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Anti-Centromere Antibodies Test

The Anti-Centromere Antibodies (ACA) test is a specialized blood test that detects the presence of anti-centromere antibodies. These are autoantibodies that the immune system mistakenly produces, targeting its own proteins found in the centromere—a region of a chromosome where the two chromatids meet during cell division.


  • Test NameAnti-Centromere Antibodies Test
  • Sample TypeBlood
  • Preparations RequiredNo special preparation is required for this test
  • Report Time6 Hours

Typically, this test is used when a doctor suspects that a patient may have a specific type of autoimmune disorder, such as Systemic Sclerosis (SSc) or Limited Cutaneous Systemic Sclerosis (lcSSc), previously known as CREST syndrome (Calcinosis, Raynaud phenomenon, Esophageal dysmotility, Sclerodactyly, and Telangiectasia). Elevated levels of ACAs are commonly associated with these conditions.

Home Sample Collection Process

1
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2
Sample Collection by Phlebotomist
Sample Collection by Phlebotomist
3
Reporting of the sample at lab
Reporting of the sample at lab
4
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Frequently Asked Questions

The ACA test is crucial because it helps diagnose and monitor certain autoimmune conditions, notably lcSSc and SSc. Detecting these diseases early allows for a prompt start to treatment, possibly preventing more severe symptoms or complications.

No, fasting is not required for this test. You can eat and drink as normal prior to the test.

There is no special preparation needed for this test. However, it is recommended that you inform your healthcare provider about any medications you are taking, as they might interfere with the test results.

Your doctor may order this test if you present with symptoms of an autoimmune disorder, such as Raynaud's phenomenon (cold or stress-induced discoloration of the fingers and toes), skin hardening or tightening, or issues with your esophagus.

This test measures the level of anti-centromere antibodies in your blood. A high level could indicate an autoimmune disorder like SSc or lcSSc.

The frequency of testing depends on your symptoms, medical history, and your doctor's discretion. If you have a known autoimmune condition, your doctor may suggest regular testing to monitor your condition.

The normal value range can vary between labs. However, in general, ACA are not usually present in healthy individuals. Thus, the detection of these antibodies may indicate an underlying autoimmune condition.

There are no specific precautions for the test itself. If you are diagnosed with high levels of these antibodies, your doctor may advise lifestyle modifications and medical treatments to manage your autoimmune condition.

Several factors can affect the levels of these antibodies. While the primary factor is the presence of an underlying autoimmune condition, certain medications and individual genetic predispositions can also influence ACA levels.

If your Anti-Centromere Antibodies levels are abnormal, you should consult with a Rheumatologist, who specializes in autoimmune disorders.

ACAs are primarily associated with SSc and lcSSc. However, they may also be present in other conditions such as primary biliary cirrhosis, a liver disease.

While there's no evidence that ACAs themselves are hereditary, autoimmune disorders can have a genetic component. It is more likely that if you have a family history of autoimmune disorders, you may be at an increased risk.

The presence of ACAs can suggest the presence of certain autoimmune conditions but doesn't necessarily indicate the severity of the condition. Your healthcare provider will consider the ACA test results along with other diagnostic information to assess your condition.

While it's possible for healthy individuals to have ACAs, it's quite rare. Generally, the presence of ACAs indicates an autoimmune condition, most commonly SSc or lcSSc.

The results should be interpreted by your healthcare provider, considering your symptoms, medical history, and other tests. While the presence of ACAs is indicative of certain autoimmune conditions, further diagnostic tests may be needed for a definitive diagnosis.

In conclusion, the Anti-Centromere Antibodies test is a vital tool in diagnosing and managing certain autoimmune disorders. Though the test itself requires no specific preparation, understanding its purpose and implications can greatly help patients and their families cope with potential diagnoses. Always remember to discuss your test results with your healthcare provider, who can provide the most accurate interpretation in the context of your overall health.

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