Lupus Anticoagulant LA test - Na Citrate
Also Known As
Test Parameters Included
- Lupus Anticoagulant Screening, Mixing, and Confirmation Results (ratio/normalised)
- Pathologist Haematology Remark - interpreted against ISTH guidelines for antiphospholipid syndrome diagnosis
Department
Methodology
Sample Required
Preparation
Schedule Report
24 Hours
Emergency Report
Yes
Frequently Asked Questions
What is a Lupus Anticoagulant test?
It is a specialised clotting test that detects lupus anticoagulant antibodies, which are autoantibodies targeting phospholipid-binding proteins. Despite the name, these antibodies are associated with clotting risk, not bleeding.
Why is citrate plasma required for this test?
Citrate plasma is used because it preserves coagulation factors accurately. Calcium is chelated during collection and must be carefully re-added during the assay to ensure precise clot-based measurements.
What conditions is this test used to diagnose?
Lupus anticoagulant testing is a key diagnostic criterion for antiphospholipid syndrome (APS), which causes recurrent thrombosis and pregnancy complications such as miscarriages. It may also be seen in autoimmune conditions like SLE.
How long does the test take?
The LA test involves screening, mixing, and confirmation steps across multiple coagulation platforms. Turnaround time is typically 24 to 48 hours at Dr. Patho Labs.
Does fasting affect Lupus Anticoagulant results?
No, fasting is not required for this test. However, certain medications like warfarin and direct oral anticoagulants can interfere with results, so inform your doctor before testing.
How is the report interpreted?
Results are reported as a normalised ratio from dilute Russell viper venom time (dRVVT) and silica clotting time (SCT). A prolonged screening ratio that fails to correct on mixing and is confirmed on the confirmatory step indicates a positive lupus anticoagulant.
Test Description
Test Code
L19
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