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Understanding Your Medical Test: A Patient's Guide to Testing, Results, and Next Steps

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

This blood test detects IgG antibodies against neutrophils, helping diagnose certain autoimmune diseases affecting blood vessels.

Quick summary

{"Measures IgG antibodies that attack white blood cells called neutrophils","Used mainly to diagnose vasculitis (blood vessel inflammation)","Results help differentiate between different types of autoimmune diseases","Often ordered with other tests for complete diagnosis"}

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

Key facts at a glance

LOINC
18330-1
Short code
ANCAG
Synonyms
ANCA IgG Ser-aCnc
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or red-top tube; serum aliquot tube for storage
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
Enzyme-Linked Immunosorbent Assay (ELISA) or Indirect Immunofluorescence Assay (IFA) for detection of antineutrophil cytoplasmic antibodies (ANCA)
CPT
83516 (ANCA screen); 83516 x2 with 86256 for titer and pattern
SNOMED
39542008
Specimen volume
1.0 mL serum (minimum 0.5 mL)
Stability
Stable for 7 days at 2-8°C; for extended storage, freeze at -20°C or below for up to 6 months; avoid repeated freeze-thaw cycles
Hemolysis max
100
Lipemia max
100
Icterus max
50
TAT
24–72 hours
Order
routine

This test is a laboratory or diagnostic procedure that helps your healthcare provider evaluate how your body is working, screen for possible health conditions, confirm or rule out a diagnosis, and monitor an existing treatment plan, often using a small sample or a simple, painless measurement.

The Neutrophil Cytoplasmic IgG Antibody (ANCA) test is a blood test that detects IgG antibodies directed against proteins in neutrophils, a type of white blood cell. These antibodies are called Anti-Neutrophil Cytoplasmic Antibodies (ANCA). The test helps identify certain autoimmune conditions where the immune system mistakenly attacks the body's own blood vessels.

Your doctor may order this test as part of a routine checkup, because you are experiencing symptoms that need a clearer explanation, to keep a known condition under closer watch, or to see whether a medication or therapy is working the way it should before any changes are made to your care.

Your doctor may order this test if you have symptoms suggesting an autoimmune vasculitis, such as unexplained fever, skin rashes, joint pain, kidney problems, or respiratory symptoms. It helps distinguish between different types of vasculitis and monitor disease activity during treatment.

The test is usually performed in a doctor's office, clinic, or laboratory by a trained member of your care team. Depending on the type of test, it may involve a blood draw, a urine sample, a throat or nasal swab, or an imaging scan, and the procedure itself is typically quick with only brief, mild discomfort.

A healthcare professional will draw a blood sample from a vein in your arm. The sample is then sent to a laboratory where it is analyzed using special techniques to detect the presence and pattern of neutrophil antibodies. Results are typically available within a few days.

Your results are compared with established reference ranges, and values that fall outside those ranges may point to infection, inflammation, organ dysfunction, or another condition that needs follow-up. Always review your results with your provider, who can explain exactly what they mean for your health.

Positive results indicate the presence of ANCA antibodies, which may suggest conditions like granulomatosis with polyangiitis, microscopic polyangiitis, or other forms of vasculitis. The pattern and specific proteins targeted help determine the exact condition. Your doctor will interpret results in context with your symptoms and other test findings.

Reference range

Negative: <1:20 titer (IFA) or <20 U/mL (ELISA); specific cutoffs vary by laboratory and assay manufacturerN/A

Specimen: serum

No special patient preparation required. Fasting is not necessary. Patients should inform their healthcare provider of any immunosuppressive medications being taken, as these may affect results.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test is primarily used to diagnose and monitor ANCA-associated vasculitis, including granulomatosis with polyangiitis (GPA), microscopic polyangiitis (MPA), and eosinophilic granulomatosis with polyangiitis (EGPA). It helps differentiate between vasculitis types, assess disease activity, and guide treatment decisions. The test may also be useful in monitoring response to immunosuppressive therapy.

Frequently asked questions

Do I need to fast before this test?
No, fasting is not typically required for this blood test. You can eat and drink normally unless your doctor instructs otherwise.
Are there any risks from this test?
The risks are minimal and similar to any standard blood draw, including slight bruising, soreness, or rarely, infection at the puncture site.
Can medications affect my test results?
Certain medications, especially immunosuppressants or drugs that affect the immune system, may affect test results. Always inform your doctor about all medications you are taking.
How long will it take to get results?
Results are typically available within 3-5 business days, though this may vary depending on the laboratory.
Will a positive result definitely mean I have vasculitis?
Not necessarily. A positive result must be interpreted alongside your clinical symptoms, physical examination, and other laboratory tests. Some infections or other conditions may also cause positive ANCA results.
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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