Immunoglobulin G (IgG) Subclass 4 Antibody to Streptococcal Group A (Streptococcus pyogenes) Antigen (IgG4 Anti-Streptolysin O)
This test measures the level of antibodies in your blood that target a toxin produced by certain bacteria, often linked to strep throat or other streptococcal infections.
["Helps diagnose or monitor infections caused by Group A Streptococcus bacteria and assesses immune response to past or current infections."]
Key facts at a glance
- LOINC
- 49471-6
- Short code
- IgG4 Ag Tiss Ql ImStn
- Synonyms
- IgG4 Ag Tiss Ql ImStn
- Category
- chemistry
- Sample
- serum
- Container
- Red-top tube (SST)
- Units
- N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- Method
- immune-stain
- CPT
- 82784
- Specimen volume
- 5 mL
- Stability
- Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
- Hemolysis max
- 500
- Lipemia max
- 1000
- Icterus max
- 500
- TAT
- 4–24 hours
- Order
- routine
Why This Test Matters
Streptococcal infections, such as strep throat or scarlet fever, can sometimes leave your body with an immune response that produces specific antibodies. Measuring these antibodies helps doctors determine if you’ve been exposed to Group A Streptococcus or if an infection is still active.
What to Expect Before the Test
No special preparation is needed. You’ll have a small needle inserted into your arm to draw blood. The process usually takes a few minutes. If you’re on blood thinners or have a history of bleeding issues, let your doctor know before the test.
What the Results Mean
High levels of these antibodies often indicate a recent or past streptococcal infection. Your doctor will compare your results with your medical history and other symptoms to diagnose infections or guide treatment decisions.
Common Reasons for Testing
Doctors may order this test if you have symptoms like sore throat, fever, rash, or swollen lymph nodes, especially if strep throat is suspected. It’s also used to monitor chronic conditions like rheumatic fever or to check for recurrent infections.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
Clinical Significance
Short name
IgG4 Anti-Streptolysin O (ASLO) Test
Frequently asked questions
How long will it take to get my results?
Can I eat or drink before this test?
Is there any risk or discomfort with this test?
Sources
- 1
- 2Lab Tests OnlineSource
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.
Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy