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Complete Blood Count (CBC) Test

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

This blood test detects homogeneous pattern antinuclear antibodies in your blood, helping doctors diagnose autoimmune diseases like systemic lupus erythematosus.

Quick summary

{"Measures the level and pattern of antinuclear antibodies in blood serum","Homogeneous pattern is commonly associated with systemic lupus erythematosus (SLE)","A positive result indicates possible autoimmune activity but requires clinical correlation","The titer indicates how many times the blood can be diluted still showing positivity","Results must be interpreted alongside symptoms and other clinical findings"}

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

Key facts at a glance

LOINC
20398-4
Short code
ANA Homogen Titr Ser
Synonyms
ANA Homogen Titr Ser
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

What is this test? A complete blood count, or CBC, is a routine blood test that measures the cells circulating in your blood, including red blood cells, white blood cells, hemoglobin, hematocrit, and platelets. Providers use it during checkups, to investigate symptoms such as fatigue, weakness, or fever, and to monitor many health conditions and treatments over time.

The Homogeneous Nuclear Antibody test is a blood test that detects the presence and measures the titer (concentration) of antinuclear antibodies (ANA) showing a homogeneous (diffuse) staining pattern when examined under a microscope. This pattern appears as the entire nucleus staining evenly, which is typically associated with antibodies against double-stranded DNA (dsDNA) and histones.

How is the test performed? A health care professional will draw a small sample of blood, usually from a vein in your arm, using a thin needle. The process takes only a few minutes, and the sample is sent to a laboratory where an automated analyzer counts and measures your blood cells. You can usually return to your normal activities right away.

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 analyzed using immunofluorescence techniques to detect the presence of antinuclear antibodies and determine both the pattern (homogeneous) and the titer (how much the sample can be diluted and still show a positive result).

What do the results mean? Your report will show a number for each blood cell type along with a normal reference range. Values that are higher or lower than expected may point to conditions such as anemia, infection, inflammation, clotting problems, or blood disorders. Many results fall slightly outside the range without indicating serious illness, so your provider will interpret them together with your symptoms, medical history, and other tests.

A positive homogeneous ANA pattern with a high titer (typically 1:160 or higher) suggests the presence of an autoimmune disease, most commonly systemic lupus erythematosus (SLE). However, a positive result does not automatically mean you have a disease—some healthy individuals, especially older adults, may have low-level positive ANA results. Your doctor will interpret the results in context with your symptoms, physical examination, and other test results.

Are there any risks? This test is very safe. You may feel a brief sting when the needle goes in, and the puncture site can be slightly sore or bruised for a day or two. Serious complications, such as excessive bleeding, infection, or fainting, are rare. Tell your provider if you take blood thinners or have had trouble with blood draws in the past.

This is a standard blood test with minimal risks. You may experience slight pain, bruising, or dizziness during or after the blood draw. These symptoms are usually temporary and resolve quickly.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

The homogeneous ANA pattern is primarily associated with systemic lupus erythematosus (SLE), where it is found in approximately 70-80% of patients. It may also be present in drug-induced lupus (often caused by medications like hydralazine, procainamide, or isoniazid), rheumatoid arthritis, and other connective tissue diseases. High titers (especially ≥1:640) are more concerning for active disease. The test helps in diagnosing, monitoring disease activity, and sometimes in assessing treatment response in autoimmune conditions.

Frequently asked questions

Do I need to fast before this test?
No, fasting is typically not required for this test. You can eat and drink normally before the blood draw unless your doctor instructs otherwise.
What is a normal ANA titer?
Results vary by laboratory, but generally a titer of 1:40 or 1:80 is considered weak positive. Many labs consider 1:160 or higher as clinically significant, especially when accompanied by symptoms. However, interpretation depends on the individual and clinical context.
Can medications affect my ANA results?
Yes, certain medications can cause a positive ANA result, including some blood pressure medications, antibiotics, and anti-seizure drugs. Always inform your doctor about all medications you are taking.
If my ANA is positive, do I definitely have an autoimmune disease?
No, a positive ANA alone does not diagnose an autoimmune disease. Many healthy people, particularly older adults, have low-level positive results. Your doctor will evaluate your symptoms, perform a physical examination, and may order additional tests to confirm a diagnosis.
How long does it take to get results?
Results are typically 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 16, 2026. · Read our editorial policy