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What does my CCP value indicate?

Hello,
I had a test for CCP antibodies done. The normal range was given as 5 RE/ml, but my result is 6.9 RE/ml, which means my result is elevated. Unfortunately, my rheumatologist is currently on vacation, so I only picked up the report yesterday at the practice. Since I am now worried that I may have Rheumatoid Arthritis or another rheumatic disease, I am reaching out to you.
I know that a positive result for CCP antibodies is highly indicative of RA. But is the value of 5 RE/ml a cut-off that was chosen as a limit, or do values above that very likely indicate a positive result? I cannot assess the dimensions; if a value is above 5 RE/ml, does it significantly increase the likelihood of a positive result?

med. pract. Arzt Online

Dear inquirer,

the CCP value is definitely specific, that is correct.

Your measurement value, or the exceeding of the limit value, does not represent a "cut-off". The reference value is determined from average values and can also vary upwards and downwards in unaffected individuals.

Your value is in the borderline range. I would consider a significantly abnormal value to be over 10 IU/mL (you mention RE/mL - do you mean IU/mL [international units]?). However, reference values and maximum values differ from lab to lab. Regular check-ups with your doctor, at longer but regular intervals, are recommended.

Rheumatoid arthritis is a disease that develops slowly in older age (55 years). Based on your information, there is no need to rush excessively, in my opinion.

After you return from your rheumatologist, schedule an appointment to discuss the value and the next steps in your life situation.

Get well soon.

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