Skip to main content
. 2021 Apr 15;31(2):020502. doi: 10.11613/BM.2021.020502

Table B. ICAP nomenclature for the description of fluorescence patterns and corresponding clinical significance.

ICAP code Fluorescence pattern Clinical significance*
Nuclear
AC-1 Nuclear homogenous fluorescence SLE, drug-induced lupus, JIA
AC-2 Nuclear dense fine speckled Rare in SjS, SSc, and SLE, more often in healthy individuals and different non-autoimmune inflammatory diseases (atopic dermatitis, asthma, etc.)
ICAP code Fluorescence pattern Clinical significance*
AC-3 Centromere fluorescence Limited cutaneous SSc, PBC
AC-4 Nuclear fine speckled fluorescence SjS, SLE, dermatomyositis
AC-5 Nuclear large/coarse speckled MCTD, SLE, SSc
AC-6 Fluorescence of multiple nuclear dots PBC, SARDs, dermatomyositis
AC-7 Fluorescence of few nuclear dots SjS, SLE, SSc, polymyositis, asymptomatic individuals
AC-8 Homogenous nucleolar fluorescence SSc, SSc/PM overlap syndrome
AC-9 Clumpy nucleolar fluorescence SSc
AC-10 Punctate nucleolar fluorescence SSc, SjS
AC-11 Smooth nuclear envelope fluorescence SLE, SjS, seronegative arthritis
AC-12 Punctate nuclear envelope fluorescence PBC
AC-13 PCNA-like fluorescence SLE, other disorders
AC-14 CENP-F – like fluorescence Carcinomas, other disorders
AC-29 Topo-I like fluorescence SSc
Cytoplasmic
AC-15 Cytoplasmic fibrillar linear fluorescence MCTD, chronic active hepatitis, cirrhosis, myasthenia gravis, Morbus Crohn, PBC, long-term haemodialysis, rare in SARDs
AC-16 Cytoplasmic fibrillar filamentous fluorescence Infective or inflammatory disorders, long-term haemodialysis, alcoholic liver disease, SARDs, psoriasis, healthy individuals
AC-17 Cytoplasmic fibrillar segmental fluorescence Myasthenia gravis, Morbus Crohn, ulcerative colitis
AC-18 Fluorescence of cytoplasmic discrete dots/GW body-like PBC, SARDs, different neurologic and autoimmune disorders
AC-19 Cytoplasmic dense fine speckled fluorescence Anti-synthetase syndrome, polymyositis/dermatomyositis, SLE, juvenile SLE, neuropsychiatry SLE
AC-20 Cytoplasmic speckled fluorescence Anti-synthetase syndrome, polymyositis/dermatomyositis, limited SSc, idiopathic pleural effusion
AC-21 Cytoplasmic reticular fluorescence/AMA Often in PBC and SSc, rare in other SARDs
AC-22 Cytoplasmic polar/Golgi like fluorescence Rare in SjS, SLE, RA, MCTD, GPA, idiopathic cerebral ataxia, paraneoplastic cerebral degeneration, virus infections
AC-23 “Rods & Rings “ fluorescence HCV patients after IFN-γ/ribavirin therapy, rare in SLE, Hashimoto thyroiditis and healthy individuals
Mitotic
AC-24 Centrosome fluorescence Rare in SSc, Raynaud syndrome, infection with viruses and mycoplasmas
AC-25 Fluorescence of spindle fiber Rare in SjS, SLE, and other CTDs
AC-26 NuMA-like fluorescence SjS, SLE, other disorders
AC-27 Fluorescence of intercellular bridge Rare in SSc, Raynaud syndrome and malignancies
AC-28 Mitotic chromosomal fluorescence Rare in discoid lupus erythematosus, chronic lymphatic leukemia, SjS, and polymyalgia rheumatica
*Report should contain description of fluorescence pattern with corresponding AC number, without clinical significance. Instead, link to the ICAP web site where corresponding clinical significance can be found should be given in the comment of the report.
ICAP – International consensus on antinuclear antibody pattern. SLE – Systemic lupus erythematosus. JIA – juvenile idiopathic arthritis. SjS – Sjögren syndrome. SSc – Systemic sclerosis. PBC – Primary biliary cholangitis. MCTD – mixed connective tissue disease. SARD – systemic autoimmune rheumatic diseases. PCNA – Antibodies to proliferating cell nuclear antigen. CENP-F – centromere protein F. Scl-70 – 70kDa antigen associated with scleroderma. PM – polymyositis. GW body – G (glycine) and W (tryptophan) containing body. AMA – antimitochondrial antibodies. HCV – hepatitis C virus. GPA – granulomatosis with polyangiitis. IFN-γ – interferon gamma. CTD – connective tissue diseases. NuMA – nuclear mitotic apparatus protein.