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Rheumatoid Factor (IgM) by Immunoassay (Serum/Plasma)

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

This test measures the presence of rheumatoid factor, an antibody found in the blood of some people with rheumatoid arthritis or other autoimmune conditions.

Quick summary

["Rheumatoid factor helps identify possible autoimmune diseases like rheumatoid arthritis."]

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

Key facts at a glance

LOINC
5299-3
Short code
Rheumatoid fact Titr Ser LA
Synonyms
Rheumatoid fact Titr Ser LA
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
la
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 Rheumatoid Factor?

Rheumatoid factor is an antibody that can attack healthy cells in your body. While it’s common in people with rheumatoid arthritis, it can also appear in other autoimmune diseases or certain infections. This test checks for its presence in your blood to help diagnose or monitor these conditions.

Why Might You Need This Test?

Your doctor may order this test if you have symptoms like joint pain, swelling, or stiffness, or if you have a family history of autoimmune diseases. It can also be used to monitor disease activity in people already diagnosed with rheumatoid arthritis or other conditions linked to rheumatoid factor.

What to Expect During the Test

A blood sample is taken from a vein in your arm. You may feel a small pinch, but it usually doesn’t cause significant discomfort. The sample is then sent to a lab for testing.

What Are the Possible Results?

Results are not always definitive on their own. They are often used alongside other tests and symptoms to make a diagnosis. High levels may suggest an autoimmune condition, but they can also be found in people without symptoms.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Rheumatoid factor is a marker for autoimmune diseases, particularly rheumatoid arthritis, but it can also appear in other conditions like lupus, Sjogren’s syndrome, or certain infections. While it doesn’t always indicate disease activity, it can help guide treatment decisions and monitor progression over time.

Short name

Rheumatoid Factor (RF)

Frequently asked questions

What Does a Positive Test Mean?
A positive rheumatoid factor test means your blood contains antibodies that may target healthy cells. This doesn’t always mean you have an autoimmune disease, but it increases the risk. Your doctor will consider other factors, like symptoms and test results, to make a full assessment.
Can Rheumatoid Factor Be Normal in Autoimmune Diseases?
Yes, rheumatoid factor can be negative in some people with rheumatoid arthritis or other autoimmune diseases. It’s not always present, so doctors rely on a combination of tests and symptoms for a diagnosis.
Does Rheumatoid Factor Change Over Time?
Sometimes. Levels can fluctuate depending on disease activity, treatment, or other health factors. Regular testing may be needed to track changes and adjust treatment plans accordingly.
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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