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Striated/Skeletal Muscle Antibody (ASKA) IFA in Dilutions Test

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Striated/Skeletal Muscle Antibody (ASKA) IFA in Dilutions Test

Short Name: ASKA IFA

Also known as: ASKA, Anti-Skeletal Muscle Antibody, Striated Muscle Antibody IFA, Anti-Striated Muscle Antibody

Striated/Skeletal Muscle Antibody (ASKA) IFA in Dilutions Test test available at DNA Labs India for ₹4,500. Uses Immunofluorescence Assay (IFA) on Serum samples. Results in Samples are accepted on Tuesday and Saturday by 9 am; reports are usually generated within 4 days.. Free home collection in 300+ cities across India.

SerologyAll Ages🏠 Home Collection

Overview

This test helps identify anti-striated muscle autoantibodies in serum. It is used as an aid in the diagnosis of myasthenia gravis, especially with thymoma, and in other autoimmune neuromuscular and systemic autoimmune disorders. The dilution-based IFA method provides a semi-quantitative titre that supports clinical assessment and monitoring.

Test Code
3671
Price
₹4,500
Sample Type
Serum
Result Time
Samples are accepted on Tuesday and Saturday by 9 am; reports are usually generated within 4 days.
Fasting Required
No
Method
Immunofluorescence Assay (IFA)
Step 1

Sample Collection

Overnight fasting is preferred but not mandatory. Inform your doctor about all medications, especially immunosuppressants, D-penicillamine, or IVIG therapy.

Method: Venipuncture

Step 2

Laboratory Analysis

A trained phlebotomist will collect a blood sample from a vein in your arm. The procedure takes a few minutes and involves minimal discomfort.

Step 3

Report Delivery

You can resume normal activities immediately. Apply gentle pressure at the puncture site for a few minutes to prevent bruising.

Timeline: Samples are accepted on Tuesday and Saturday by 9 am; reports are usually generated within 4 days.

Patient Instructions

1
Before the Test:Overnight fasting is preferred. Inform your doctor about any medications, especially immunosuppressants, D-penicillamine, or IVIG administration.
2
During the Test:A blood sample will be collected from a vein in your arm. It takes only a few minutes.
3
After the Test:You may return to your normal routine. Keep pressure on the puncture site for a few minutes.

About This Test

Who Should Get This Test

This test helps identify anti-striated muscle autoantibodies in serum. It is used as an aid in the diagnosis of myasthenia gravis, especially with thymoma, and in other autoimmune neuromuscular and systemic autoimmune disorders. The dilution-based IFA method provides a semi-quantitative titre that supports clinical assessment and monitoring.

How to Prepare

  • Overnight fasting is preferred before sample collection.
  • Blood should be drawn into an SST (serum separator tube).
  • Allow the sample to clot for 30 minutes before centrifugation if using a non-SST tube.
  • Transport the sample refrigerated or frozen as instructed by the laboratory.

Doctor's Notes

"Positive ASKA results should be interpreted alongside acetylcholine receptor antibodies, electrical studies of the neuromuscular junction, and chest imaging for thymoma."

Test Parameters & Specifications

Sample TypeSerum
Sample Volume2 mL (1 mL min.)
Container1 SST (Serum Separator Tube)
Collection MethodVenipuncture

Sample Stability

Room Temperature
Refrigerator
Frozen
Sample Rejection Criteria:
  • Mislabeled or unlabeled sample
  • Improper transport or incorrect storage temperature
  • Severely hemolyzed, lipemic, or icteric sample that interferes with testing

Understanding Your Results

Results are reported as an antibody titre. The presence of anti-striated muscle antibodies supports a diagnosis of autoimmune myasthenia with thymoma when correlated clinically.
📊

Negative

No detectable anti-striated muscle antibodies.

📊

Borderline

Weakly positive; correlate with clinical features and additional serology.

📊

Positive

Significant anti-striated muscle antibody detected; consider myasthenia gravis with thymoma or other associated conditions.

⚠️ When to Consult a Doctor:

If your result is positive or if you have symptoms such as persistent muscle weakness, ptosis, double vision, swallowing difficulty, or breathlessness, consult a neurologist or an immunologist immediately.

Limitations

  • Positive ASKA is not specific for myasthenia gravis and may occur in other autoimmune and malignant conditions.
  • Low titres may be found in elderly patients without clinical muscle disease.
  • A negative ASKA result does not exclude myasthenia gravis or thymoma.
  • Results must be interpreted with clinical findings, electrophysiological studies, and other serological tests.

Risks & Considerations

  • Mild bruising at the venipuncture site
  • Bleeding or hematoma
  • Infection at the puncture site in rare cases
  • Fainting or lightheadedness during blood draw

Interfering Factors

  • Immunosuppressive drugs, such as corticosteroids or azathioprine, may reduce antibody levels.
  • Recent IVIG or plasmapheresis can lower the measured antibody titre.
  • Severe hemolysis, lipemia, or icterus may interfere with immunofluorescence reading.
  • Low-titre false positives may occur in healthy older adults.

Compare With Similar Tests

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ComparisonStriated/Skeletal Muscle Antibody (ASKA) IFA in Dilutions Test

Frequently Asked Questions

What is a Striated/Skeletal Muscle Antibody (ASKA) test?
It is an immunofluorescence test that detects antibodies against striated/skeletal muscle in serum. It is useful in evaluating autoimmune conditions such as myasthenia gravis and thymoma.
How much does the ASKA IFA in Dilutions test cost in India?
At DNA Labs India, the test costs Rs 4500. This includes the laboratory test and free home sample collection in selected cities.
Is fasting required before the ASKA IFA test?
Overnight fasting is preferred but not mandatory. You may follow your doctor's instructions.
What sample is needed for this test?
A 2 mL (minimum 1 mL) serum sample is needed. It is collected from 1 SST tube via venipuncture.
Which diseases are associated with positive ASKA antibodies?
Positive ASKA antibodies are associated with myasthenia gravis (especially with thymoma), Lambert-Eaton myasthenic syndrome, small cell lung carcinoma, breast carcinoma, autoimmune liver disorders, and D-penicillamine therapy.
How is the test performed?
The serum sample is incubated on tissue sections containing striated muscle, and antibody binding is detected using fluorescent-labelled anti-human antibodies. Serial dilutions are used to report a titre.
When will I get my reports?
When samples are accepted by 9 am on Tuesday or Saturday, reports are generally available within 4 days.
Can this test alone diagnose myasthenia gravis?
No. A positive ASKA result must be interpreted alongside clinical signs, electrodiagnostic studies, and other antibody tests such as AChR and MuSK antibodies.
What does a positive ASKA titre mean?
A titre of 1:40 or higher suggests the presence of anti-striated muscle antibodies. Titres are often higher in myasthenia gravis with thymoma, but correlation with clinical and imaging findings is required.
Are there any risks with the test?
The test involves a standard venipuncture. Minor risks include bruising, bleeding, or discomfort at the puncture site.
Is home sample collection available for this test?
Yes, DNA Labs India offers free home sample collection for online bookings of the ASKA IFA test in many cities across India.
Which doctor should I consult after an abnormal result?
A neurologist is usually the right specialist for myasthenia gravis and related neuromuscular disorders. Your physician may also refer you to a neurologist or immunologist for further evaluation.
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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