Vasculitides: Lab Test

1st order laboratory parameters – obligatory laboratory tests.

  • Small blood count
  • Inflammatory parameters – CRP (C-reactive protein).
  • Urine status (rapid test for: nitrite, protein, hemoglobin, erythrocytes, leukocytes) incl. sediment, if necessary urine culture (pathogen detection and resistogram, that is, testing of suitable antibiotics for sensitivity / resistance).
    • Microscopy (microhematuria/excretion of blood in urine not visible to the naked eye).
    • Proteinuria (increased excretion of protein in the urine).
  • Renal parameters – urea, creatinine, possibly cystatin C or creatinine clearance.
  • Alkaline phosphatase (AP)
  • Total IgE
  • Granulocyte cytoplasmic antibody
    • Antineutrophil cytoplasmic antibodies (ANCA).
      • Antineutrophil cytoplasmic antibodies with cytoplasmic fluorescence pattern (cANCA).
      • Perinuclear antineutrophil cytoplasmic antibodies (pANCA).
  • Anti-glomerular basement membrane antibodies (anti-GBM-AK).
  • Antinuclear antibodies (ANA)
  • Auto-Ak against vascular endothelium (AECA).
  • Myeloperoxidase specificity
  • Biopsies (tissue samples)

Laboratory parameters 2nd order – depending on the results of the history, physical examination and mandatory laboratory parameters – for differential diagnostic clarification.

  • Exclusion of the following infectious diseases, if necessary:
    • Hepatitis B
    • Hepatitis C
    • HIV
    • HSV and other infections
  • CSF puncture (collection of cerebrospinal fluid by puncture of the spinal canal) for CSF diagnosis.

For disease-related information, see under the corresponding disease.