Autoimmune Diseases · Pathology

Which of the following is the most sensitive screening test for Systemic Lupus Erythematosus (SLE)?

  1. Anti-dsDNA antibodies
  2. Anti-Smith (Sm) antibodies
  3. Antinuclear antibodies (ANA)
  4. Antiphospholipid antibodies (aPL)
Show answer and explanation

Correct answer: Antinuclear antibodies (ANA)

ANA is positive in virtually all patients with SLE (95–99% sensitivity), making it the best screening tool. However, it lacks specificity as it can be positive in other autoimmune diseases and even healthy individuals.

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