Quant Gold Interpretation

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What is the interpretation of the below test result and what would be your next steps?

The Nil = this is your negative control tube. This should not get stimulated to produce interferon. If it is positive, this suggests there is something wrong with the test.

The Mitogen = this is your positive control tube. This should get stimulated to produce interferon. If it is negative, this suggests there is something wrong with the immune response (anergy, immune suppressed).

The TB1, TB2 = these are TB peptides. If the patient has been exposed to TB, this should generate interferon.

In the test tubes above, the Nil is very positive rendering this an inaccurate test. There is too much background inferferon production which has no relation to TB. This immune system is on fire and we are actually looking at a patient with HLH.

Link to Dr. Luckett’s MGR slides + audio