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Complete Blood Count (CBC)

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

The ANA test detects antinuclear antibodies in your blood, which may indicate an autoimmune disorder.

Quick summary

{"The test uses immunofluorescence to detect antibodies that attack your own cell nuclei","A positive result suggests an autoimmune disease but does not confirm a specific diagnosis","Results are reported as a titer (dilution level) and pattern type","Follow-up testing is usually needed to determine the specific condition","The test requires a simple blood draw with no special preparation"}

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

Key facts at a glance

LOINC
5048-4
Short code
ANA Titr Ser IF
Synonyms
ANA Titr Ser IF
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
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 common blood test that measures the different cells in your blood, including red blood cells, white blood cells, and platelets, to help evaluate your overall health.

The Nuclear Ab (Antinuclear Antibody) test is a blood test that detects the presence of antinuclear antibodies in your serum. These are antibodies that mistakenly target the nuclei of your own cells. The test uses immunofluorescence techniques to identify these antibodies and determine their concentration (titer) and staining pattern.

Your doctor may order a CBC as part of a routine checkup or to help diagnose conditions such as anemia, infection, inflammation, or bleeding disorders, and to monitor how a treatment or ongoing medical condition is progressing.

Your healthcare provider 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, mixed connective tissue disease, and other autoimmune conditions.

A small sample of blood is drawn from a vein in your arm, usually on the inside of the elbow. The procedure takes only a few minutes, causes minimal discomfort, and you can return to your normal activities right afterward.

A healthcare professional will draw a small blood sample from a vein in your arm. The blood is then sent to a laboratory where it is processed using immunofluorescence techniques. The serum is mixed with cell substrates, and if antinuclear antibodies are present, they will bind to the cell nuclei. A fluorescent dye is added to visualize these antibody-antigen complexes under a microscope.

Your report will list the levels of each blood cell type along with the reference ranges used by the laboratory. Values outside the normal range may point to conditions such as anemia or infection, and your healthcare provider will explain what your specific results mean and whether any follow-up is needed.

Results are typically reported as a titer (such as 1:40, 1:160, 1:320) and a staining pattern (such as homogeneous, speckled, nucleolar, or centromere). A positive result means antinuclear antibodies were detected in your blood. However, a positive result does not automatically mean you have a disease—some healthy individuals, especially older adults, may have low levels of ANA. Your healthcare provider will interpret your results along with your symptoms and other test findings.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A positive ANA test is a key indicator for autoimmune disease screening. Higher titers (such as 1:320 or greater) are more strongly associated with autoimmune conditions. The staining pattern can provide clues about the type of autoimmune disease: homogeneous pattern is common in SLE, speckled pattern may indicate mixed connective tissue disease or SLE, nucleolar pattern is associated with systemic sclerosis, and centromere pattern suggests limited scleroderma (CREST syndrome). However, the ANA test is a screening tool—clinical evaluation and additional specific antibody tests are needed for a definitive diagnosis.

Frequently asked questions

Do I need to fast before this test?
No special preparation is typically required. You can eat and drink normally before the test unless your healthcare provider instructs otherwise.
Can medications affect my ANA test results?
Yes, certain medications such as hydralazine, procainamide, isoniazid, and some anticonvulsants may cause a positive ANA result. Always inform your healthcare provider about all medications and supplements you are taking.
What does a 'negative' result mean?
A negative result means no antinuclear antibodies were detected at the screening dilution. This makes an autoimmune disease less likely, but does not completely rule it out. Some people with early or mild autoimmune conditions may still have a negative ANA test.
Will I need additional tests?
If your ANA is positive, your healthcare provider will likely order follow-up tests to identify specific antibodies (such as anti-dsDNA, anti-Sm, anti-RNP, anti-SSA/Ro, anti-SSB/La) to help determine the specific autoimmune condition.
Is the test painful?
You may feel a brief sting or pinch when the needle is inserted to draw blood. The procedure typically takes only a few minutes, and any discomfort is usually minimal and temporary.
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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