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Complete Blood Count (CBC): What to Expect From This Common Blood Test

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

This blood test detects antinuclear antibodies that may attack your body's own cells, helping doctors diagnose autoimmune disorders.

Quick summary

{"Screens for antibodies that mistakenly target your own cell nuclei","Helps diagnose autoimmune diseases like lupus and rheumatoid arthritis","Uses rat kidney tissue and immunofluorescence technology","A positive result requires additional testing for confirmation","Results are reported as positive or negative (titer levels may vary)"}

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

Key facts at a glance

LOINC
44751-6
Short code
ANA Ser Ql IF Rat Kidney
Synonyms
ANA Ser Ql IF Rat Kidney
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
if-rat-kidney-substrate
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

This test is a complete blood count, commonly called a CBC, a routine blood test that measures the different cells in your blood, including red blood cells, white blood cells, and platelets. It gives your healthcare provider a snapshot of your overall health and can help detect conditions such as anemia, infection, and clotting or bleeding disorders.

The Nuclear Antibody (ANA) test is a blood test that detects antinuclear antibodies (ANAs) in your serum. Normally, your immune system produces antibodies to fight foreign invaders like viruses and bacteria. However, in some people, the immune system mistakenly creates antibodies that target the nucleus of the body's own cells—this is called an autoimmune response. This test uses a special laboratory method called immunofluorescence with rat kidney tissue to detect these abnormal antibodies.

The test is performed by drawing a small sample of blood, usually from a vein in your arm. A lab professional will clean the site, wrap a band around your upper arm, and insert a thin needle to collect the blood into a vial. The sample is then sent to a laboratory for analysis, and the entire process typically takes only a few minutes.

A healthcare professional will draw a small blood sample from a vein in your arm. This sample is sent to a laboratory where technicians mix it with rat kidney tissue. If antinuclear antibodies are present in your blood, they will bind to the kidney tissue. A fluorescent dye is then applied, and the tissue is examined under a special microscope. If the antibodies are present, they will glow (fluoresce), indicating a positive result.

You might need this test as part of a routine health checkup, or to help investigate symptoms such as fatigue, weakness, fever, unexplained bruising, or weight loss. It is also used to monitor chronic conditions, check how treatments like chemotherapy are affecting your body, and evaluate your response to infection or inflammation.

Your doctor may order this test if you have symptoms of an autoimmune disorder, such as joint pain, fatigue, fever, skin rashes, or muscle weakness. It is commonly used to help diagnose conditions like systemic lupus erythematosus (SLE), rheumatoid arthritis, scleroderma, polymyositis, and Sjögren's syndrome. The test may also be repeated over time to monitor disease activity.

In most cases, no special preparation is needed, and you can eat and drink normally before the test. Be sure to tell your provider about any medications, vitamins, or supplements you take, since some can affect the results. Drinking plenty of water beforehand can make your veins easier to find, and wearing a short-sleeved shirt may help.

No special preparation is typically required for this test. You can eat and drink normally before having your blood drawn. However, it is important to inform your doctor about any medications, supplements, or herbal remedies you are taking, as some drugs can affect test results. Also, let your doctor know if you have any existing autoimmune conditions or a family history of autoimmune diseases.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A positive ANA result indicates the presence of antinuclear antibodies in your blood. This may suggest an autoimmune disorder, but a positive result alone does not confirm a specific diagnosis. Further testing is usually required to determine the exact condition. Conditions commonly associated with a positive ANA include systemic lupus erythematosus (SLE), rheumatoid arthritis, scleroderma, polymyositis, dermatomyositis, and Sjögren's syndrome. A negative result makes many autoimmune diseases unlikely, though it does not completely rule them out. The test result should always be interpreted alongside your symptoms, physical examination, and other laboratory findings by your healthcare provider.

Frequently asked questions

What does a positive result mean?
A positive result means antinuclear antibodies were detected in your blood. This could indicate an autoimmune disorder, but it does not provide a specific diagnosis. Many people with a positive ANA do not have an autoimmune disease. Your doctor will likely order additional tests (such as specific antibody panels) and consider your symptoms to determine if treatment is needed.
Can the test give a false positive result?
Yes, a false positive can occur. Some healthy individuals, especially older adults, may have a low level of ANA without having any disease. Certain infections, medications (like some blood pressure drugs or antibiotics), liver disease, and other non-autoimmune conditions can also cause a positive result. This is why the test is used as a screening tool, not a definitive diagnostic test.
Is fasting required before this test?
No, fasting is not typically required for the ANA test. You can eat and drink normally before the blood draw. However, always follow any specific instructions your doctor or the testing facility has given you.
How long does it take to get results?
Results are usually available within a few days to a week, depending on the laboratory. The test involves specialized processing (immunofluorescence), which may take longer than routine blood tests.
Can I have a negative result even if I have an autoimmune disease?
Yes, it is possible. Some people with autoimmune diseases may test negative for ANA, especially in the early stages of their condition. If your symptoms strongly suggest an autoimmune disorder, your doctor may recommend repeat testing or other specialized tests.
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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