Immunology• Updated 21 October 2026

HLA-B27 Test

A blood test for the HLA-B27 gene, linked with ankylosing spondylitis.

Results: Usually within a day Specimen: Blood

Quick Summary

Primary Purpose

To support the diagnosis of ankylosing spondylitis and related conditions.

What It Measures

Presence of HLA-B27.

Preparation

No preparation needed.

Overview

Most people with ankylosing spondylitis carry HLA-B27, but most carriers never develop it.

It's interpreted with symptoms and imaging.

What It Measures

HLA-B27

Present or absent.

How It's Performed

  1. 01

    Preparation

    Usually no special preparation. Tell the staff about medicines you take.

  2. 02

    Blood sample

    A small amount of blood is taken from a vein in your arm with a thin needle.

  3. 03

    Afterwards

    Press on the spot for a minute. A small bruise is common; you can go back to normal activities.

Interpreting Results & Next Steps

Discuss with Doctor

A negative result doesn't completely rule it out. Normal ranges differ between laboratories, ages and sexes; always use the range printed on your report and ask your doctor what your results mean.

If values are High:

A positive result supports the diagnosis with typical symptoms.

Sources and further reading

Last updated 21 October 2026. For more detail, see these trusted health organisations.

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