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Immunoglobulin G (IgG) Subclass 4 Antibody to Streptococcal Group A (Streptococcus pyogenes) Antigen (IgG4 Anti-Streptolysin O)

Published: August 9, 2026Updated: August 16, 2026

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.

Quick summary

["Helps diagnose or monitor infections caused by Group A Streptococcus bacteria and assesses immune response to past or current infections."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

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?
Results are typically available within 1 to 3 business days, depending on your lab’s processing time. Your healthcare provider will contact you with the results once they’re ready.
Can I eat or drink before this test?
You can eat and drink normally before this test. No fasting is required.
Is there any risk or discomfort with this test?
Most people experience only minor discomfort at the injection site, which may include slight pain or swelling. Rarely, there could be bruising or bleeding, but serious complications are very uncommon.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

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