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White Blood Cell Clumping (Qualitative) - Autoimmune Antibody Screen

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

This test checks for antibodies that may cause white blood cells to clump together, which can help identify certain autoimmune conditions.

Quick summary

["This screening helps detect potential autoimmune reactions affecting white blood cells."]

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

Key facts at a glance

LOINC
53317-4
Short code
WBC clumps Ur Ql Auto
Synonyms
WBC clumps Ur Ql Auto
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Ref low
4.5
Ref high
11
Critical range
2 N/A – 30 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
automated
CPT
85004
SNOMED
900000000000003002
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What This Test Measures

The test detects the presence of antibodies that bind to white blood cells, causing them to clump. This is often evaluated through microscopic examination of stained blood smears. Autoantibodies like those targeting neutrophils or lymphocytes can trigger this clumping, which may indicate conditions such as autoimmune neutropenia or other inflammatory disorders.

Why It Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms like recurrent infections, unexplained fatigue, or other signs of an immune system dysfunction. It can also be part of a broader evaluation for autoimmune diseases or conditions where white blood cell function is suspected to be impaired.

This test uses a blood sample collected from a vein in your arm. After drawing blood, it is processed to examine white blood cells under a microscope. The clumping pattern is compared to normal samples to determine if antibodies are present.

The blood sample is typically sent to a lab where it is stained to highlight white blood cells. Microscopic analysis identifies any abnormal clumping, which may indicate immune-mediated clumping due to autoantibodies.

Note: This test is qualitative and does not provide a numerical result. Instead, results are interpreted as either positive (clumping detected) or negative (no clumping observed).

A positive result suggests the presence of antibodies causing white blood cells to clump, which may warrant further testing or evaluation by your healthcare provider. A negative result means no clumping was observed, but it does not rule out other autoimmune conditions.

Reference range

Adult: 4.5-11.0 x 10^9/LN/A

Specimen: urine

No special preparation required. Stay well hydrated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

WBC Clumping Screen

Frequently asked questions

What does a positive result mean?
A positive result means that antibodies were detected causing white blood cells to clump. This finding may suggest an underlying autoimmune condition affecting white blood cells, but further testing is needed to determine the exact cause and appropriate treatment.
Can this test be used to diagnose an autoimmune disease?
No, this test is a screening tool and not definitive for diagnosing autoimmune diseases. It may prompt additional testing, such as complete blood counts, specific antibody tests, or clinical correlation with symptoms to guide diagnosis.
How soon will I get results?
Results are typically available within 1–3 business days, depending on lab processing times. Your healthcare provider will discuss the results with you and explain next steps, if needed.
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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