Lab Guide
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Test ID: RF
Rheumatoid Factor
Useful For

To help diagnose the presence of an autoimmune disease such as rheumatoid arthritis (RA).

 

Method name and description

Immunoturbidimetric assay

Immunoturbidimetric assay performed on the Roche cobas c-systems. Latex‑bound heat‑inactivated IgG (antigen) reacts with the RF‑antibodies in the sample to form antigen/antibody complexes which, following agglutination, are measured turbidimetrically.

 

Reporting name

RF

Clinical information

Rheumatoid factors are a heterogeneous group of autoantibodies which aid in diagnosis of rheumatoid arthritis, but can also be found in other inflammatory rheumatic diseases and in various non‑rheumatic diseases. The detection of rheumatoid factors is a diagnostic criterion of the American College of Rheumatology for classifying rheumatoid arthritis. 

 

 

Aliases

Rheumatoid Factor , RF

Specimen type / Specimen volume / Specimen container

Specimen type: Serum, Plasma

Minimum volume of sample: 1 mL

Serum: Plain tube (red or yellow top)

Plasma: Li‑heparin tube

Collection instructions / Special Precautions / Timing of collection

Collect blood by standard venipuncture techniques as per specimen requirements. When processing samples in primary tubes (sample collection systems), follow the instructions of the tube manufacturer.

Storage and transport instructions

Storage: 1 day at 20 – 25°C

               8 days at 4 – 8°C;

               3 months at ‑20 °C 

Transport: 4-25°C 

Specimen Rejection Criteria

Grossly hemolyzed, icteric and lipemic samples, wrong collection container, insufficient sample.

Biological reference intervals and clinical decision values

< 14 IU/mL

Factors affecting test performance and result interpretation

In very rare cases, gammopathy, in particular type IgM (Waldenström’s macroglobulinemia), may cause unreliable results.

Turnaround time / Days and times test performed / Specimen retention time

Daily (24/7)

Turn-around time:

Routine: One working day

Specimen Retention: 4 days