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Understanding Your Laboratory Test: A Patient's Guide to Testing, Procedure, and Results

Published: August 9, 2026Updated: August 17, 2026

A blood test that detects antibodies against cell nuclei to help diagnose autoimmune diseases.

Quick summary

{"This test checks for antibodies that may attack your body's own cells","It helps diagnose conditions like lupus and other autoimmune disorders","A positive result means antibodies were found but doesn't always mean you have a disease","Results are reported as a titer (ratio) showing antibody concentration"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
53989-0
Short code
ANA chromosomal Titr Ser IF
Synonyms
ANA chromosomal Titr Ser IF
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
7
Ref high
56
Critical range
— – 500 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
if
CPT
84484
SNOMED
302773008
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

This test is a diagnostic tool your healthcare provider may order to help evaluate your overall health, screen for certain conditions, or investigate symptoms you have been experiencing. It provides important information that helps guide decisions about your care and any treatment that may be needed.

The Chromosomal Nuclear Antibody test, also known as an ANA (Antinuclear Antibody) test, is a blood test that detects antibodies that target the nuclei of your cells. Normally, your immune system protects you from harmful substances. In autoimmune diseases, the immune system mistakenly produces antibodies that attack your own body's cells and tissues.

The test is typically performed by a trained healthcare professional in a clinic, laboratory, or hospital setting. Depending on the type of test ordered, a small sample of blood, urine, or other tissue may be collected, and the procedure is usually quick, with only mild and brief discomfort.

A healthcare professional will draw a small blood sample from a vein in your arm. The sample is then sent to a laboratory where it is examined using a special technique called immunofluorescence. This method uses fluorescent dyes to detect and measure the level (titer) of antinuclear antibodies in your blood.

Your results will show whether your values fall within the normal reference range for the test. Normal results generally suggest no signs of the conditions being checked, while abnormal results may indicate an underlying issue that requires further evaluation by your doctor, who will explain what the findings mean for you.

Results are typically reported as a titer, such as 1:40, 1:160, or 1:640. A higher titer indicates a higher concentration of antibodies. A positive result (titer above the reference range) suggests the presence of antinuclear antibodies, which may indicate an autoimmune disease. However, a positive result does not automatically mean you have a disease—some healthy people, especially older adults, may have low levels of these antibodies.

Reference range

Adult males: 7-56 U/L; Adult females: 7-43 U/LN/A

Specimen: serum

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test is primarily used to screen for autoimmune diseases, especially systemic lupus erythematosus (SLE). It may also help diagnose other conditions such as Sjögren's syndrome, scleroderma, polymyositis, and mixed connective tissue disease. The pattern of fluorescence seen under the microscope can provide additional clues about the specific type of autoimmune disease. However, the test result must be interpreted together with your symptoms, physical examination, and other laboratory tests for an accurate diagnosis.

Frequently asked questions

Do I need to fast before this test?
No, fasting is not typically required for this test. You can eat and drink normally before your blood draw unless your doctor instructs otherwise.
Are there any risks from the blood test?
The risks are minimal and include slight pain or bruising at the injection site, dizziness, or in rare cases, infection. These risks are similar to any routine blood draw.
What medications can affect the test results?
Certain medications such as hydralazine, procainamide, isoniazid, and some anticonvulsants may cause a positive ANA result. Always inform your doctor about all medications and supplements you are taking.
If my test is positive, do I definitely have an autoimmune disease?
No, a positive ANA test does not automatically mean you have an autoimmune disease. Many healthy individuals, particularly older adults, may have a low-positive result. Your doctor will interpret the result in context with your symptoms and other test results.
How long does it take to get results?
Results are usually available within a few days to a week, depending on the laboratory. Your healthcare provider will contact you with the results or discuss them at your follow-up appointment.
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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 17, 2026. · Read our editorial policy