Streamline autoimmune disease diagnosis and care

with testing and insights across the patient journey

Early diagnosis and identification of autoimmune disorders can lead to the right treatment sooner1

50M

people living with autoimmune diseases in the US2

80%

of patients diagnosed with autoimmune diseases are women2

25%

of Americans who have autoimmune disease have more than one2

We deliver insights to help support diagnoses, treatment evaluation, and monitoring

Diagnosis:
Information to help you understand the cause of your patient’s symptoms

ANAlyzeR ANA IFA with Reflex Titer/Pattern, Systemic Autoimmune Panel 1

Leverages gold standard immunofluorescence assay (IFA) to evaluate 25 analytes from a single sample, streamlining diagnosis for 8 of the most common autoimmune conditions.

Rheumatoid Arthritis Diagnostics Panel 2

Combines mutated citrullinated vimentin (MCV) antibody with rheumatoid factor (RF) and cyclic citrullinated peptide (CCP) antibody to improve diagnostic sensitivity in the early diagnosis of rheumatoid arthritis (RA).

Treatment evaluation:
Know when your patient is ready for biologic therapy and which treatments to avoid

Pre-biologic panel

Includes guideline-recommended tests to evaluate patients for biologic or biosimilar therapy.

PrismRA®, offered in collaboration with Scipher Medicine®

PrismRA helps predict inadequate response to TNFα inhibitor (TNFi) therapies to help you find the right medication for your patients.

Treatment monitoring and management:
Personalize patient care for improved outcomes

Testing for effective levels of adalimumab, infliximab—and for antidrug antibodies to these TNFi therapies—may help you optimize each patient’s treatment.

Contact us

Let’s talk about how our testing portfolio can empower timely insights to help you make informed treatment decisions for more patients.

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We offer more than 150 tests and comprehensive panels to assist in the rapid diagnosis of key autoimmune diseases including rheumatoid arthritis, lupus, myositis, interstitial lung disease, systemic sclerosis, and more.

Innovative tests that cut through complexity

Our expansive portfolio of autoimmune tests uses state-of-the-art automation and gold standard IFA for antinuclear antibody (ANA) testing to help you diagnose autoimmune diseases.

The ANA Screen, IFA, Reflex Titer/Pattern, Panel 1 evaluates 25 analytes from a single sample to provide clear, positive identification of specific antibodies for the most common autoimmune rheumatic diseases.

This panel:

  • Utilizes IFA with HEp-2 cells, which remains the gold standard3
  • Tests for all analytes regardless of ANA results
  • Tests for RA, systemic lupus erythematosus (SLE), mixed connective tissue disease (MCTD), Sjögren's syndrome, systemic sclerosis (SSc), polymyositis/dermatomyositis, CREST syndrome, and neuropsychiatric SLE

The ANA, IFA, Cascade and Rheumatoid Arthritis Panel 2, with Reflexes from Quest Diagnostics provides clear, positive identification of specific antibodies for the 8 most common rheumatic diseases with 1 blood draw.

This panel:

  • Utilizes IFA with HEp-2 cells, which remains the gold standard3
  • Reflexes to tiered cascading of specific autoantibodies to maximize sensitivity and specificity
  • Tests for RA, systemic lupus erythematosus (SLE), mixed connective tissue disease (MCTD), Sjögren’s syndrome, systemic sclerosis (SSc), polymyositis/dermatomyositis, CREST syndrome, and neuropsychiatric SLE

RA and psoriatic arthritis can be difficult to diagnose clinically early in the disease process. MCV antibody, used in conjunction with rheumatoid factor (RF) and cyclic citrullinated peptide (CCP) antibody, may improve diagnostic sensitivity in the early diagnosis of RA.

Using 1 blood draw, our 13-antibody panel can help classify, evaluate, and differentially diagnose myositis. The inclusion of HMGCR and cN-1A antibodies aids in the diagnosis of more autoimmune myopathies than most standard panels. The autoantibodies included are Jo-1, cN-1A, HMGCR, PL-7, PL-12, EJ, OJ, SRP, Mi-2 Alpha, Mi-2 Beta, MDA-5, TIF-1y, NXP-2.

The Systemic Sclerosis (SSc) 12 Antibodies Panel 2 looks at several antibodies that are highly specific for SSc, including Scl-70, CENP-A, CENP-B, RP11, RP155, U1-snRNP RNP A, U1-snRNP RNP C, U1-snRNP RNP-70kd, fibrillarin, Th/To, PM/Scl-100, PM/Scl-75.

This panel:

  • Helps to provide a diagnosis of SSc
  • Helps physicians determine SSc type
  • Identifies organ involvement
  • Informs patient prognosis
  • Looks at antibodies that are present in overlap syndromes with SSc

This test helps evaluate risk of severe cutaneous adverse reactions (SCARs) to allopurinol, which is widely used to treat conditions associated with hyperuricemia such as uric acid kidney stones, uric acid neuropathy during chemotherapy, and gout.

This panel evaluates 20 biomarkers to aid the diagnosis of connective tissue diseases (CTDs) that are associated with the development of interstitial lung disease (ILD), including rheumatoid arthritis, inflammatory myositis, systemic sclerosis, and Sjögren’s syndrome.

The Pre-biologic panel from Quest Diagnostics includes tests recommended by American College of Rheumatology (ACR) and American College of Gastroenterology (ACG) guidelines for evaluating autoimmune patients prior to initiating therapy with biologics and/or biosimilars.

The panel includes tests for:

  • HBV screening
  • HCV screening
  • TB infection screening with interferon gamma release assay (IGRA)

PrismRA is a blood-based, precision medicine, molecular signature response classifier (MSRC) that predicts inadequate response to TNFi therapy in RA. Patients with a molecular signature of inadequate response can be directed to a treatment with an alternative mechanism of action.

Adalimumab and Infliximab Testing

Quest Diagnostics offers testing that provides unique insights on patient response to tumor necrosis factor (TNF) blockers, so you can personalize treatment strategy for the best outcome. These tests measure TNF blocker drug levels and/or anti-drug antibodies in patients with rheumatic diseases such as RA, plaque psoriasis, and psoriatic arthritis.

Beyond testing:
expertise and intuitive experiences

Medical experts to assist with test selection and results interpretation

Quanum® solutions help streamline your practice workflow and save your staff valuable time

Seamless connectivity with more than 850 EHRs

 

In-network with most major insurance providers

 

2,100 Patient Service Centers available nationwide

 

MyQuest® makes it easy for patients to get test results, schedule appointments, and more

On-demand webinars

Lab Testing for Overlapping Rheumatic Diseases: A Comprehensive Approach

Speaker: Dr Ara H Dikranian

Moderator: Dr Ann E Salm

Specialized Lab Testing for Myositis, Antisynthetase Syndrome, and Interstitial Lung Disease (ILD)

Speaker: Dr Alan Epstein

Moderator: Dr Ann E Salm

 

References
  1. Konforte D, Diamandis EP, van Venrooij WJ, et al. Autoimmune diseases: early diagnosis and new treatment strategies. Clin Chem. 2012;58(11):1510-1514. doi:10.1373/clinchem.2012.189480
  2. Autoimmune Association. What is autoimmunity? Accessed March 8, 2023. https://autoimmune.org/resource-center/about-autoimmunity/
  3. Agmon-Levin N, Damoiseaux J, Kallenberg C, et al. International recommendations for the assessment of autoantibodies to cellular antigens referred to as anti-nuclear antibodies. Ann Rheum Dis. 2014;73(1):17-23. doi:10.1136/annrheumdis-2013-203863
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