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Rheumatoid Factor (RF) – Serum Immunoglobulin G (IgG) Autoantibody

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

This test measures the presence of antibodies in your blood that may indicate an autoimmune response, often linked to rheumatoid arthritis or other inflammatory conditions.

Quick summary

["RF tests help doctors assess possible autoimmune diseases like rheumatoid arthritis."]

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

Key facts at a glance

LOINC
5300-9
Short code
Rheumatoid fact Titr Ser Shp Aggl
Synonyms
Rheumatoid fact Titr Ser Shp Aggl
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
sheep-cell-aggl
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

The rheumatoid factor test measures the level of rheumatoid factor proteins, a type of autoantibody, in your blood. These proteins are produced by your immune system and may attack healthy tissue, and elevated levels are often linked to rheumatoid arthritis and other autoimmune conditions.

The test detects rheumatoid factor, a type of antibody (specifically immunoglobulin G, or IgG) that your immune system produces against its own proteins. This can happen in conditions like rheumatoid arthritis, but it can also occur in other autoimmune diseases or infections.

Your doctor may order this test if you have joint pain, swelling, or morning stiffness lasting more than 30 minutes, along with fatigue or unexplained discomfort in multiple joints, to help determine whether rheumatoid arthritis or another inflammatory condition could be causing your symptoms.

Doctors may order this test to help diagnose or monitor rheumatoid arthritis, lupus, or other inflammatory conditions. It can also be used to check for infections or other autoimmune responses.

In most cases, no special preparation is needed before a rheumatoid factor blood test, and you can usually eat and drink normally. However, be sure to tell your doctor about any medications, supplements, or recent vaccines you have received, since these can occasionally influence your results.

No special preparation is usually needed. You may be asked to fast before the test, but this depends on your doctor’s instructions. Bring any medications you’re currently taking.

A healthcare professional will place an elastic band around your upper arm, clean the skin at the puncture site, and draw a small blood sample from a vein, usually in your arm. The process takes only a few minutes, and the sample is then sent to a laboratory for analysis.

A healthcare professional will draw blood from a vein in your arm. You may feel a slight pinch, but it usually doesn’t cause significant discomfort. The blood sample is then sent to a lab for analysis.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Rheumatoid Factor (RF)

Frequently asked questions

Rheumatoid factor is not always specific to rheumatoid arthritis—it can appear in other autoimmune diseases, chronic infections, or even some healthy older adults. While positive results may raise suspicion for autoimmune conditions, they don’t confirm a diagnosis alone. Your doctor will consider symptoms, other test results, and clinical findings for a full assessment.
What does it mean if your rheumatoid factor test comes back positive, and should you be concerned about the result?
A positive rheumatoid factor result suggests your immune system may be producing antibodies against its own proteins, which can be linked to conditions like rheumatoid arthritis or other autoimmune diseases. However, it doesn’t definitively diagnose the condition without further evaluation.
Can your rheumatoid factor levels go up or down over time, and what might those changes indicate about your condition?
Yes, rheumatoid factor levels can fluctuate. They may rise during active disease or infections and sometimes decrease with treatment. Regular monitoring can help track disease progression or response to therapy.
While this test is a useful screening tool, it’s not 100% accurate. False positives can occur, especially in older adults or those with certain infections. Your doctor will use the test alongside other clinical findings to make a diagnosis.
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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