Centrul Medical Biotest


VIII. IMUNOLOGIE

Ac heterofili Ebstein-Barr (Mononucleoza infectioasa)
ASLO
ASLO cantitativ
Proteina “C” reactiva
Proteina “C” reactiva cantitativa
Factor rheumatoid
Factor rheumatoid cantitativ
Helicobacter pylori
Helicobacter pylori cantitativ
Riketssia i
Complement C3
IgA
IgG
IgM
Crioglobuline
Factor antinuclear
VDRL
TPHA
Ac anti CCP (marker pentru artrita reumatoida)
HLA B27
Ac. anti ADN dublu catenar
Ac anti fosfolipidici IgG (sterilitate)
Ac anti fosfolipidici IgM (sterilitate)
Ac anti cardiolipinici IgG (trombofilie)
Ac anti cardiolipinici IgM ( trombofilie)


IX. AUTOIMUNITATE

CCP hs (high sensitive) ( marker de mare specificitate in Artrita reumatoida )
Anti- ANA screen (colagenoze:LES, Sclerodermie, polimiozita,dermatomiozita, S.Sojogren,fibroza pulmonara, boala mixta de tesut conjunctiv)
Anti ds DNA screen : ( LES, Artrita reumatoida,)
Anti ds DNA Detect : (LES, boli autoimune)
Anti ds DNA IgA
Anti ds DNA IgM
Anti ds DNA IgG
Anti ss DNA : ( AND monocatenar): boli autoimune
Anti Histon : LES indus medicamentos
Anti –SS- A (Ro) (S.Sjogren, LES)
Anti –SS- B(La) ( Lupus neonatal , S.Sjogren)
Anti –Sm : specificitate mare in suspiciune de LES ( Lupus eritematos)
Anti Cardiolipinici IgM/IgG: detectarea SPL (sindrom fosfolipidic- a riscului de tromboza, a efectului procuagulant (venoasa, arteriala), la gravide, preoperator etc.)
Anti –Scl-70: ( Sclerodermia sistemica difuza )
Anti –Jo -1 : marker serologic pt. dermatomiozita, polimiozita,
Anti Fosfolipidici IgM/IgG: detectarea SPL (sindrom fosfolipidic- a riscului de tromboza, a efectului procuagulant (venoasa, arteriala), la gravide, preoperator etc.)
Anti –PR3(c ANCA): vasculite autoimune(plamani, rinichi) (granulomatoza Wagner
Anti –MPO(p ANCA) GNA (glomerulonefrita autoimuna), sindr.GodPasture
Factor rheumatoid IgA: marker PR precoce, progresie radiologica rapida si manifestari extraarticulare
Factor rheumatoid IgG: marker PR (precede aparitia manifestarior clinice cu multi ani inainte).
Factor rheumatoid IgM: clasifica PR in sero -pozitiva si sero-negativa
HLA B27 Spondilita anchilopoietica
Anti Borelia IgM : b.Lime
Anti Borelia IgG : b.Lime
25-OH-Vitamin D3/D2 : osteoporoza, hiperparatiroidism, imunomodulator, rezistenta la insulina
Anti LKM1 : hepatita autoimuna ( pacientii cu HCV si cu LKM1 pozitiv nu raspund la interferon!!)
Anti Centromer B precoce in slerodermie, si in ciroza biliara primitiva
Anti SLA hepatita autoimuna tip 1(evolutie severa) , impreuna cu Anti ANA /ASMA
Anti C1q (CIC) glomerulonefrita, boala Crohn, colita ulcerativa, boli reumatismale sistemice cu complicatii vasculitice (lupus eritematos sistemic poliartrita reumatoida), infectii virale, bacteriene sau parazitare ca si in alergii, afectiuni cronice ale pielii si boli neurologice.

Anti SS-A(Ro) + Anti SS-A(La) = prezenti 100% in LES neonatal : (exanteme fotosensibile, malformatii cardiace : bloc a-ventricular, citopenie
Anti Sm + ADN dc = patognomonic pentru LES
Ciroza biliara primitiva = Anti gp210, Anti p62, Anti sp 100, Anti centromer


X. MARKERI HORMONALI

Anti-TG(Anti antitiroglobulina)(b.Basedow)
FT4
T4
FT3
T3
TSH
Anti TPO(b.Basedow)
Testosteron infertilitate
DHEA (dehidroepiandrosteron) infertilitate
Estradiol
Free Estriol
FSH
LH
Progesteron
Prolactina(amenoree, infertilitate)
HCG monitorizare sarcina
Free β HCG
Cortizol(suprarenala, Cushing, hirsutism)
Parathormon (osteoporoza)
Calcitonina (cancer de san, tumori tiroidiene)
HGH (hormon de crestere )
IGF-1 (somatomedin C)
PAPP-P
Dublu test (Free β HCG + PAPP-P) sapt. 9-13, cu interpretarea statistica a riscului
Triplu test (Free Estriol + HCG + Alfa fetoproteina) sapt. 14-21, cu interpretarea statistica a riscului
TORCH (Toxoplasma/Rubeola/Citomegalovirus/Herpes IgG si IgM)
17 α-hidroxi progesteron


XI. MICROBIOLOGIE

Exudat faringian
Exudat nazal
Raclaj lingual
Examen micologic
Secretie conjunctivala
Sputa-cultura
Frotiu secretie vaginala
Secretie prostatica
Cultura
Antibiograma
Antifungigrama
Mycoplasma hominis si Ureaplasma urealytica
Chlamydia trachomatis - Ag. Secretie
Citologie Papa-Nicolau


XII. URINA

Urocultura
Antibiograma urocultura
Examen complet(biochimie + sediment)


XIII. MATERII FECALE

Antigen Giardia (ELISA)
Coprocultura
Antibiograma coprocultura
Adeno-rotavirusuri
Criptosporidium
Examen coproparazitologic
Hemoragii oculte
Helicobacter pylori
Coprocitograma
Campilobacter


XIV. BIOLOGIE MOLECULARA

Viremie ARN/HCV (RT-PCR)
Viremie ADN-HBV (RT-PCR)
HPV (human papiloma virus)
genotipare high risc cancer col uterin (16,18,31,33,35,39,45,51,52,56,58,59)
HLA B27 ( Spondilita anchilopoietica)

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