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Intercellular Substance Antibody IgG Panel, Serum

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

This panel measures IgG antibodies directed against intercellular substance (desmosomal) antigens in the skin, most commonly to help evaluate blistering skin conditions such as pemphigus.

Quick summary

["The test looks for a specific type of IgG antibody that can attack the \"glue\" holding skin cells together."]

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

Key facts at a glance

LOINC
104835-4
Short code
Intercellular sub & bmt IgG pnl
Synonyms
Intercellular sub & bmt IgG pnl
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
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

What This Test Measures

The panel detects and, where reported, quantitates IgG antibodies that target intercellular substance—proteins found at the junctions between skin cells. These antibodies are associated with a group of blistering disorders in which the immune system mistakenly attacks the skin.

Why Your Clinician May Order It

It is typically ordered when a person has unexplained blisters, erosions, or fragile skin, especially when a condition such as pemphigus is suspected. Results are interpreted together with your symptoms, physical exam, and sometimes a skin biopsy.

How the Sample Is Collected

A blood sample is drawn from a vein, usually in your arm. The serum is separated and tested for these antibodies. Your clinician will tell you if any special preparation is needed.

How to Understand Your Results

Results are usually reported as detected or not detected, and sometimes as a level (titer). A positive result supports—but does not by itself confirm—a diagnosis, and a negative result does not always rule one out. Your clinician will explain what your result means in your situation.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

IgG antibodies to intercellular substance are classically linked to pemphigus vulgaris and related pemphigus disorders, where they contribute to loss of adhesion between skin cells and blister formation. Because test performance and reporting vary between laboratories, results must always be interpreted alongside clinical findings and other tests rather than in isolation.

Short name

Anti-ICS IgG Panel

Frequently asked questions

Does a positive result mean I definitely have a blistering skin disease?
No. A positive result supports the possibility of a condition such as pemphigus but is not a diagnosis on its own. Your clinician will combine it with your symptoms, examination, and possibly a skin biopsy.
Can this test be negative even if I have pemphigus?
Yes. Not everyone with these conditions has detectable antibodies, and levels can vary over time or with treatment. A negative result does not completely exclude the diagnosis.
Will I need repeat testing?
Possibly. Your clinician may repeat the test to monitor disease activity or response to treatment, depending on your individual case.
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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