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Alternative namesC4 level is a test that measures the concentration of a component of the complement system in the blood.
How the test is performed
Blood is drawn from a vein, usually on the inside of the elbow or the back of the hand. The puncture site is cleaned with antiseptic, and an elastic band is placed around the upper arm to apply pressure and restrict blood flow through the vein. This causes veins below the band to fill with blood.
A needle is inserted into the vein, and the blood is collected in an air-tight vial or a syringe. During the procedure, the band is removed to restore blood circulation. Once the blood has been collected, the needle is removed, and the puncture site is covered to stop any bleeding.
How to prepare for the testThere are no special preparations.
How the test will feelWhen the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing.
If your child is to have this test performed it may be helpful to explain how the test will feel, and even practice or demonstrate on a doll. The more familiar your child is with what will happen to them, and the purpose for the procedure, the less anxiety he or she will feel.
Why the test is performed
Complement activity (CH50, CH100, terminal complement component, or individual complement proteins) is measured to determine if complement is involved in the development of a disease. Complement activity is also measured to monitor how severe a disease is, or if treatment is working.
For example, patients with active systemic lupus erythematosus may have lower-than-normal levels of C3 and C4, and these component levels may be monitored as a rough index of disease activity.
What abnormal results meanIncreased complement activity may be seen in:
What the risks are
Complement is a group of proteins in the blood that facilitate immunological and inflammatory responses. The "complement cascade" is a series of reactions that take place in the blood.
There are 9 major components of complement, labeled C1 through C9. The cascade can be started in several ways, especially by antigen-antibody complexes. The end-product of the cascade is the "membrane attack unit" (also called terminal complement component), which creates holes in the membrane, or surface, of attacking bacteria, thereby killing them.
CH50 or CH100 are tests for the activity of the complement system. There are also a number of side products of the complement cascade that attract white blood cells and increase the efficiency of certain types of white blood cells to engulf and destroy bacteria.
Bound C3, or some modified form of C3, forms a stable unit with other members of the complement cascade to form the membrane attack unit.
Update Date: 7/25/2003Lisa Christopher, M.D., Division of Rheumatology, Johns Hopkins Hospital, Baltimore, MD. Review provided by VeriMed Healthcare Network.
Last updated: Tue, 06 Jan 2009 00:20:03 GMT