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Sorted By Test Name - Mayo Medical Laboratories

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80326<br />

BDIAL<br />

83094<br />

night sweats. It commonly spreads to the skin, bone, or internal genitalia where suppuration and<br />

granulomas are typical. Occasionally, primary cutaneous lesions after trauma are encountered; however,<br />

this type of infection is uncommon. Central nervous system disease is uncommon.<br />

Useful For: Detection of antibodies in patients having blastomycosis<br />

Interpretation: A positive result is suggestive of infection, but the results cannot distinguish between<br />

active disease and prior exposure. Furthermore, detection of antibodies in cerebrospinal fluid may reflect<br />

intrathecal antibody production, or may occur due to passive transfer or introduction of antibodies from<br />

the blood during lumbar puncture. Routine fungal culture of clinical specimens (eg, cerebrospinal fluid) is<br />

recommended in cases of suspected blastomycosis involving the central nervous system.<br />

Reference Values:<br />

Negative<br />

Clinical References: Kaufman L, Kovacs JA, Reiss E: Clinical Immunomycology. In Manual of<br />

Clinical and Laboratory Immunology. Edited by NL Rose, E Conway-de Macario, JD Folds, et al.<br />

Washington, DC, American Society for Microbiology, 1997, pp 588-589<br />

Bleach Stain<br />

Useful For: Method for removal of melanin pigment<br />

Reference Values:<br />

The laboratory will provide a pathology consultation and stained slide.<br />

Bleeding Diathesis Profile, Limited<br />

Clinical Information: Bleeding problems may be associated with a wide variety of coagulation<br />

abnormalities or may be due to problems not associated with coagulation (trauma and surgery as obvious<br />

examples). A partial listing of causes follows. -Deficiency or functional abnormality (congenital or<br />

acquired) of any of the following coagulation proteins: fibrinogen (factor I), factor II (prothrombin),<br />

factor V, factor VII, factor VIII (hemophilia A), factor IX (hemophilia B), factor X, factor XI (hemophilia<br />

C; bleeding severity not always proportionate to factor level), factor XIII (fibrin-stabilizing factor), von<br />

Willebrand factor (VWF antigen and activity), and alpha-2 plasmin inhibitor and plasminogen activator<br />

inhibitor (PAI-I; severe deficiency in rare cases). Neither alpha-2 plasmin inhibitor nor PAI-I are included<br />

as a routine bleeding diathesis assay component, but either can be performed if indicated or requested.<br />

-Deficiency (thrombocytopenia) or functional abnormality of platelets such as congenital (Glanzmann<br />

thrombasthenia, Bernard-Soulier syndrome, storage pool disorders, etc) and acquired (myeloproliferative<br />

disorders, uremia, drugs, etc) disorders. Platelet function abnormalities cannot be studied on mailed-in<br />

specimens. -Specific factor inhibitors (most commonly directed against factor VIII); factor inhibitors<br />

occur in 10% to15% of the hemophilia population and are more commonly associated with severe<br />

deficiencies of factor VIII or IX (antigen

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