AutoantibodyDisease (frequency of autoantibody)Cost ($)*Comments
RFRheumatoid arthritis (80%), other connective tissue diseases (see Table 1)15Sensitive but not specific for rheumatoid arthritis; correlates with prognosis of disease severity (not disease activity)
ANASystemic lupus erythematosus (99%), drug-induced lupus (100%), other connective tissue diseases (see Table 2)30Sensitive but not specific for connective tissue diseases; correlates poorly with disease activity
Anti-dsDNASystemic lupus erythematosus (60%)30Specific but not sensitive for systemic lupus erythematosus; correlates with lupus nephritis and disease activity
Anti-ssDNAInfrequent200†Nonspecific and of little clinical utility
Anti-histoneDrug-induced lupus (90%), systemic lupus erythematosus (50%)Sensitive but not specific for drug-induced lupus
Anti-SmSystemic lupus erythematosus (20 to 30%)Specific but not sensitive for systemic lupus erythematosus
Anti-U1 snRNPSystemic lupus erythematosus (30 to 40%), mixed connective tissue disease (100%)Associated with disease activity in systemic lupus erythematosus
Anti-Ro (anti-SS-A)Sjögren's syndrome (75%), systemic lupus erythematosus (40%)Associated with photosensitive skin rash, pulmonary disease and lymphopenia in systemic lupus erythematosus
Anti-La (anti-SS-B)Sjögren's syndrome (40%), systemic lupus erythematosus (10 to 15%)Associated with late-onset systemic lupus erythematosus, secondary Sjögren's syndrome and neonatal lupus syndrome
Anti-ribosomeSystemic lupus erythematosus (10 to 20%)30Highly specific but not sensitive for systemic lupus erythematosus; associated with lupus psychosis
Anti-centromereScleroderma (22 to 36%)30Associated with CREST syndrome and Raynaud's phenomenon
Anti-topoisomerase I (anti-Scl-70)Scleroderma (22 to 40%)40Highly specific but not sensitive for scleroderma
Anti-Jo1Polymyositis and dermatomyositis (30%)40Associated with pulmonary fibrosis and Raynaud's phenomenon
c-ANCAWegener's granulomatosis (>90%)30Highly specific and sensitive for Wegener's granulomatosis; correlates with disease activity
p-ANCAWegener's granulomatosis (10%), microscopic polyangiitis, glomerulonephritis30Sensitivity and specificity quite low in Wegener's granulomatosis