Rare diseases · Sign or symptom
Antinuclear antibody positivity
HP:0003493
What it means
The presence of autoantibodies in the serum that react against nuclei or nuclear components.
Antinuclear antibodies (ANAs) are found in patients with a number of different autoimmune diseases, such as systemic lupus erythematosus, Sjogren's syndrome, rheumatoid arthritis, polymyositis, scleroderma, Hashimoto's thyroiditis, juvenile diabetes mellitus, Addison disease, vitiligo, pernicious anemia, glomerulonephritis, and pulmonary fibrosis. ANAs can display various staining patterns such as homogeneous or diffuse; speckled; nucleolar; and peripheral or rim.
Rare diseases that can present with this40
Very common80–99%
6Common30–79%
13- IgG4-related aortitis
- IgG4-related kidney disease
- IgG4-related ophthalmic disease
- IgG4-related systemic disease
- Insulin-resistance syndrome type B
- Overlap myositis
- Pediatric systemic lupus erythematosus
- Pemphigus erythematosus
- Polymyositis
- Primary biliary cholangitis
- Primary biliary cholangitis/primary sclerosing cholangitis and autoimmune hepatitis overlap syndrome
- Psoriasis-related juvenile idiopathic arthritis
- Subacute cutaneous lupus erythematosus
The range is how often this sign appears among people diagnosed with each disease — it is not a probability of having any of them. Many of these signs also occur in common, non-rare conditions, and Orphanet separately records 1 disease where this sign is specifically absent. A sign on this page is a conversation to have with a clinician, not a conclusion.
Part of the broader category
Also called: Antinuclear antibodies · Antinuclear antibody positive · Elevated antinuclear antibody · Serum antinuclear antibody
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Start free with EleplanThis page uses the Human Phenotype Ontology (2026-06-23) — Human Phenotype Ontology Consortium, hpo.jax.org. Disease associations from Orphanet (INSERM), CC BY 4.0. Content is educational and is not medical advice.