Anti Phospholipid Antibodies Report Format

Pathology
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What is the Anti Phospholipid Antibody Test?

Anti phospholipid antibody tests detect autoantibodies directed against phospholipids or associated proteins. These antibodies are linked with clotting disorders, pregnancy loss, and autoimmune diseases such as antiphospholipid syndrome (APS) and lupus.

What is an Anti Phospholipid Antibodies Report Format?

This report presents the levels of specific antiphospholipid antibodies, usually including anti-cardiolipin (aCL), anti-beta-2 glycoprotein I (β2GPI), and lupus anticoagulant (LA), aiding in the diagnosis of APS.

Tests Included in Anti Phospholipid Antibodies Report

Test

Description

aCL IgG/IgM

Detects anti-cardiolipin antibodies associated with thrombosis or pregnancy complications.

β2GPI IgG/IgM

Measures antibodies to beta-2 glycoprotein I, highly specific for APS.

Lupus Anticoagulant (optional)

Functional assay identifying clotting abnormalities caused by phospholipid antibodies.

Key Parts of an Anti Phospholipid Antibodies Report

Key Part

Description

Antibody Type

Indicates whether IgG or IgM antibodies were tested.

Measured Level

Quantitative result in GPL/MPL or standardized units.

Reference Range

Cut-offs used to classify results as negative, low positive, or high positive.

Result Status

Classified based on clinical significance.

Interpretation

Explains if levels suggest increased clotting risk or autoimmune activity.

Normal Range for Anti Phospholipid Antibodies Report

Test

Negative

Borderline

Positive

aCL IgG/IgM

<12 GPL/MPL

12–19 GPL/MPL

≥20 GPL/MPL

β2GPI IgG/IgM

<20 U/mL

20–39 U/mL

≥40 U/mL

Parameters to Consider in Anti Phospholipid Antibodies Report

Parameter

Interpretation

Isotype (IgG vs IgM)

IgG is more strongly associated with clinical events like thrombosis.

Antibody Level

High levels or persistently positive results have more clinical relevance.

Repeated Testing

Two positive results 12 weeks apart confirm persistent positivity.

Combined Positivity

Positivity in more than one marker increases the risk of APS.

Guidelines for Anti Phospholipid Antibodies Report Format

Guideline

Description

Standardized Units

Use GPL, MPL, or U/mL with lab-specific cutoffs.

Testing Interval

Repeat testing after 12 weeks for confirmation.

Clinical Context

Correlate results with thrombotic events, miscarriages, or autoimmune symptoms.

What Do the Results Mean?

Result Type

Interpretation

Negative

No significant antiphospholipid antibodies detected.

Borderline

May require repeat testing for confirmation.

Positive

Suggests increased risk for thrombosis or recurrent pregnancy loss—clinical follow-up recommended.

Anti Phospholipid Antibodies Report Interpretation

Test

Interpretation

aCL / β2GPI

Detects autoantibodies linked to blood clotting disorders and autoimmune syndromes like APS. Persistent high values warrant clinical attention.

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