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




