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Sorted By Test Name - Mayo Medical Laboratories

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FDIRU<br />

57280<br />

FDM1<br />

91592<br />

ADNA<br />

8178<br />

Interpretation: Therapeutic concentration is 2.0 to 5.0 mcg/mL. Arrhythmias may occur at<br />

concentrations 5.0<br />

mcg/mL. Severe toxicity occurs with values > or =7.0 mcg/mL.<br />

Reference Values:<br />

Therapeutic: 2.0-5.0 mcg/mL<br />

Toxic: > or =7.0 mcg/mL<br />

Clinical References: 1. Valdes R JR, Jortani SA, Gheorghiade M: Standards of laboratory practice:<br />

cardiac drug monitoring. National Academy of Clinical Biochemistry. Clin Chem 1998;44(5):1096-1109<br />

2. Disopyramide In Physicianâ€s Desk Reference. November, 2009<br />

Diuretic Screen, Urine<br />

Reference Values:<br />

Negative<br />

Qualitative diuretic screen includes: benzthiazide, bumetanide, chlorothiazide, chlorthalidone,<br />

furosemide, hydrochlorothiazide, hydroflumethiazide, and metolazone.<br />

<strong>Test</strong> Performed <strong>By</strong>: Medtox <strong>Laboratories</strong><br />

402 W. County Road D<br />

St. Paul, MN 55112<br />

DM1 DNA<br />

Reference Values:<br />

A final report will be faxed under separate cover.<br />

<strong>Test</strong> Performed by Athena Diagnostics<br />

377 Plantation Street<br />

Four Biotech Park<br />

Worcester, MA 01605<br />

DNA Double-Stranded (dsDNA) Antibodies, IgG, Serum<br />

Clinical Information: Double-stranded (ds, native) DNA (dsDNA) antibodies of the IgG class are an<br />

accepted criterion (American College of Rheumatology) for the diagnosis of systemic lupus<br />

erythematosus (SLE).(1-3) dsDNA antibodies are detectable in approximately 85% of patients with<br />

untreated SLE, and are rarely detectable in other connective tissue diseases. Weakly-positive results<br />

caused by low-avidity antibodies to dsDNA are not specific for SLE and can occur in a variety of<br />

diseases. <strong>Test</strong>ing for IgG antibodies to dsDNA is indicated in patients who have a positive test for<br />

antinuclear antibodies (ANA) along with signs and symptoms that are compatible with the diagnosis of<br />

SLE.(2) If the ANA test is negative, there is no reason to test for antibodies to dsDNA.(2) The levels of<br />

IgG antibodies to dsDNA in serum are known to fluctuate with disease activity in lupus erythematosus,<br />

often increasing prior to an increase in inflammation and decreasing in response to therapy.(1,2) See<br />

Connective Tissue Disease Cascade (CTDC) in Special Instructions.<br />

Useful For: Evaluating patients with signs and symptoms consistent with lupus erythematosus (LE)<br />

Monitoring patients with documented LE for flares in disease activity<br />

Interpretation: A positive test result for double-stranded DNA (dsDNA) antibodies is consistent with<br />

the diagnosis of systemic lupus erythematosus. A reference range study conducted at the <strong>Mayo</strong> Clinic<br />

demonstrated that, within a cohort of healthy adults (n=120), no individuals between the ages of 18 and<br />

60 (n=78) had detectable anti-dsDNA antibodies. Above the age of 60 (n=42), 11.9% of individuals (n=5)<br />

had a borderline result for dsDNA antibodies and 4.8% of individuals (n=2) had a positive result.<br />

Current as of January 4, 2013 7:15 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong><strong>Laboratories</strong>.com Page 621

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