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Serologic tests are the gold standard Direct tests lack sensitivity for Lyme disease; hence, serologic tests remain the gold standard. Currently recommended is a standard 2-tier testing strategy using an enzyme-linked immunosorbent assay (ELISA) followed by Western blot for confirmation.
Therefore, IGeneX has developed a Lyme ImmunoBlot that is very specific and inclusive of most species of B. burgdorferi sensu lato for clinical use with the following advantages over a Western blot: The specificity of the ImmunoBlot is 98.0% for IgM and 98.7% for IgG.
Antibody-based tests (ELISA, IFA, Western blot, Immunoblot): These tests detect antibodies against Borrelia burgdorferi in the blood or spinal fluid. This is the most commonly ordered set of tests for Lyme disease.
Serologic tests are the gold standard Direct tests lack sensitivity for Lyme disease; hence, serologic tests remain the gold standard. Currently recommended is a standard 2-tier testing strategy using an enzyme-linked immunosorbent assay (ELISA) followed by Western blot for confirmation.
In our study population, Lyme disease testing had an 80% rate of false-positives, which puts patients with a positive test result at risk of incorrect Lyme disease diagnoses and adverse drug reactions from inappropriate treatment.
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Antibodies against Lyme disease bacteria usually take a few weeks to develop, so tests performed before this time may be negative even if the person is infected. In this case, if the person is retested a few weeks later, they should have a positive test if they have Lyme disease.
Serologic tests are the gold standard Direct tests lack sensitivity for Lyme disease; hence, serologic tests remain the gold standard. Currently recommended is a standard 2-tier testing strategy using an enzyme-linked immunosorbent assay (ELISA) followed by Western blot for confirmation.
IgG antibodies, which are smaller than IgM antibodies, are produced later on in the infection and can even remain after the infection resolves. Testing positive for a high number of IgG antibodies can be indicative of late-stage or chronic Lyme.
A blood test does not only detect Lyme disease; it is the most accurate and preferred test for diagnosing the disease. If a patient with Lyme disease shows signs that the central nervous system has been affected by the disease, western blot testing on the cerebrospinal fluid (CSF) can be performed.
Therefore, IGeneX has developed a Lyme ImmunoBlot that is very specific and inclusive of most species of B. burgdorferi sensu lato for clinical use with the following advantages over a Western blot: The specificity of the ImmunoBlot is 98.0% for IgM and 98.7% for IgG.

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