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Positive Elevated Rheumatoid Factor, But Negative A.N.A. ?????

A myRAteam Member asked a question 💭

Have any of you heard of having a positive elevated rheumatoid (immunoassay-quant) , but at the same time have the A.N.A screen come back negative?

July 12, 2024
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A myRAteam Member

A positive elevated rheumatoid factor (RF) can indicate the presence of an autoimmune disease such as rheumatoid arthritis (RA) or Sjögren’s syndrome. However, a negative antinuclear antibody (ANA) test does not rule out RA. The ANA test is sensitive but not specific to RA and can be positive in many healthy individuals or Show Full Answer

A positive elevated rheumatoid factor (RF) can indicate the presence of an autoimmune disease such as rheumatoid arthritis (RA) or Sjögren’s syndrome. However, a negative antinuclear antibody (ANA) test does not rule out RA. The ANA test is sensitive but not specific to RA and can be positive in many healthy individuals or those with other autoimmune conditions.

Key points:
- Positive RF: Suggests autoimmune disease, possibly RA.
- Negative ANA: Does not rule out RA.
- Further Testing: Anti-CCP antibody test is more specific for RA.

For a more accurate diagnosis, additional tests and clinical evaluations are necessary.

July 12, 2024
A myRAteam Member

There is such a thing as zero-negative RA. I’d get another opinion if I was you. You have symptoms and it can affect a lot more than just joints.

July 13, 2024
A myRAteam Member

My RF was as high as 170 (!) but literally everything else was normal. Sed rate, sjogrens,CCP-everything, yet. I still have seriously dry eyes, fatigue and joint pains (my hands are almost useless sometimes for weeks at a time. They call it inflammatory arthritis yet to me I don’t see the difference except that I don’t have to take those nasty RA drugs. I’m still miserable!

July 13, 2024

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