Sample Test Report - Advanced Testing For Lupus and ...

Sample Test Report

SA1080 (2/21)

Order ID 619603 Provider Exagen Inc.

AVISE SLE Monitor Test Report

Specimen Collected 12/31/2020 Received 01/01/2021

Test Order Created 01/01/2021 Reported 01/02/2021

Patient

Gender - DOB Identifier Received Exagen ID

Patient, Example

Female - 01/12/1990

707382

Complement Component + EC4d - Erythrocyte-bound C4d Complement C3 Complement C4

Antibody Component

+ Anti-dsDNA IgG + Anti-C1q IgG

Thrombosis-associated Marker + PC4d - Platelet-bound C4d

Therapy Monitoring Hydroxychloroquine

Value

20 Net MFI 105 mg/dL

25 mg/dL

60 IU/mL 30 Units

800 ng/mL

Interpretation

POSITIVE Normal Normal

Reference Range

FACS: ................
................

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