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Tuberculosis Skin Test Interpretation (Mantoux) – Induration Measurement (Serum/Plasma Substance Concentration)

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

This test measures the size of a raised area (induration) on your skin after a small amount of tuberculosis protein is injected. It helps determine if you may have been exposed to tuberculosis bacteria.

Quick summary

["A skin test result is not a blood test—it checks for immune response, not active infection."]

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

Key facts at a glance

LOINC
82511-7
Short code
M bovis tuberc stim IFN-g Bld-aCnc
Synonyms
M bovis tuberc stim IFN-g Bld-aCnc
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What This Test Does Not Measure

This compressed code refers to the **interpretation of a tuberculin skin test (TST)**, specifically tracking the size of the induration (hardened skin area) after injection. It does not measure tuberculosis bacteria in your blood or other body fluids. The actual TST involves injecting a small amount of purified protein derivative (PPD) under your skin, and a healthcare provider measures the induration 48–72 hours later.

How the Test Is Administered

You’ll receive an intradermal injection on your forearm or upper arm. The test site will be marked, and a healthcare provider will measure the size of the raised area (induration) and any redness (erythema) 48–72 hours later. The induration size is recorded in millimeters.

What to Expect After the Test

You may experience mild itching, redness, or swelling at the injection site. Avoid scratching or picking at the area. A red, raised bump could appear within 24–72 hours and may last a few days. Do not apply heat or ice to the site.

When This Test Is Ordered

This test is part of the **interpretation process** for a tuberculosis skin test (Mantoux test). It is typically ordered when evaluating risk for tuberculosis exposure, especially in high-risk groups (e.g., travelers, healthcare workers, or those with weakened immune systems).

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

The induration size helps determine if your immune system has been exposed to tuberculosis bacteria. A positive result (typically ≥5 mm in high-risk individuals, ≥10 mm in others) suggests past exposure or infection. However, this test alone does not confirm active disease—additional testing (e.g., chest X-ray, sputum culture) may be needed for diagnosis.

Short name

TST Induration Reading (Serum-Based)

Frequently asked questions

Why is this test called a ‘serum-based’ measurement?
This term refers to the **analyte measurement method** used to interpret the skin test result. The actual TST itself is a skin injection, not a blood draw. The ‘serum/plasma’ qualifier here is a placeholder for the **substance concentration** (PPD response) being evaluated indirectly through skin reaction size.
No. This test does not measure tuberculosis bacteria or antigens in your blood. It assesses your immune response to PPD protein via skin induration. For blood-based tuberculosis testing, you would need a different test (e.g., TB blood test or interferon-gamma release assay).
A small or absent induration does not always mean you are not at risk. It may indicate no prior exposure, a weak immune response, or a negative test result. Your healthcare provider will consider your medical history, risk factors, and other test results to guide next steps.
No. The TST requires a healthcare provider to administer the injection and measure the induration. It cannot be performed at home. Follow-up evaluation is always done in a clinical setting.
A positive TST result means you may have been exposed to tuberculosis bacteria. Your provider will discuss next steps, which could include additional testing (e.g., chest X-ray, sputum culture) or monitoring. Active tuberculosis requires medical evaluation and treatment.
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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