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J Clin Pathol 55:680-683 doi:10.1136/jcp.55.9.680
  • Original article

Immunofluorescent patterns produced by antineutrophil cytoplasmic antibodies (ANCA) vary depending on neutrophil substrate and conjugate

Table 1

Immunofluorescence patterns seen with four sera tested in 11 different laboratories

Laboratory PMN Serum dilution Conjugate dilution X Serum A Serum B Serum C Serum D
Neutrophil preparations and substrates from the same manufacturer have the same suffix; fluorescence is described as 0 to 3+; i0–3+, interlobular or central accentuation of cytoplasmic fluorescence; g0–3+, granularity of cytoplasmic fluorescence.
ANA, antinuclear antibody; C1–C6, conjugate preparations; H&L, antiserum against both heavy and light chains; P1–P3, neutrophil preparations; PMN, neutrophil preparations; X, magnification at which neutrophils were examined.
GRI P1 1/40 C4 IgG (H&L), prediluted 400 Cytoplasmic 3+, i2+, g3+ Cytoplasmic 2+, i+, g− Perinuclear with nuclear extension 3+, cytoplasmic 2+ Perinuclear rim only 3+
ARM P1 1/20 C5 IgG F(ab`)2, 1/100 400 Cytoplasmic 3+, i2+, g3+ Cytoplasmic 2+, i+, g+ Perinuclear with nuclear extension 3+, cytoplasmic 2+ Perinuclear rim only 3+
ALF P1 1/40 C1 IgG prediluted 600 Cytoplasmic 3+, i +, g+ Not done Perinuclear with nuclear extension 3+, cytoplasmic 2+ Perinuclear rim only 2+
STG P1 1/40 C1 IgG prediluted 250 Cytoplasmic 2+, i2+, g2+* Cytoplasmic 2+, i2+, g+ Perinuclear with nuclear extension 3+ Perinuclear rim only 3+
SOC P2 1/20 C2 IgG, IgA, IgM, prediluted 400 Cytoplasmic 2+, i+, g+ Cytoplasmic 2+, flat atypical, i−, g− Perinuclear with ? nuclear extension 3+ Perinuclear rim only 2+
RMH P2 1/40 C6 Ig F(ab`)2, 1/200 400 Cytoplasmic 2+, i2+, g+ Cytoplasmic 2+, i+, g− Perinuclear with nuclear extension 3+, ? cytoplasmic extension 1+ Perinuclear rim only 3+
IMM P3 1/20 C3 IgG (H&L) prediluted 400 Small cytoplasm, cytoplasmic 
 2+, i2+, g+ Cytoplasmic 2+, small cytoplasm, i+, g− Perinuclear with nuclear extension 3+ ? Perinuclear rim only 3+; almost cytoplasmic
FMC P3 1/40 C3 IgG (H&L) prediluted 600 Small cytoplasm, cytoplasmic 2+, i2+, g+ Cytoplasmic 2+, small cytoplasm, i+, g− Perinuclear with nuclear extension 3+ ? Perinuclear rim only 3+, ?cytoplasmic extension
RBH In house 1/10 C6 Ig (H&L), F(ab`)2 1/200 400 Cytoplasmic 3+, i+, g+ Cytoplasmic 2+, no outer margin, i +, g− Perinuclear with nuclear extension 3+ Perinuclear rim only 3+
STV In house 1/40 C5 IgG F(ab`)2, 1/1000 400 Cytoplasmic 3+, i2+, g+ Cytoplasmic 2+, i+, g+ Perinuclear with nuclear extension 3+ Cytoplasmic 3+ (i 2+, g 2+)
RPA In house 1/20 C1 IgG prediluted 400 Cytoplasmic 3+, i +, g− Cytoplasmic 2+, i+, g+ Perinuclear with nuclear extension 3+ Perinuclear rim only 3+

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