Clinical Conditions Associated With a High Antinuclear Antibody Titer in Individuals Without Autoimmune Disease

Arthritis Care Res (Hoboken)Published Retrospective case-control study

Authors' conclusion

A high ANA titer in the absence of an AI disease was associated with increased risk of liver disorders and related risk factors and complications.

Study context

Population
Individuals without autoimmune disease who had an ANA test, Vanderbilt University Medical Center electronic medical recordHigh titer (HT) 3.1%, low titer (LT) 12.3%, negative (NG) 84.6%
Participants
28,781 individuals
Comparison
High ANA titer vs low titer and negative ANA in individuals without autoimmune disease
Outcome
Prevalence of diagnoses recorded within 90 days of the ANA test
Follow-up
Within 90 days of the ANA test
Methodological detailsphenome-wide association study, de-identified electronic medical record, adjusted for age at ANA testing, sex, median body mass index (BMI) and reported race, significance threshold P <5 × 10-5
  • Phenome-wide association study
  • De-identified electronic medical record
  • Adjusted for age at ANA testing, sex, median BMI and reported race
  • Significance threshold P <5 × 10-5

Main finding

As reported in the abstract

Clinical diagnoses with increased risk in HT

Clinical diagnoses with increased risk, HT vs LT

46

Clinical diagnoses with increased risk, HT vs NG

67

Observational data: associations, not effects.

Further findings

Baseline characteristics among groups

BMI similar among groups
P = 0.345
HT individuals older
P = 3.9 × 10-73

Original publication

Clinical Conditions Associated With a High Antinuclear Antibody Titer in Individuals Without Autoimmune Disease. Arthritis Care Res (Hoboken). Published 20 January 2026. doi:10.1002/acr.25682

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