Muscle-Specific Kinase (MuSK) Autoantibody, Serum




Test Mnemonic

MUSK

CPT Codes

  • 86366 - QTY (1)

Aliases

  • Muscle-specific receptor tyrosine kinase
  • Seronegative MG (SNMG)

Performing Laboratory

Mayo Clinic Dpt of Lab Med & Pathology


Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
1.5 mLSerumNo additive (Red) Refrigerated 

Alternate Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
1.5 mLSerumSST (Gold) Refrigerated 

Minimum Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
1 mL     

Stability

Environmental Condition Description
Refrigerated28 days
Frozen28 days
Ambient72 hours

Days Performed

Tue, Thu

Turnaround Time

4 - 11 days

Methodology

Name Description
Radioimmunoassay (RIA) 

Reference Range

MuSK Antibody Test
Sex Age From Age To Type Range Range Unit
       < or = 0.02 nmol/L 

Special Info

This test is New York State approved.

Clinical Info

Testing is useful for: 1. Diagnosis of autoimmune muscle-specific kinase (MuSK) myasthenia gravis (MG) 2. Second-line test aiding diagnosis of autoimmune MG in patients with new onset acquired MG evident clinically and electrophysiologically, but negative first-line serological tests 3. Establishing a quantitative baseline value for MuSK antibodies that allows comparison with future levels if weakness is worsening. A positive result, in the appropriate clinical context, confirms the diagnosis of autoimmune muscle-specific kinase MG. Seropositivity justifies consideration of immunotherapy. Cautions: Immunosuppressant therapy is a common cause of false-seronegativity. It is, therefore, important to perform a comprehensive serological evaluation before initiating immunosuppressant therapy. Interpretation of a patient’s serological and clinical status is further complicated when characteristic signs of MG are obscured by a superimposed steroid-induced myopathy.