Complete Blood Count (CBC): What You Need to Know About This Common Blood Test
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.
{"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)"}
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?
How long does it take to get results?
What medications can cause drug-induced lupus?
If my test is positive, do I have lupus?
Is drug-induced lupus the same as systemic lupus?
Sources
- 1
- 2
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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