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Serum Immunoassay for Anti-Neutrophil Cytoplasmic Antibodies (ANCA) – p-ANCA

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

This blood test measures a type of antibody called anti-neutrophil cytoplasmic antibody (p-ANCA), which may indicate inflammation in certain autoimmune conditions.

Quick summary

["p-ANCA antibodies can help diagnose conditions like vasculitis or other inflammatory diseases."]

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

Key facts at a glance

LOINC
86058-5
Short code
S pneum Da 22F IgG 2:1 Ser-Rto
Synonyms
S pneum Da 22F 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

What Is p-ANCA Used For?

p-ANCA tests are primarily used to help identify people with certain types of vasculitis, a group of rare but serious conditions where blood vessels become inflamed. This test may also support the diagnosis of autoimmune diseases affecting the kidneys, lungs, or skin.

How Is the Test Performed?

A blood sample is drawn from your arm, and the serum (liquid part of blood) is sent to a lab for testing using an immunoassay method. This detects the presence of p-ANCA antibodies in your blood.

What Does a Positive Result Mean?

A positive p-ANCA result suggests a higher likelihood of vasculitis or related inflammatory conditions, but it does not confirm a diagnosis alone. Your healthcare provider will consider the result alongside other tests and symptoms to make a full assessment.

When Might You Need This Test?

You may need a p-ANCA test if you have symptoms like unexplained skin rashes, joint pain, kidney issues, or unexplained inflammation. Doctors often order it for people with suspected vasculitis or other autoimmune conditions.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

p-ANCA antibodies are linked to conditions like granulomatosis with polyangiitis (GPA) or microscopic polyangiitis, which can affect blood vessels in organs. While not all positive results indicate disease, they signal a need for further evaluation to rule out serious inflammatory or autoimmune disorders.

Short name

p-ANCA Antibody Test

Frequently asked questions

Why might my doctor order a p-ANCA test if I don’t have symptoms?
Your doctor may order this test as part of a routine evaluation for autoimmune diseases, especially if you have risk factors like family history, chronic inflammation, or unexplained organ involvement.
Can p-ANCA test results change over time?
Yes, p-ANCA levels can fluctuate depending on your health status, treatment, or disease activity. Regular follow-up testing may be needed to monitor changes.
What if my p-ANCA test is negative but I still have symptoms?
A negative result means you likely do not have p-ANCA–associated vasculitis, but other conditions could cause your symptoms. Your doctor may recommend additional tests or different diagnostic approaches.
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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