Autoimmune Diseases · Pathology

Which antibody is most specific for the diagnosis of Rheumatoid Arthritis?

  1. Antinuclear antibody (ANA, low titer)
  2. Rheumatoid Factor (RF, IgM class)
  3. Anti-CCP (anti-citrullinated protein)
  4. Anti-smooth muscle antibody (ASMA)
Show answer and explanation

Correct answer: Anti-CCP (anti-citrullinated protein)

While Rheumatoid Factor is common, Anti-CCP antibodies have a specificity of about 95% for Rheumatoid Arthritis. They are often detectable in the blood long before clinical symptoms appear.

Difficulty: Medium Question 11 of 20

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