ASCA (S.Cerevisiae) IgG

Anti-Saccharomyces cerevisiae Antibodies (ASCA) IgG: Overview

The ASCA IgG antibody test detects IgG antibodies against Saccharomyces cerevisiae, a type of yeast. This test is primarily used to help diagnose inflammatory bowel disease (IBD), particularly Crohn’s disease (CD), and to differentiate it from ulcerative colitis (UC).


Purpose of the Test

Aid in the diagnosis of Crohn’s disease
Differentiate Crohn’s disease from ulcerative colitis
Assess IBD severity and progression


Interpreting Results

Result Interpretation
Negative No significant ASCA IgG detected, less likely to be Crohn’s disease
Borderline Possible low-level antibodies, may need further testing
Positive Suggestive of Crohn’s disease, especially if ASCA IgA is also positive

🔹 ASCA IgG and ASCA IgA are more common in Crohn’s disease (CD) than in ulcerative colitis (UC).
🔹 Up to 60-70% of Crohn’s disease patients test positive for ASCA.
🔹 Only 10-15% of ulcerative colitis (UC) patients have ASCA positivity.


Clinical Significance

  • Crohn’s Disease (CD)Higher ASCA positivity, especially in small bowel involvement.

  • Ulcerative Colitis (UC) → ASCA is usually negative, but pANCA is often positive.

  • IBD Diagnosis AidASCA (+) & pANCA (-) suggests Crohn’s disease, while ASCA (-) & pANCA (+) suggests ulcerative colitis.


Additional Diagnostic Tests

ASCA IgA → Often tested alongside IgG for better accuracy.
pANCA (Perinuclear Anti-Neutrophil Cytoplasmic Antibodies) → More common in ulcerative colitis.
Fecal Calprotectin & Lactoferrin → Indicate intestinal inflammation.
Endoscopy with Biopsy → Definitive test to confirm IBD and differentiate CD from UC.


Next Steps if Positive

🔹 Evaluate symptoms (diarrhea, abdominal pain, weight loss, fistulas).
🔹 Consider additional testing (ASCA IgA, pANCA, stool tests, imaging, or colonoscopy).
🔹 Discuss with a gastroenterologist for IBD management.

Original price was: ₹1,750.00.Current price is: ₹1,399.00.

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