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Laboratory: Clinical Immunology
Test Name:
COMPLEMENT ACTIVITY, TOTAL - (S)
Test Code: CH50
Clinical Information:
Alternate Name(s): CAE, CAE total, CH50, Complement CH100 Total, Total Complement, Total Complement CH100, Total Complement CH50, Total Hemolytic Complement Activity

CH50 testing is useful for detection of individuals with an ongoing immune process and is the first-order screening test for congenital complement deficiencies.
 
CH50 values below the reference range may indicate a deficiency in one or more of the components of complement. To obtain more definitive information, abnormal specimens should be assayed for levels of the individual components (C1 to C9). Elevated values of CH50 are associated with inflammation or infection. Reduced values may result from consumption of complement by immune complexes or a hereditary deficiency of a complement component. Patients with certain rheumatic diseases, especially with active SLE, may have a low total complement level. Because some complement components are unstable during processing, shipment, or storage, it is prudent to confirm an unexpectedly low value of CH50 by repeating the test on a new sample.
 
Values should be used in conjunction with other laboratory and clinical findings.
Collection Devices:
Specimen Required:
Serum: 1.0 mL

CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Frozen: 28 days
Frozen at -60 to -80°C
Referral:
Serum: 1.0 mL

Shipping & Storage: Separate serum within one (1) hour of collection.  Immediately freeze and store aliquot at-60 to -80°C.  If sample cannot be frozen at -60 to -80°C and shipped on dry ice, freeze at
-18 to -24°C and ship frozen.

Testing Laboratory (MB): Health Sciences Centre Immunology Laboratory
Requisition:
Reference Values:
Adult 19+: 41.68 – 95.06 U/ml
 
Adult reference values adopted from Binding Site, Optilite CH50 Reagent, INSR95.OPT, ver 16th June 2017.
 
Reference values have not been established for patients that are less than 19 years of age. 

Method of Analysis: Turbidimetry – Binding Site Optilite
Availability:
Within 1 Week
See Also:
More Information:
Reportable Range: 12.50 – 100.00 U/ml