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HLA-B27

HLA-B27 test · HLA-B27 antigen · genetic test for back pain

This blood test checks for a special marker protein on your cells. It is more common in people with inflammation of the spine and joints.

For long-lasting lower back pain, especially in the morning and at rest, or for inflammation of the joints or eyes.

⏱ Duration: the blood draw usually takes 5 minutes; results usually come in a few days

Be sure to tell your doctor

How to prepare

  • Food. You usually do not need to fast. If you are having other tests at the same time, check with the lab.
  • Medicines. Do not stop anything on your own. Medicines do not affect this test.

What to bring

  • Your referral
  • Your ID

How it goes

  1. You sit down, and a band is tied above your elbow
  2. The skin is wiped with antiseptic
  3. Blood is taken from a vein into a tube
  4. The band is removed, and a cotton pad is pressed on the spot

What you'll feel

  • A quick prick, like a pinch
  • Sometimes slight dizziness. Tell the nurse, and they will help you lie down

Afterwards

  • Press the cotton pad for 3 to 5 minutes
  • Results usually come in a few days
  • A positive result is not a diagnosis. Many people with this marker are healthy
  • The doctor reads the test together with your symptoms and scans

Common questions

I have HLA-B27. Am I sick?

Not necessarily. Many healthy people have this marker. A diagnosis is made only from symptoms, an exam, and scans.

Do I need to repeat the test?

No. It is something you are born with. It does not change.