Complete Blood Count (CBC)
The ANA test detects antinuclear antibodies in your blood, which may indicate an autoimmune disorder.
{"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"}
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?
Can medications affect my ANA test results?
What does a 'negative' result mean?
Will I need additional tests?
Is the test painful?
Sources
- 1
- 2MedlinePlus - ANA testSource
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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