Skip to main content

Please note that this is a beta version of our website. Should you encounter any bugs, glitches, lack of functionality or other problems on the website, please let us know immediately so we can rectify these accordingly. Your help in this regard is greatly appreciated! You can email us.

Login to North West London Pathology – consumables service

If you need a new account or you have a query about your order, please telephone the pathology call centre on 0203 313 5353.

If you have forgotten your password you can reset this yourself. Please click here if you have forgotten your password.

Results Line and Enquiries

0203 313 5353

Neutrophil cytoplasmic antibodies

Category Immunology
Test background

Anti-neutrophil cytoplasmic antibodies (ANCA) are directed against cytoplasmic constituents of polymorphonuclear leukocytes and monocytes. Most patients with primary small vessel vasculitis, eg. Wegener's granulomatosis, microscopic polyangiitis, Churg-Strauss syndrome and limited forms of these diseases, harbour ANCA directed against either PR3 (proteinase 3) or MPO (myeloperoxidase). They are used as specific markers for Wegener's granulomatosis and other diseases, though their pathophysiological role is not clear. ANCA are routinely detected by indirect immunofluorescence with three different patterns: c-ANCA (cytoplasmic), p-ANCA (perinuclear), and atypical ANCA.

Clinicial Indications

Skin rashes with or without pain (cutaneous vasculitis) Systemic vasculitis General (protean) symptoms, such as feeling unwell, weight loss, night sweats, joint pains Haematuria/proteinuria (kidney-associated) Haemoptysis, difficulty in breathing (lungs) Muscle weakness/numbness of extremities (microvascular) Abdominal pain (gut) In addition to acute heart and brain symptoms when these organs are implicated Suspected Wegener's granulomatosis, microscopic polyangiitis or Churg-Strauss syndrome

Reference range

Negative

Sample & container required RST (rust top)
Sample volume 5-10 mL (1 mL serum)
Turnaround time 5 days
Notes

This test is currently unaccredited due to a recent change in platform.