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HLA Hypersensitivity to Allopurinol (B*58:01) Test

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HLA Hypersensitivity to Allopurinol (B*58:01) Test

Short Name: HLA B*58:01 Test

Also known as: Allopurinol Hypersensitivity Test, HLA-B*58:01 Screening, Pharmacogenetic Test for Allopurinol

HLA Hypersensitivity to Allopurinol (B*58:01) Test test available at DNA Labs India for ₹8,000. Uses PCR, Sequencing on 4 mL (3 mL min.) whole blood in 1 Lavender Top (EDTA) tube OR 6 mL (3 mL min.) whole blood in 1 Yellow Top (ACD) tube OR Buccal swab collected in a sterile container. samples. Results in 10-12 days. Free home collection in 300+ cities across India.

Genetic TestAll Ages🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of the HLA Hypersensitivity to Allopurinol (B*58:01) Test is to identify individuals carrying the HLA-B*58:01 genetic variant, which predisposes them to severe hypersensitivity reactions when taking allopurinol. This test enables healthcare providers to make informed decisions about medication prescriptions, avoiding allopurinol in high-risk patients and preventing potentially fatal conditions like Stevens-Johnson syndrome and toxic epidermal necrolysis.

Test Code
813
Price
₹8,000
Sample Type
4 mL (3 mL min.) whole blood in 1 Lavender Top (EDTA) tube OR 6 mL (3 mL min.) whole blood in 1 Yellow Top (ACD) tube OR Buccal swab collected in a sterile container.
Result Time
10-12 days
Fasting Required
No
Method
PCR, Sequencing
Step 1

Sample Collection

No special preparation required. Inform the healthcare provider of any medications or recent medical procedures.

Method: Blood draw or Buccal swab

Step 2

Laboratory Analysis

A blood sample will be drawn from a vein in the arm or a buccal swab will be collected from the inside of the cheek. The process is quick and minimally invasive.

Step 3

Report Delivery

Apply pressure to the puncture site to prevent bleeding. Resume normal activities unless otherwise advised.

Timeline: 10-12 days

Patient Instructions

1
Before the Test:No specific preparation is needed. Discuss your medical history and medications with your doctor.
2
During the Test:The test involves a simple blood draw or buccal swab collection, taking only a few minutes.
3
After the Test:You can resume normal activities immediately. Results will be available in 10-12 days.

About This Test

Who Should Get This Test

The purpose of the HLA Hypersensitivity to Allopurinol (B*58:01) Test is to identify individuals carrying the HLA-B*58:01 genetic variant, which predisposes them to severe hypersensitivity reactions when taking allopurinol. This test enables healthcare providers to make informed decisions about medication prescriptions, avoiding allopurinol in high-risk patients and preventing potentially fatal conditions like Stevens-Johnson syndrome and toxic epidermal necrolysis.

How to Prepare

  • Ensure the collection site is clean and sterile
  • For blood collection, use EDTA or ACD tubes as specified
  • For buccal swab, avoid eating or drinking for 30 minutes before collection
  • Label samples correctly with patient information
  • Ship refrigerated; do not freeze

Doctor's Notes

Reviewed by — MBBS, MD (Medical Genetics) · Reg. No. 8532

"As a nephrologist, I recommend the HLA B*58:01 test to identify patients at risk of severe hypersensitivity to allopurinol, helping to prevent life-threatening conditions like Stevens-Johnson Syndrome."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample Type4 mL (3 mL min.) whole blood in 1 Lavender Top (EDTA) tube OR 6 mL (3 mL min.) whole blood in 1 Yellow Top (ACD) tube OR Buccal swab collected in a sterile container.
Sample Volume4 mL or 6 mL whole blood or Buccal swab
ContainerLavender Top (EDTA) tube or Yellow Top (ACD) tube or Sterile container for buccal swab
Collection MethodBlood draw or Buccal swab

Sample Stability

Room Temperature: Not applicable
Refrigerator: Up to 96 hours
Frozen: Not applicable
Sample Rejection Criteria:
  • Hemolyzed or clotted blood samples
  • Insufficient sample volume
  • Incorrect container type or missing labels
  • Samples not stored or shipped as instructed

Understanding Your Results

Results of the HLA Hypersensitivity to Allopurinol (B*58:01) Test indicate whether the HLA-B*58:01 variant is present. Interpretation should be done by a qualified healthcare professional in conjunction with clinical history.
Positive Result: Indicates presence of HLA-B*58:01 variant, suggesting high risk for allopurinol hypersensitivity. Allopurinol should be avoided, and alternative medications should be considered.
Negative Result: Indicates absence of HLA-B*58:01 variant, suggesting lower risk, but monitoring for other adverse reactions is still recommended.
Indeterminate Result: May require retesting or additional clinical evaluation.
⚠️ When to Consult a Doctor:

Consult a doctor if you experience symptoms like severe skin rash, fever, swollen lymph nodes, or joint pain after taking allopurinol. Also, discuss this test with your doctor before starting allopurinol therapy, especially if you have a history of drug hypersensitivity or belong to high-risk ethnic groups.

Limitations

  • This test only detects the HLA-B*58:01 variant; other hypersensitivity risks are not covered
  • A negative result does not guarantee absence of all adverse reactions to allopurinol
  • Testing may not be 100% accurate in all populations; clinical correlation is advised

Risks & Considerations

  • Minimal risk of bruising or infection at the blood draw site
  • Rare allergic reaction to antiseptic used during swab collection
  • No significant risks associated with the genetic test itself

Interfering Factors

  • Recent blood transfusions may affect DNA analysis
  • Contaminated or improperly collected samples
  • Use of certain medications that alter immune response

Compare With Similar Tests

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ComparisonHLA Hypersensitivity to Allopurinol (B*58:01) Test

Frequently Asked Questions

What is the HLA Hypersensitivity to Allopurinol (B*58:01) Test?
It is a genetic test that detects the HLA-B*58:01 variant, which increases the risk of severe hypersensitivity reactions to allopurinol, a medication used for gout and kidney stones.
Why is this test important?
This test helps identify individuals at risk for life-threatening conditions like Stevens-Johnson syndrome and toxic epidermal necrolysis when taking allopurinol, allowing for safer treatment alternatives.
How is the test performed?
The test is performed on a blood sample or buccal swab using PCR and sequencing methods to detect the HLA-B*58:01 variant.
What are the symptoms of allopurinol hypersensitivity?
Symptoms include severe skin reactions (e.g., Stevens-Johnson syndrome), swollen lymph nodes, fever, joint pain, general malaise, and eosinophilia.
Who should get this test?
It is recommended for patients prescribed allopurinol, those with a history of drug hypersensitivity, individuals of Han Chinese or Thai descent, and people with conditions like gout or kidney stones.
What is the cost of the test?
The cost at DNA Labs India is INR 8000, which includes home sample collection across India.
Is the test covered by insurance?
No, this test is not typically covered by insurance, and patients may need to pay out of pocket.
How long does it take to get results?
Results are available in 10-12 days after sample collection.
What does a positive result mean?
A positive result indicates the presence of the HLA-B*58:01 variant, meaning a high risk for allopurinol hypersensitivity. Allopurinol should be avoided, and alternative medications should be used.
What does a negative result mean?
A negative result suggests a lower risk, but it does not completely eliminate the possibility of adverse reactions. Monitoring is still advised.
Are there any risks associated with the test?
The risks are minimal, such as slight bruising from blood draw or rare allergic reactions to swab collection. The genetic test itself poses no significant risks.
Can I take the test at home?
Yes, DNA Labs India offers free home sample collection for this test across many cities in India. You can book online for convenience.
Worried about the process? Our certified phlebotomists collect thousands of samples every month across India. The process takes under 5 minutes and is virtually painless. Questions? Message us on WhatsApp — we're here 7 days a week.

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