|
|
||||||||
Letters |
1 USA hCG Reference Service, Department of Obstetrics and Gynecology, University of New Mexico, 2211 Lomas Blvd., Albuquerque, NM 87131
aAuthor for correspondence. Fax 505-272-3576; e-mail Stephen@hcglab.com.
To the Editor:
The USA hCG Reference Service aids physicians in the interpretation of discordant or irregular human chorionic gonadotropin (hCG) results that do not concur with physical findings. The Service has now observed 24 cases of false-positive hCG results (14571 IU/L). All have been cases erroneously diagnosed with choriocarcinoma or gestational trophoblast disease without demonstrable pregnancy or tumor (1)(2)(3)(4). Because of false-positive hCG results, patients have needlessly received chemotherapy, hysterectomy, and/or other surgery. The suspected cause for serum false-positive hCG is the presence of heterophilic antibodies that bind both capture and detection antibodies, effectively bridging them in the same way as the target antigen should in a standard ELISA format.
Until
References
The following articles in journals at HighWire Press have cited this article:
![]() |
C. L Buckner, L. Wilson, and C. N. Papadea An Unusual Cause of Elevated Serum Total {beta}hCG Ann. Clin. Lab. Sci., January 1, 2007; 37(2): 186 - 191. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. M. Preissner, L. A. Dodge, D. J. O'Kane, R. J. Singh, and S. K.G. Grebe Prevalence of Heterophilic Antibody Interference in Eight Automated Tumor Marker Immunoassays Clin. Chem., January 1, 2005; 51(1): 208 - 210. [Full Text] [PDF] |
||||
![]() |
P. von Lode, J. Rainaho, and K. Pettersson Quantitative, Wide-Range, 5-Minute Point-of-Care Immunoassay for Total Human Chorionic Gonadotropin in Whole Blood Clin. Chem., June 1, 2004; 50(6): 1026 - 1035. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. F. Emerson, G. Ngo, and S. S. Emerson Screening for Interference in Immunoassays Clin. Chem., July 1, 2003; 49(7): 1163 - 1169. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. Esfandiari and J. M. Goldberg Heterophile Antibody Blocking Agent to Confirm False Positive Serum Human Chorionic Gonadotropin Assay Obstet. Gynecol., May 1, 2003; 101(5): 1144 - 1146. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. A. Butler, L. A. Cole, T. G. Olsen, P. R. Hubert, L. R. Nycum, and C. B. Hammond Falsely Elevated Human Chorionic Gonadotropin Leading to Unnecessary Therapy Obstet. Gynecol., March 1, 2002; 99(3): 516 - 517. [Full Text] [PDF] |
||||
![]() |
R. Sapin and C. Simon False Hyperprolactinemia Corrected by the Use of Heterophilic Antibody-blocking Agent Clin. Chem., December 1, 2001; 47(12): 2184 - 2185. [Full Text] [PDF] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |