Anti-histone antibodies are proteins that are produced by the immune system and that attack histones, which are proteins that bind and package DNA in cells. A positive anti-histone antibody test result indicates that the body is producing these antibodies, which can have a variety of implications for a person’s health.
Causes of a Positive Anti-Histone Antibody Test
A positive anti-histone antibody result can indicate an autoimmune disorder, such as systemic lupus erythematosus (SLE). SLE is an autoimmune disorder in which the body’s immune system mistakenly attacks its own tissues and organs, leading to inflammation and damage. Anti-histone antibodies are present in around 50% of people with SLE.
Other possible causes of a positive anti-histone antibody test include drug-induced lupus, infection, and rheumatoid arthritis. People who have had an organ transplant may also have an elevated level of these antibodies.
Signs and Symptoms
People with a positive anti-histone antibody test may experience a variety of symptoms, depending on the underlying cause of the antibodies. Common symptoms of SLE include joint pain, fever, fatigue, and skin rashes. Other conditions associated with a positive anti-histone antibody test may also produce additional symptoms, such as abdominal pain or swollen lymph nodes.
Diagnosis and Treatment
A positive anti-histone antibody test is usually accompanied by additional testing to determine the cause of the antibodies. This may include a physical exam, blood tests, imaging tests, and biopsies.
Treatment for a positive anti-histone antibody test depends on the underlying cause. For SLE, treatment may include medications to suppress the immune system, reduce inflammation, and relieve symptoms. Other conditions may require different treatments, such as antibiotics or immunosuppressive drugs.