Ordering Recommendations

Useful as a component of the diagnosis of Celiac disease and for monitoring patient compliance with a gluten free diet. This test is intended as an aid in the diagnosis and monitoring of Celiac disease and is not definitive in isolation.

Collection Container

Collect

2 mL Serum, Gold (SST) top tube

Pediatric Collection

This assay has not been validated for pediatric population.

Storage/Transport Temperature

Ambient or refrigerated

Stability (from collection to initiation)

Refrigerated 48 hours;Otherwise aliquot and freeze at -20C.

Unacceptable Conditions

Grossly hemolyzed, icteric or lipemic samples as well as samples containing particulate matter or exhibiting obvious microbial contamination.

Processing - HUP

Spin specimen 7-10 minutes. Hold for Immunology.

Processing - PAH

Spin 7-10 minutes. Prepare specimen for courier pickup

Processing - Presbyterian

Spin 7-10 minutes. Prepare specimen for courier pickup.

Processing - HUP Cedar

Spin 7-10 minutes. Prepare specimen for courier pickup.

Reference Interval

0-19 units

Interpretive Data and Information

Negative: 0-19 units
Weak positive: 20-30 units
Moderate to Strong positive: >30 units

Testing Limitations

False positive results can occur in other gastrointestinal disorders, e.g., milk protein intolerance and post infection malabsorption.

Clinical Significance

A negative Gliadin IgA result in an untreated patient does not rule out gluten-sensitive enteropathy, particularly when associated with high levels of gliadin IgG antibodies. The finding often results from selective IgA deficiency, a relatively frequent finding in Celiac disease. In treated patients known to express IgA antibodies, Gliadin IgA antibody levels represent a better indicator of dietary compliance than Gliadin IgG antibody levels.

CPT Codes

83516

LOINC

  • 63453-5
  • 63459-2
Collection & Processing

Ordering Recommendations

Useful as a component of the diagnosis of Celiac disease and for monitoring patient compliance with a gluten free diet. This test is intended as an aid in the diagnosis and monitoring of Celiac disease and is not definitive in isolation.

Collection Container

Collect

2 mL Serum, Gold (SST) top tube

Pediatric Collection

This assay has not been validated for pediatric population.

Storage/Transport Temperature

Ambient or refrigerated

Stability (from collection to initiation)

Refrigerated 48 hours;Otherwise aliquot and freeze at -20C.

Unacceptable Conditions

Grossly hemolyzed, icteric or lipemic samples as well as samples containing particulate matter or exhibiting obvious microbial contamination.
CR&P Information

Processing - HUP

Spin specimen 7-10 minutes. Hold for Immunology.

Processing - PAH

Spin 7-10 minutes. Prepare specimen for courier pickup

Processing - Presbyterian

Spin 7-10 minutes. Prepare specimen for courier pickup.

Processing - HUP Cedar

Spin 7-10 minutes. Prepare specimen for courier pickup.
Result Interpretation

Reference Interval

0-19 units

Interpretive Data and Information

Negative: 0-19 units
Weak positive: 20-30 units
Moderate to Strong positive: >30 units

Testing Limitations

False positive results can occur in other gastrointestinal disorders, e.g., milk protein intolerance and post infection malabsorption.

Clinical Significance

A negative Gliadin IgA result in an untreated patient does not rule out gluten-sensitive enteropathy, particularly when associated with high levels of gliadin IgG antibodies. The finding often results from selective IgA deficiency, a relatively frequent finding in Celiac disease. In treated patients known to express IgA antibodies, Gliadin IgA antibody levels represent a better indicator of dietary compliance than Gliadin IgG antibody levels.
Testing Updates
Billing Codes

CPT Codes

83516

LOINC

  • 63453-5
  • 63459-2

Ordering Information

Cerner Orderable
Gliadin Antibodies; GLIADIN
Penn Chart Orderable
Gliadin Antibodies, GLIADIN
Performing Lab
Immunology
Performed
Twice per week
Reported
1-4 days
Methodology
Enzyme-Linked Immunosorbent Assay (ELISA)
Synonyms
  • Anti-gliadin peptide antibodies, Gliadin IgA DGP, Gliadin IgG DGP, Celiac antibodies, Deamidated Gliadin Peptide Antibodies
  • Celiac Panel