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Test Name:
Treponema pallidum Antibody, by TP-PA


  • SBMF No:
    44254
  • Performance Lab Name:
    ARUP Laboratories
  • Test Mnemonic:
    MHA-TP
  • ABN:
    Not required
  • CPT Code:
    86780
  • LOINC Code:
    24312-1
  • Ref Lab Test No:
    0050777
  • Also Known As:
    Syphilis Antibody by MHA
    Syphilis Serology
    T. pallidum Antibody by MHA (MHA-TP)
    TP-PA
  • Also See:
    28244 Treponema pallidum IgG Antibody, by MFI, with RPR Titer if Indicated
    28030 Treponema pallidum IgG Antibody (FTA-ABS), Serum
  • Spec Type:
    Serum
  • Spec Container:
    Gold top (SST) or red top (serum) tube
  • Alt Spec Type:
    Plasma
  • Alt Spec Container:
    Light green top (PST) tube or green top (heparin) tube
  • Pref Vol:
    1.0 mL
  • Min Vol:
    0.1 mL
  • Fasting:
    No
  • Spec Collect:
    Routine venipuncture
  • Spec Process:
    Serum sample tubes, clot 30 minutes
    Promptly centrifuge 15 minutes
    Immediately transfer serum or plasma to separate plastic tube
  • Spec Store Transport:
    Refrigerated
  • Spec Stability:
    After separation from cells:
    2 days room temperature (20-30°C)
    2 weeks refrigerated (2-8°C)
    1 year frozen (-20°) – Do not use frost-free units that undergo repeated freeze/thaw cycles)
  • Spec Reject:
    CSF or other body fluids
  • Spec Remarks:
    Separate serum or plasma from cells ASAP
  • Methodology:
    Semi-Quantitative Particle Agglutination
  • Clinical Significance:
    Refer to:
    ARUP Consult | The Physician's Guide to Laboratory Test Selection and Interpretation
  • Reference Range:

    Nonreactive

    Note:
    TP-PA is a helpful diagnostic aid for the patient with a reactive reagin test, but presents with atypical signs of primary, secondary, or late syphilis. TP-PA compares favorably with the FTA test, but appears slightly less sensitive in cases of untreated early primary syphilis. In late syphilis, the agreement with FTA is 99%.

    VDRL is the preferred test for cerebrospinal fluid. Treponemal tests (TP-PA or FTA) are not recommended for CSF. FTAs on CSF may be tested, but TP-PA cannot be tested on CSF.

  • Day Run:
    Mon-Fri
  • Time Reported:
    2-5 days
  • Test Type:
    INFECTIOUS ANTIBODY