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Anaplrql

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

This test detects the presence of antinuclear antibodies (ANA) in fluid collected from around your lungs to help diagnose autoimmune conditions.

Quick summary

{"ANA are antibodies that target your own cell nuclei","A positive result may indicate an autoimmune disease like lupus or rheumatoid arthritis","This test helps determine the cause of pleural effusion (fluid around the lungs)","Results are qualitative—either positive or negative","Your doctor will interpret results alongside your symptoms and other tests"}

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

Key facts at a glance

LOINC
14608-4
Short code
ANA Plr Ql
Synonyms
ANA Plr Ql
Category
chemistry
Sample
fluid
Container
Sterile tube
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
86038
Specimen volume
2-5 mL
Stability
Room temperature: 2h, Refrigerated: 24h
Hemolysis max
300
TAT
4–24 hours
Order
routine

What is this test?

The Nuclear Antibody (ANA) test in pleural fluid checks for the presence of antinuclear antibodies in the fluid that surrounds your lungs (pleural fluid). ANA are proteins produced by your immune system that mistakenly attack your own body's cells. This test uses laboratory methods to detect whether these antibodies are present in the pleural fluid.

Why do I need this test?

Your doctor may order this test if you have pleural effusion (accumulation of fluid in the pleural space) and they suspect an autoimmune condition may be the cause. Conditions like systemic lupus erythematosus (SLE), rheumatoid arthritis, and scleroderma can cause fluid to build up around the lungs. This test helps determine if an autoimmune disorder is contributing to your condition.

How is the sample collected?

Pleural fluid is usually collected through a procedure called thoracentesis. During this procedure, a doctor numbs the area and inserts a thin needle between your ribs to withdraw fluid from the pleural space. The collected fluid is then sent to a laboratory for analysis. You may feel some discomfort during the procedure, but it is generally well-tolerated.

What do the results mean?

Results are reported as either 'Positive' or 'Negative.' A positive result means antinuclear antibodies were detected in your pleural fluid. This suggests your immune system may be producing antibodies that attack your own tissues. A negative result means no ANA were detected in the pleural fluid sample.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings2

Frequently asked questions

Is a positive result always serious?
Not necessarily. A positive ANA result indicates the presence of these antibodies but does not automatically mean you have a serious disease. Your doctor will interpret the result in the context of your overall health, symptoms, and other test findings. Some people have low-level positive results without any underlying disease.
Do I need to prepare for the pleural fluid collection?
Your doctor will provide specific instructions. Generally, you may need to avoid certain medications before the procedure. Thoracentesis is usually performed under local anesthesia, so you will be awake. You may need to have a chest X-ray or ultrasound before the procedure to locate the fluid.
Are there risks to having pleural fluid removed?
Thoracentesis is generally a safe procedure, but like any medical procedure, it carries some risks. These may include pain at the puncture site, bleeding, infection, or pneumothorax (collapsed lung). Your healthcare team will monitor you closely and take steps to minimize these risks.
Will I need other tests?
Yes, your doctor will likely order additional tests to confirm a diagnosis. These may include blood tests (such as complete blood count, rheumatoid factor, anti-CCP), imaging studies, and possibly other specific antibody tests. The pleural fluid itself may be tested for other characteristics like protein levels, glucose, and cell count.
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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