| Laboratory: | Clinical Biochemistry (SBH ONLY - AUTO) | ||||
| Test Name: | 
			 TSH RECEPTOR ANTIBODY (TRAb) - (S) 
	Test Code:
	TRAB
 
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| Clinical Information: | 
			
	 Description: TRAb is an autoantibody to the thyroid cell receptor for TSH and observed in 90% patients with Graves’ disease.  
	
	
		
 TRAb measurements may be useful in following: · Diagnosis of clinically suspected Graves’ disease · Assessment of the neonatal thyrotoxicosis risk in a fetus of female with Graves’ disease (active or treated) · Diagnosis of gestational thyrotoxicosis / recurrent Graves’ disease / normal first trimester of pregnancy · Graves’ disease relapse in treated patient · Differential diagnosis of thyrotoxicosis in patients with unclear biochemical findings or pregnancy. 
 Patient preparation instructions: Avoid high biotin doses (i.e. > 300 mg/day) for three days prior to specimen collection. 
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| Collection Devices: | 
			
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| Specimen Required: | 
			
	 
				Serum: 1.0 mL
			 
			
				
					Pediatric  Serum: 0.5 mL
				
			 
		
		
			Specimen Stability: Refrigerated: 7 days Frozen: 1 year  | 
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| Referral: | 
			 		
				Serum: 1.0 mL		
			 
			
		Testing Laboratory (MB): St. Boniface Hospital – Clinical Biochemistry Lab 
	
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| Requisition: | |||||
| Reference Values: | 
				
	 Reference Intervals: <1.8 IU/L 
			Interpretation: Results ³1.8 IU/L have sensitivity of 97% and specificity of 99% for Graves’ disease. Method of Analysis: Roche Electrochemiluminescence  | 
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| Availability: | 
			 Within 1 Week 
			
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| See Also: | |||||
| More Information: |