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Serum Immunoassay for Anti-Neutrophil Cytoplasmic Antibodies (ANCA) – Specific to Proteinase 3 (PR3)

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

This test measures antibodies in your blood that target a specific protein found in white blood cells, called Proteinase 3. These antibodies are linked to certain autoimmune conditions affecting blood vessels.

Quick summary

["This test helps diagnose or monitor autoimmune diseases like granulomatosis with polyangiitis (GPA)."]

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

Key facts at a glance

LOINC
47347-0
Short code
S pneum Da 15B IgG 2:1 Ser-Rto
Synonyms
S pneum Da 15B IgG 2:1 Ser-Rto
Category
coagulation
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82784
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

Why This Test Is Done

Your doctor may order this test if you have symptoms such as persistent sinus or lung infections, unexplained skin rashes, kidney problems, or unexplained blood vessel inflammation. It’s often used alongside other tests to confirm a diagnosis of vasculitis or other autoimmune disorders.

What to Expect Before the Test

No special preparation is needed. You’ll provide a blood sample, typically drawn from a vein in your arm. If you’re on blood thinners, let your doctor know before the test.

What the Test Results Mean

Positive results suggest the presence of PR3-ANCA antibodies, which may indicate conditions like vasculitis. However, false positives can occur, so results are usually interpreted alongside clinical findings and other tests.

Common Conditions Linked to Positive Results

Positive PR3-ANCA is strongly associated with granulomatosis with polyangiitis (GPA), a type of vasculitis that affects small and medium-sized blood vessels. It may also appear in other autoimmune conditions, but further evaluation is needed.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical significance: PR3-ANCA is a key diagnostic marker for vasculitis, particularly GPA. Elevated levels can prompt early treatment to prevent organ damage. However, false positives can occur, so results are validated with clinical correlation and other diagnostic tests.

Short name

PR3-ANCA (Serum)

Frequently asked questions

What does a positive PR3-ANCA result mean for my health?
A positive result indicates the presence of these antibodies, which may signal an autoimmune condition like vasculitis. Your doctor will discuss next steps, which could include additional tests, monitoring, or treatment options tailored to your symptoms and overall health.
Will I need to take any special steps if my test is positive?
If your test is positive, your healthcare provider will work with you to develop a treatment plan. This may include medications to control inflammation, lifestyle adjustments, or close monitoring of your condition. Follow-up visits are important to track progress.
Can false positives happen with this test?
Yes, false positives can occur, especially in people with certain infections or other autoimmune conditions. Your doctor will consider your symptoms, medical history, and other test results to interpret the results accurately.
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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