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fluorescent treponemal antibody absorption test (FTA, FTA-ABS)
Indications:
- syphilis
Principle:
- treponemal serologic tests used in the diagnosis of syphilis include:
- fluorescent treponemal antibody absorption test (FTA)
- microhemagglutination Treponema pallidum test (MHA-TP)
- TP-PA indirect fluorescent antibody
- these tests are based upon detection of treponemal antigens
Clinical significance: Sensitivity (serum):
- primary: 70-100%
- secondary: 100%
- tertiary: 96%
Methods:
- in the FTA, heated serum is mixed with a sonicate of non-pathogenic Reiter treponemes to remove non-specific antibodies
- it is placed on a microscope slide to which Treponema pallidum is fixed
- slides are incubated, stained with fluorescein-labeled anti-human globulin & viewed by fluorescence microscopy
Notes:
- for Loincs, see Treponema pallidum Ab in Serum by Immunofluorescence
Related
syphilis
Specific
fluorescent treponemal IgG absorption test
fluorescent treponemal IgM absorption test
General
treponemal serologic test for syphilis
References
- Clinical Diagnosis & Management by Laboratory Methods,
19th edition, J.B. Henry (ed), W.B. Saunders Co.,
Philadelphia, PA. 1996, pg 1186
- T.Pallidum Ab, IgG (FTA-ABS)
Laboratory Test Directory ARUP: 50477