Micro & Immunology · single question

A patient with positive ANA (antinuclear antibodies) — what type of disease characteristic is this?

  1. Infectious disease
  2. Autoimmune disease
  3. Genetic disorder
  4. Metabolic disorder
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Correct answer: B. Autoimmune disease

  • A. Infections do not typically produce positive ANA — ANA is a marker of autoimmunity.
  • B. Positive ANA (antinuclear antibodies) is the hallmark laboratory finding of AUTOIMMUNE diseases, particularly SLE. ANA tests detect antibodies against nuclear components (dsDNA, histones, Smith antigen, Ro/SSA, La/SSB). ANA is positive in >95% of SLE patients. The specific ANA pattern and titer help differentiate between different autoimmune conditions.
  • C. Genetic disorders (Down syndrome, cystic fibrosis) are caused by chromosomal or gene mutations — they are not characterized by positive ANA.
  • D. Metabolic disorders (diabetes, gout) do not produce positive ANA.

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