£295.00

Description

Rheumatology Disease Blood Test

Rheumatology Disease Blood Test

£295.00

In-depth Autoimmune & Inflammatory Marker Assessment

🧾 Service Overview

Rheumatologic diseases such as rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), gout, and connective tissue disorders are often complex, multisystemic, and progressive. Early and accurate detection of immune dysfunction and inflammatory activity is crucial for initiating timely treatment, preserving joint function, and preventing organ involvement.

This comprehensive diagnostic panel investigates the immunological, inflammatory, and haematological markers commonly involved in systemic autoimmune disease. It helps clinicians:

  • Differentiate between inflammatory vs mechanical joint symptoms
  • Establish or rule out diagnoses such as RA, SLE, gout, or polymyalgia rheumatica
  • Monitor disease activity and treatment response

This test is particularly suited for:

Patients with undiagnosed joint pain, swelling, fatigue, or stiffness

Individuals with early symptoms of systemic autoimmune disease

People with a family history of rheumatologic or connective tissue disorders

Those with positive ANA or previous abnormal autoimmune markers requiring further clarification

🧪 Included Tests – Detailed Breakdown

Full Blood Count (FBC)

This foundational test evaluates:

White cell count (WBC) – Inflammation or immune suppression

Red blood cells and haemoglobin – Anaemia of chronic disease, common in SLE or RA

Platelets – Often raised in active inflammation or low in immune-related cytopenias

Changes in FBC can reflect chronic inflammation, bone marrow suppression, or systemic autoimmune involvement.

Rheumatoid Factor (RF)

An autoantibody directed against the Fc portion of IgG.

Present in 70–80% of RA patients

May also be found in SLE, Sjögren’s syndrome, hepatitis C, and in some healthy individuals (especially the elderly)

High titres are associated with more aggressive disease and extra-articular manifestations

Erythrocyte Sedimentation Rate (ESR)

A non-specific but sensitive indicator of systemic inflammation.

Often elevated in RA, vasculitis, temporal arteritis, and lupus

Especially useful when interpreted alongside CRP to distinguish between acute and chronic inflammatory processes

C-Reactive Protein (CRP)

A liver-produced acute-phase protein that rises in response to tissue injury or inflammation.

Correlates more strongly with acute flares or infection

CRP is often normal in lupus, but typically elevated in RA, vasculitis, and polymyalgia rheumatica

Useful for monitoring disease activity or response to treatment

Anti-Cyclic Citrullinated Peptide (Anti-CCP)

A highly specific marker for rheumatoid arthritis:

Often positive years before symptoms develop

Strongly associated with erosive disease and poor prognosis

Negative RF and positive CCP is still diagnostic of RA

Combined with RF, this test increases diagnostic sensitivity and specificity significantly.

Uric Acid (Serum)

Measures the level of urate in the blood:

Elevated levels are associated with gout, particularly if >360 µmol/L

Urate crystals can deposit in joints, leading to acute inflammation and pain

Also useful in assessing renal function and cardiovascular risk, which are comorbid in many autoimmune conditions

🏥 What to Expect at Your Appointment

You’ll be greeted by a trained clinician who will review your clinical history, symptoms, and any previous tests or diagnoses.

A single blood sample will be drawn from your arm. The process typically takes 10–15 minutes

No physical exam is required unless arranged with a specialist.

Results are processed within 3–7 working days and delivered through a secure patient portal or via your referring clinician.

📋 Interpreting the Results

Each result will be colour-coded (green = normal, amber = borderline, red = abnormal) with accompanying explanations.

If gout is indicated, you may receive lifestyle and dietary guidance or be referred for urate-lowering therapy.

If markers suggest rheumatologic or autoimmune activity, the report may recommend:

Referral to a rheumatologist

Imaging studies (e.g., joint ultrasound, MRI)

Additional antibody testing (e.g., ANA, ENA, dsDNA, complement levels)

Frequently Asked Questions

Is this a diagnostic test for rheumatoid arthritis or lupus?

This panel provides strong laboratory support for diagnosing conditions like RA and lupus but must be interpreted alongside clinical examination and imaging. A diagnosis is typically made by a rheumatologist using a combination of history, physical findings, labs, and sometimes imaging.

What’s the difference between ESR and CRP?
  • ESR rises slowly and reflects chronic inflammation.
  • CRP rises quickly and reflects acute inflammation or flares.
    Both are complementary and used to track disease trends.
Can this panel monitor existing autoimmune disease?

Yes. Markers like CRP, ESR, and FBC are useful for monitoring disease activity, flares, and response to immunosuppressive therapy (e.g., methotrexate, biologics).

What conditions can elevate rheumatoid factor?

While RF is classically associated with RA, it may also be elevated in:

  • Sjögren’s syndrome
  • Chronic infections (e.g., hepatitis C)
  • Sarcoidosis
  • Some healthy elderly individuals
    That’s why Anti-CCP is added for specificity.
Will I need further testing if results are abnormal?

Yes, possibly. Depending on the findings, we may suggest:

  • ANA, ENA, dsDNA, or complement C3/C4 testing
  • Imaging (X-ray, MRI)
  • Specialist referral for synovial fluid analysis or biopsy
Can this test be used as a screening tool for autoimmune disease?

Yes. Especially in people with:

  • Family history of autoimmunity
  • Recurrent joint pain and swelling
  • Systemic symptoms (e.g., fatigue, weight loss, rashes)
    It can offer early insight, prompting timely referral and care.
Do I need to stop medications before the test?

Generally, no. But let your clinician know if you're taking:

  • Steroids or NSAIDs (may suppress CRP)
  • DMARDs or biologics (may alter antibody levels)
    This will be considered when interpreting your results.