos inducidos
it-ITItalian (Italy)Ab.IgM neutrofili indotti da
tr-TRTurkish (Turkey)uyarılmış nötrofil Ab.IgM
ru-RURussian (Russian Federation)индуцированный нейтрофил Ат.IgM
nl-NLDutch (Netherlands)geïnduceerd neutrofiel As.IgM
fr-FRFrench (France)Polynucléaires neutrophiles anticorps IgM induits
pl-PLPolish (Poland)indukowane Ab do neutrofilów.IgM
el-GRGreek (Greece)επαγόµενα αντισώματα ουδετερόφιλων.IgM
Synonyms: επαγόµενα αντισώματα ουδετερόφιλων.IgM