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Understanding Your Laboratory Test: What It Is, How It Is Done, and How to Prepare

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

The antinuclear antibody (ANA) test is a blood test that detects antibodies directed against the nucleus of cells, helping diagnose autoimmune disorders.

Quick summary

{"ANA test detects antibodies that may attack the body's own cells","It is primarily used to screen for autoimmune diseases like lupus and rheumatoid arthritis","A positive result does not always mean you have a disease - follow-up testing is needed","The test uses rodent liver or kidney tissue as the substrate","Results are reported as a titer (like 1:40) and a pattern"}

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

Key facts at a glance

LOINC
16392-3
Short code
ANA Ser Ql Rodent subst
Synonyms
ANA Ser Ql Rodent subst
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
rodent-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

What is this test? This test is a laboratory examination that helps your healthcare provider evaluate how your body is working and look for signs of illness. It may be ordered to confirm a diagnosis, monitor a condition you already have, or screen for health problems before symptoms appear. Your provider will interpret the results together with your medical history, physical examination, and any symptoms you are experiencing.

The Antinuclear Antibody (ANA) test is a blood test that looks for antinuclear antibodies in your blood. Antibodies are proteins made by your immune system to fight foreign substances like viruses and bacteria. However, sometimes the immune system mistakenly produces antibodies that attack the body's own healthy cells - these are called autoantibodies.

Antinuclear antibodies target the nucleus (center) of cells. This test uses rodent liver or kidney tissue as the substrate to detect whether these antibodies are present in your blood. The test is performed using a technique called immunofluorescence.

How is the test performed? The test is performed by a trained member of our healthcare team, usually in an office or laboratory setting. Depending on what your provider has ordered, a small sample of blood, urine, or other body material may be collected, or the test may be completed with a specialized medical device. The collection process is typically quick, and most people can return to their normal activities right afterward.

A healthcare professional will draw a small blood sample from a vein in your arm. The blood sample is then sent to a laboratory where it is analyzed. The laboratory will look for antibodies that react with the rodent tissue substrate and report the results as a titer (a measure of how diluted the blood can be and still show a positive result) and a staining pattern.

Do I need to prepare for the test? Some tests require simple preparation, such as fasting for a set number of hours, avoiding certain foods or drinks, or temporarily pausing a medication your provider has identified. Your healthcare team will give you specific instructions before your appointment, so please follow them carefully. Also let our staff know about all medications, supplements, and allergies you have so the test can be done safely.

No special preparation is needed for the ANA test. You can eat and drink normally before the test. However, it is important to inform your doctor about any medications you are taking, as some drugs can affect test results.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

The ANA test is primarily used as a screening tool for autoimmune diseases. A positive result may indicate conditions such as Systemic Lupus Erythematosus (SLE), Sjogren's syndrome, scleroderma, polymyositis, dermatomyositis, or rheumatoid arthritis. However, a positive ANA result alone does not confirm a diagnosis. Many people with positive ANA tests do not have an autoimmune disease. The test result must be interpreted along with your symptoms, medical history, and other laboratory tests.

Low-level positive results can occur in healthy individuals, especially older adults. Certain infections, cancers, and some medications can also cause a positive ANA result. Your doctor will typically order additional specific tests (such as anti-dsDNA, anti-Sm, or anti-RNP) to help determine the exact condition if the ANA test is positive.

Frequently asked questions

What do the results mean?
Results are typically reported as a titer (like 1:40, 1:160, 1:320) and a pattern. A higher titer generally indicates a stronger positive result. Different patterns (such as homogeneous, speckled, nucleolar, or centromere) may be associated with different autoimmune conditions. However, the pattern alone cannot confirm a specific diagnosis.
Is a positive result always bad?
No, a positive ANA test does not always mean you have an autoimmune disease. Many healthy people, especially those over 65 years old, may have a low-level positive ANA. Additionally, infections, certain medications, and other medical conditions can cause a positive result. Your doctor will interpret the result in context of your overall health.
How long does it take to get results?
Results are usually available within a few days, but this may vary depending on the laboratory. Your healthcare provider will contact you with the results or discuss them at your follow-up appointment.
Will I need other tests?
If your ANA test is positive, your doctor may order additional tests to help identify the specific type of autoimmune disease. These may include specific antibody tests (like anti-dsDNA, anti-Sm, anti-RNP, anti-SSA/Ro, anti-SSB/La) and other blood tests to assess inflammation and organ function.
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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