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Anti-Soluble Liver Antigen (SLA) Antibody Test

About Anti-Soluble Liver Antigen (SLA) Antibody test

The anti-soluble liver antigen (SLA) antibody test is a diagnostic test used to detect antibodies targeting soluble liver antigens. Soluble liver antigens are proteins found in the liver cells, and the immune system normally does not target them. Elevated levels of these anti-soluble liver antigen (SLA) antibodies indicate autoimmune liver diseases, particularly autoimmune hepatitis (AIH). AIH occurs when the immune system mistakenly attacks the liver, leading to inflammation and damage.

This test aids in early detection and appropriate management of autoimmune liver disorders.

Symptoms of autoimmune hepatitis

The common symptoms of autoimmune hepatitis include

Fatigue

Fatigue

Nausea

Nausea

Loss of appetite

Loss of appetite

Muscle aches

Muscle aches

Fever

Fever

Jaundice

Jaundice

Dark coloured urine

Dark coloured urine

Stomach pain

Stomach pain

Confusion

Confusion

Muscle or joint aches

Muscle or joint aches

Skin rashes

Skin rashes

Who should get tested?

The anti-soluble liver antigen test is recommended for the following conditions

To determine whether symptoms caused are related to an autoimmune hepatitis or not

To determine whether symptoms caused are related to an autoimmune hepatitis or not

To differentiate type 1 and type 2 autoimmune hepatitis

To differentiate type 1 and type 2 autoimmune hepatitis

To detect the level of autoimmune antibodies in blood

To detect the level of autoimmune antibodies in blood

To monitor an effective treatment plan for autoimmune hepatitis

To monitor an effective treatment plan for autoimmune hepatitis

Test Preparation

No special preparation is required for this test. Ensure your doctor is aware of any prescription drugs, over-the-counter medicines, or dietary supplements you are taking, as some medications can have an impact on your liver. Additionally, ask your doctor for details about pre-test preparations, and make sure to follow their instructions closely.

Interpretation of the results

Antibodies Range (Units)

 Interpretation

0.0 - 20.0 U

Negative

20.1 - 24.9 U

Equivocal

>or=25.0 U

Positive

 

 

The result may be given as positive or negative, based on the level of antibodies.

Positive result

A positive result indicates the presence of anti-SLA antibodies in the blood, which suggests that the individual may have autoimmune hepatitis or other autoimmune liver conditions.   Further evaluation and consultation with a healthcare professional are essential to determine the specific diagnosis and appropriate management.

Negative result

A negative result indicates the absence of anti-SLA antibodies in the blood, which implies that the individual's symptoms are not caused by autoimmune hepatitis. However, it is important to note that a negative result does not completely exclude the possibility of liver disease, as the test may not always detect other non-autoimmune liver conditions or early stages of autoimmune diseases. Therefore, it is necessary to consult a healthcare professional for a thorough evaluation of your health status.

FAQs

How is the anti-SLA antibody test performed?

A blood sample is used for this test. This sample is obtained by using a needle to draw blood from a vein in your arm. Subsequently, the collected sample is sent to the laboratory for analysis.

Are there any risks involved with the anti-SLA antibody test?

This test involves negligible risk.  Following the needle prick on your arm, you may feel a slight sting or discomfort. It is possible for the area to remain painful afterwards. Occasionally, there may be bruising or bleeding around the site where the needle was inserted.

How long should I wait for the anti-SLA antibody test results?

The anti-SLA antibody test results are usually available within 5 days after the sample collection. This duration may vary depending upon the diagnostic clinic.

Can anti-SLA antibody levels change over time?

Anti-SLA levels can change over time, particularly with treatment. It is essential to monitor the fluctuations in anti-SLA levels, particularly during the course of treatment. Regular check-ups enable healthcare professionals to adapt strategies, ensuring a more accurate understanding of the individual's response to treatment and overall health status.

What should I do if I test positive for the anti-SLA antibody test?

If you receive a positive result for anti-SLA antibody test, it is essential to consult with a gastroenterologist or hepatologist for guidance. This will allow you to comprehend the test results and aid healthcare professionals in devising an efficient management strategy.

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