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Ancaabmsmtser

Published: August 9, 2026Updated: August 17, 2026

A blood test that detects antibodies targeting white blood cells, helping diagnose certain autoimmune diseases affecting blood vessels.

Quick summary

{"Detects antibodies that mistakenly attack neutrophils (a type of white blood cell)","Mainly used to diagnose vasculitis and other autoimmune conditions","Results are reported as positive or negative, often with pattern interpretation (c-ANCA or p-ANCA)","Test requires a simple blood draw, no special preparation needed","Results help doctors distinguish between different types of vascular diseases"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
111291-1
Short code
ANCA
Synonyms
ANCA Ab Msmt Ser
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) - Red top or Gold top (5 mL). Also acceptable: Plain red top tube.
Units
N/A
Ref low
0
Ref high
1
Critical range
0.5 N/A – —
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Immunoassay (Enzyme-Linked Immunosorbent Assay or Chemiluminescent Immunoassay)
CPT
86255
SNOMED
269862007
Specimen volume
1-2 mL serum (minimum 0.5 mL)
Stability
Room temperature: 8 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C or below): 30 days. Avoid repeated freeze-thaw cycles.
Hemolysis max
100
Lipemia max
100
Icterus max
50
TAT
24–72 hours
Order
routine

What is this test?

The Neutrophil Cytoplasmic Antibody (ANCA) test is a blood test that detects antibodies in your blood that target neutrophils, a type of white blood cell. These antibodies are called autoantibodies because they mistakenly attack your own body's cells. The test helps doctors identify certain autoimmune disorders, particularly those that affect blood vessels (vasculitis).

How is the test performed?

A healthcare professional will draw a small amount of blood from a vein in your arm. The blood sample is then sent to a laboratory where it is analyzed for the presence of ANCAs. You do not need to fast or make any special preparations before this test.

What do the results mean?

ANCA test results can be reported in different ways: • **c-ANCA (cytoplasmic ANCA):** This pattern is commonly associated with granulomatosis with polyangiitis (formerly Wegener's disease) • **p-ANCA (perinuclear ANCA):** This pattern is often seen in microscopic polyangiitis, ulcerative colitis, and other conditions A positive result indicates the presence of these antibodies, but your doctor will interpret the results along with your symptoms and other test findings to make a diagnosis.

Reference range

Negative: <1:20 titer or <20 U/mL (varies by assay method). Positive results indicate presence of antineutrophil cytoplasmic antibodies. Patterns include c-ANCA (PR3-ANCA) and p-ANCA (MPO-ANCA).N/A

Specimen: serum

No special preparation required. Patient does not need to fast. Recent immunosuppressive therapy may affect antibody titers; document medications on requisition.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Why do I need this test?
Your doctor may order this test if you have symptoms suggesting vasculitis, such as persistent sinus problems, kidney problems, skin rashes, joint pain, or unexplained fever. It helps confirm or rule out autoimmune conditions affecting your blood vessels.
Is the test painful?
You may feel a brief sting when the needle is inserted to draw blood, but the procedure is generally well-tolerated. The amount of blood taken is small and usually does not cause any significant discomfort.
Do I need to fast before the test?
No, you do not need to fast or make any special preparations before this test. You can eat and drink normally.
How long does it take to get results?
Results are typically available within a few days to a week, depending on the laboratory. Your healthcare provider will contact you with the results or discuss them at your follow-up appointment.
What happens if my result is positive?
A positive ANCA test suggests the presence of an autoimmune condition, but it does not confirm a specific diagnosis by itself. Your doctor will evaluate the results alongside your clinical symptoms, physical examination, and other laboratory tests to determine the appropriate diagnosis and treatment plan.
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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 17, 2026. · Read our editorial policy