Prozone phenomenon

The prozone phenomenon is defined as a falsely negative (=incorrectly normal) test due to very high titers (concentration) of antibody.

Many laboratory tests rely on antigen-antibody interactions. The prozone phenomenon is said to be present when dilution of a previously negative sample leads to a positive test. High levels of antigen or antibody may prevent the formation of antigen-antibody complexes.

Examples include high levels of syphilis antibodies in HIV patients or high levels of cryptococcal antigen leading to false negative tests in undiluted samples.[1][2] This phenomenon is also seen in serological tests for Brucellosis.

See also

References

  1. ^ Jurado RL, Campbell J, Martin PD (November 1993). "Prozone phenomenon in secondary syphilis. Has its time arrived?". Arch. Intern. Med. 153 (21): 2496–8. doi:10.1001/archinte.153.21.2496. PMID 7832818. 
  2. ^ Stamm AM, Polt SS (September 1980). "False-negative cryptococcal antigen test". JAMA 244 (12): 1359. doi:10.1001/jama.244.12.1359. PMID 6997519.