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Complete Blood Count (CBC): What You Need to Know About This Common Blood Test

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

This blood test detects antibodies that attack histone proteins in the cell nucleus, often used to diagnose drug-induced lupus or evaluate certain autoimmune conditions.

Quick summary

{"A simple blood test that checks for anti-histone antibodies","Mainly used to diagnose drug-induced lupus erythematosus","Positive results may indicate certain autoimmune diseases or recent use of specific medications","The test is performed on a serum sample","Results are reported as positive or negative (presence/absence)"}

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

Key facts at a glance

LOINC
17380-7
Short code
ANA Histone Reactive Ser Ql
Synonyms
ANA Histone Reactive Ser Ql
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
86038
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

A complete blood count (CBC) is a routine blood test that measures the different cells in your blood, including red blood cells, white blood cells, and platelets. Doctors use it to check your overall health and to help detect a wide range of conditions, such as anemia, infections, and blood disorders.

The Anti-Histone Antibody test is a blood test that detects the presence of antibodies specifically targeting histone proteins. Histones are proteins found in the cell nucleus that help organize DNA. When the immune system mistakenly produces antibodies against these proteins, it can indicate an autoimmune condition, most commonly drug-induced lupus erythematosus.

The test is performed by drawing a small sample of blood from a vein, usually in your arm. A healthcare provider cleans the site, wraps a band around your upper arm, inserts a thin needle, and collects the blood into a tube. The sample is then sent to a laboratory for analysis, and the entire process usually takes only a few minutes.

A healthcare professional will draw a small blood sample from a vein in your arm. This sample is then sent to a laboratory where it is analyzed to detect the presence or absence of anti-histone antibodies. No special preparation, such as fasting, is typically required for this test.

Your results show whether your blood cell counts fall within normal ranges. Levels that are too high or too low may suggest infection, anemia, inflammation, bleeding problems, or other conditions. Your doctor will interpret your results together with your symptoms and medical history to determine what, if any, follow-up care is needed.

Results are typically reported as either 'Positive' (antibodies detected) or 'Negative' (antibodies not detected). A positive result suggests the presence of anti-histone antibodies in your blood, which may be associated with certain autoimmune conditions. Your healthcare provider will interpret these results in conjunction with your symptoms, medical history, and other test findings.

This test is very safe and complications are rare. You may feel a quick sting or pinch when the needle is inserted, and some people experience slight bruising or soreness at the puncture site for a day or two. Serious risks, such as infection or excessive bleeding, are extremely uncommon.

The risks associated with this test are minimal and similar to those of any routine blood draw. These may include slight pain or bruising at the injection site, lightheadedness, or in rare cases, infection. These side effects are generally temporary and resolve quickly.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Anti-histone antibodies are primarily associated with drug-induced lupus erythematosus (DILE). This condition is triggered by certain medications, including hydralazine, procainamide, isoniazid, minocycline, and some others. Unlike systemic lupus erythematosus (SLE), drug-induced lupus typically resolves after the triggering medication is discontinued. Detection of anti-histone antibodies can help differentiate between these conditions and guide appropriate treatment decisions.

While primarily used for diagnosing drug-induced lupus, anti-histone antibodies may also be present in other conditions such as systemic lupus erythematosus (SLE), rheumatoid arthritis, and certain liver diseases. However, they are not specific to any single disease and must be interpreted alongside clinical symptoms and other laboratory findings.

Frequently asked questions

Do I need to fast before this test?
No, fasting is typically not required for the anti-histone antibody test. You can eat and drink normally before the blood draw unless your healthcare provider instructs otherwise.
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.
What medications can cause drug-induced lupus?
Several medications are known to potentially trigger drug-induced lupus, including certain blood pressure medications (hydralazine), heart rhythm drugs (procainamide), antibiotics (isoniazid, minocycline), and some antipsychotic medications. However, not everyone who takes these medications will develop the condition.
If my test is positive, do I have lupus?
A positive anti-histone antibody test does not automatically mean you have lupus. While these antibodies are commonly found in drug-induced lupus, they can also be present in other conditions or occasionally in healthy individuals. Your healthcare provider will interpret the results along with your symptoms, physical examination, and other test results to make an accurate diagnosis.
Is drug-induced lupus the same as systemic lupus?
No, drug-induced lupus and systemic lupus erythematosus (SLE) are different conditions. Drug-induced lupus is caused by certain medications and typically improves after the medication is stopped. SLE is a chronic autoimmune disease that persists and may affect multiple organs. The anti-histone antibody test helps distinguish between these conditions, as high levels are more typical of drug-induced lupus.
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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