Quest Diagnostics Quest Diagnostics

Autoimmune Screening Test (ANA with Reflex)

Type

Blood Testing

Biomarkers

14

Duration

30 min

Results

3 days

Detect autoantibodies in your blood related to various autoimmune diseases to help you and your healthcare provider determine next steps.

This test first checks for ANAs in your blood to help detect if an autoimmune disease is present. If ANAs are found, a series of more specific tests will be performed until autoantibodies associated with specific diseases are detected. This may include up to five rounds of testing on your provided sample. The test helps identify the presence of autoimmune diseases and guides further medical action. Early detection is crucial for managing autoimmune conditions effectively. Understanding your autoantibody profile can help you and your doctor make informed decisions about your health.

Key Details

Biomarkers
2–10+ inflammation markers
Fasting Required
No
Sample Type
Blood draw
Turnaround
1–3 business days
Common Use
Inflammation screening, autoimmune detection

Who Is This For?

Anyone with unexplained joint pain, fatigue, or recurrent symptoms that could indicate autoimmune activity. People with a family history of autoimmune diseases (lupus, rheumatoid arthritis, Hashimoto's). Health-conscious individuals tracking inflammation as part of a longevity protocol. Those recovering from illness or injury who want to monitor their inflammatory response.

What's Included

High-sensitivity C-reactive protein (hsCRP)
Erythrocyte sedimentation rate (ESR)
Additional markers vary by panel (ANA, RF, cytokines)

Preparation Required

No fasting required for most inflammation markers. Avoid intense exercise for 24 hours before testing, as it temporarily elevates CRP and other inflammatory markers. Inform your provider of any acute illness, injury, or infection, as these will cause temporary elevations unrelated to chronic conditions.

Biomarkers Tested

14
Tin µg/L

A metal found in canned foods, solder, and industrial materials. While small amounts of inorganic tin are relatively non-toxic, high levels can cause gastrointestinal irritation. Organotin compounds are more toxic and affect the immune and nervous systems.

Sm/RNP Positive/Negative

Antibodies to Sm/RNP (Smith/ribonucleoprotein) are highly specific for SLE.

Anti-RNP antibodies titer

Marker for mixed connective tissue disease (MCTD).

Osmolality mOsm/kg

Osmolality measures the concentration of dissolved particles in the blood, indicating hydration status.

Tin µg/L

A metal found in canned foods, solder, and industrial materials. While small amounts of inorganic tin are relatively non-toxic, high levels can cause gastrointestinal irritation. Organotin compounds are more toxic and affect the immune and nervous systems.

Interferon-Gamma Release Assay (IGRA) pg/mL

Measures the cell-mediated immune (CMI) response to T-cells to detect Mycobacterium tuberculosis bacteria. Does not differentiate between latent TB infection and TB disease.

SSB Positive/Negative

Anti-SSB (La) antibodies are associated with Sjögren's syndrome and SLE.

Scl-70 Positive/Negative

Anti-Scl-70 (topoisomerase I) antibodies are highly specific for systemic sclerosis.

Anti-Jo-1 titer

Marker for Polymyositis.

Ribosomal P Positive/Negative

Antibodies to ribosomal P proteins are associated with various autoimmune diseases.

Centromere B Positive/Negative

Anti-centromere B antibodies are associated with CREST syndrome (a form of systemic sclerosis).

Antinuclear antibodies (ANA) titer

A marker of the autoimmune process, positive in various autoimmune diseases.

hs-CRP (High-Sensitivity C-Reactive Protein) mg/L

A highly sensitive test for low-grade chronic inflammation linked to cardiovascular disease risk. Lower hs-CRP values are associated with better cardiovascular outcomes.

ESR mm/hr

Erythrocyte sedimentation rate — measures how quickly red blood cells settle to the bottom of a test tube. Faster settling indicates more inflammation. ESR is a non-specific marker used to monitor inflammatory conditions like arthritis and vasculitis.

Price
$112 $118

Includes a $6.00 Physician Service Fee

Category
Diagnostic
Sample Type
Blood draw
Duration
30 min
Results
3 days
Quest Diagnostics

Quest Diagnostics

QuestHealth offers accessible, on-demand health testing for individuals seeking quick and reliable diagnostic solutions.

Frequently Asked Questions