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HLA-B27 Test Overview and Information

Discover the HLA-B27 test, its purpose, procedure, and role in diagnosing autoimmune conditions like ankylosing spondylitis and other inflammatory disorders.

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Written by Dr. Mohammed Kamran

Reviewed by Dr. M L Ezhilarasan MBBS

Last updated on 28th Aug, 2025

hla-b27

If you or a loved one has been experiencing joint pain, stiffness, or inflammation, your doctor may have recommended an HLA-B27 test. This simple blood test can help diagnose certain autoimmune conditions, particularly those affecting the spine and joints.

In this article, we’ll explain what the HLA-B27 test is, why it’s important, and how it can help in diagnosing and managing certain health conditions.

What is the HLA-B27 Test?

The HLA-B27 test checks for the presence of a specific protein called Human Leukocyte Antigen B27 (HLA-B27) on the surface of your white blood cells. This protein is part of your immune system and plays a role in how your body responds to infections and diseases.

While having the HLA-B27 gene doesn’t always mean you’ll develop an autoimmune disease, it is associated with certain inflammatory conditions, such as:

  • Ankylosing Spondylitis (a type of arthritis affecting the spine)
  • Reactive Arthritis (joint pain triggered by infections)
  • Psoriatic Arthritis (arthritis linked with psoriasis)
  • Juvenile Rheumatoid Arthritis (arthritis in children)

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Dr. Sandhya Chandel, General Physician/ Internal Medicine Specialist

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Dr. Dhanraj K, General Physician/ Internal Medicine Specialist

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Hyderabad

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Dr. Mohamed Azeem, General Physician/ Internal Medicine Specialist

Dr. Mohamed Azeem

General Physician/ Internal Medicine Specialist

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Why is the HLA-B27 Test Done?

Your doctor may recommend this test if you have symptoms like:

  • Chronic back pain and stiffness (especially in the morning)
  • Swollen, painful joints
  • Eye inflammation (uveitis)
  • Skin rashes (psoriasis)
  • Digestive issues (linked with inflammatory bowel disease)

The test helps confirm or rule out autoimmune conditions associated with HLA-B27.

How is the Test Performed?

The HLA-B27 test is a simple blood test. A healthcare professional will:

1. Clean the area (usually your arm) with an antiseptic.
2. Insert a small needle to draw a blood sample.
3. Send the sample to a lab for analysis.

No special preparation is needed, and you can resume normal activities afterward.

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Understanding Your Test Results

Below are the interpretation of the test results,

  • Positive Result: Means HLA-B27 is present in your blood. This doesn’t always mean you have an autoimmune disease, but it increases the likelihood.
  • Negative Result: Means HLA-B27 is not detected. However, some people with autoimmune conditions may still test negative.

Your doctor will interpret the results along with your symptoms and other tests to make a diagnosis.

What If You Test Positive for HLA-B27?

A positive result doesn’t guarantee you’ll develop an autoimmune disease, but it does mean you may be at higher risk. Here’s what you can do:

1. Monitor Symptoms

  • Keep track of joint pain, stiffness, or swelling.
  • Report any new symptoms (eye redness, skin rashes) to your doctor.

2. Stay Active

  • Gentle exercises (yoga, swimming, walking) can help maintain joint flexibility.
  • Avoid prolonged sitting or inactivity.

3. Eat an Anti-Inflammatory Diet

  • Include fruits, vegetables, whole grains, and omega-3-rich foods (like fish, flaxseeds).
  • Reduce processed foods, sugar, and excessive red meat.

4. Manage Stress

  • Stress can worsen inflammation and practice relaxation techniques like meditation.

5. Regular Check-ups

  • Follow up with a rheumatologist if needed.

When to See a Doctor?

If you experience:

  • Persistent joint pain or stiffness
  • Swelling in the knees, ankles, or lower back
  • Eye redness or vision changes
  • Unexplained rashes or digestive issues

Consult a doctor for further evaluation. Early diagnosis can help manage symptoms better.

Book an HLA-B27 Test with Apollo 24|7

If your doctor has recommended an HLA-B27 test, you can easily schedule a blood test through Apollo 24|7.

Final Thoughts

The HLA-B27 test is a helpful tool in diagnosing autoimmune conditions, especially those affecting joints and the spine. While a positive result doesn’t always mean you’ll develop a disease, it’s important to stay aware of symptoms and maintain a healthy lifestyle. If you have concerns about joint pain or related symptoms, talk to your doctor and consider getting tested. Early detection and proper care can make a big difference in managing your health.

Consult a Top Specialist

Dr. Sandhya Chandel, General Physician/ Internal Medicine Specialist

Dr. Sandhya Chandel

General Physician/ Internal Medicine Specialist

16 Years • MBBS, MD (Int. Med.), IDCCM

Bilaspur

Apollo Hospitals Seepat Road, Bilaspur

recommendation

94%

(125+ Patients)

700

70 Cashback

700

No Booking Fees

Dr. Dhanraj K, General Physician/ Internal Medicine Specialist

Dr. Dhanraj K

General Physician/ Internal Medicine Specialist

25 Years • MBBS, MD Internal Medicine - Osmania Medical College, Hyderabad

Hyderabad

Apollo Hospitals Jubilee Hills, Hyderabad

recommendation

91%

(375+ Patients)

1000

1000

No Booking Fees

Dr. Anand Ravi, General Physician

Dr. Anand Ravi

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

60 Cashback

Dr Syed Mateen Pasha, General Physician

Dr Syed Mateen Pasha

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

60 Cashback

Dr. Mohamed Azeem, General Physician/ Internal Medicine Specialist

Dr. Mohamed Azeem

General Physician/ Internal Medicine Specialist

2 Years • MBBS,MD(Internal Medicine) CCEBDM

Karaikudi

Apollo Hospitals Karaikudi, Karaikudi

450

68 Cashback

450

No Booking Fees

Consult a Top Specialist

Dr. Sandhya Chandel, General Physician/ Internal Medicine Specialist

Dr. Sandhya Chandel

General Physician/ Internal Medicine Specialist

16 Years • MBBS, MD (Int. Med.), IDCCM

Bilaspur

Apollo Hospitals Seepat Road, Bilaspur

recommendation

94%

(125+ Patients)

700

70 Cashback

700

No Booking Fees

Dr. Dhanraj K, General Physician/ Internal Medicine Specialist

Dr. Dhanraj K

General Physician/ Internal Medicine Specialist

25 Years • MBBS, MD Internal Medicine - Osmania Medical College, Hyderabad

Hyderabad

Apollo Hospitals Jubilee Hills, Hyderabad

recommendation

91%

(375+ Patients)

1000

1000

No Booking Fees

Dr. Anand Ravi, General Physician

Dr. Anand Ravi

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

60 Cashback

Dr Syed Mateen Pasha, General Physician

Dr Syed Mateen Pasha

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

60 Cashback

Dr. Mohamed Azeem, General Physician/ Internal Medicine Specialist

Dr. Mohamed Azeem

General Physician/ Internal Medicine Specialist

2 Years • MBBS,MD(Internal Medicine) CCEBDM

Karaikudi

Apollo Hospitals Karaikudi, Karaikudi

450

68 Cashback

450

No Booking Fees

Consult a Top Specialist

Dr. Sandhya Chandel, General Physician/ Internal Medicine Specialist

Dr. Sandhya Chandel

General Physician/ Internal Medicine Specialist

16 Years • MBBS, MD (Int. Med.), IDCCM

Bilaspur

Apollo Hospitals Seepat Road, Bilaspur

recommendation

94%

(125+ Patients)

700

70 Cashback

700

No Booking Fees

Dr. Dhanraj K, General Physician/ Internal Medicine Specialist

Dr. Dhanraj K

General Physician/ Internal Medicine Specialist

25 Years • MBBS, MD Internal Medicine - Osmania Medical College, Hyderabad

Hyderabad

Apollo Hospitals Jubilee Hills, Hyderabad

recommendation

91%

(375+ Patients)

1000

1000

No Booking Fees

Dr. Anand Ravi, General Physician

Dr. Anand Ravi

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

60 Cashback

Dr Syed Mateen Pasha, General Physician

Dr Syed Mateen Pasha

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

60 Cashback

Dr. Mohamed Azeem, General Physician/ Internal Medicine Specialist

Dr. Mohamed Azeem

General Physician/ Internal Medicine Specialist

2 Years • MBBS,MD(Internal Medicine) CCEBDM

Karaikudi

Apollo Hospitals Karaikudi, Karaikudi

450

68 Cashback

450

No Booking Fees

Get Your Health Assessed

4550(₹11375)60% off

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