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Understand Centromere B Antibody

Centromere B Antibody

Immunity & allergy markers

What the test generally measures, and what to ask about it.

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Updated Jul 29, 2026

What is Centromere B Antibody?

Antibodies targeting a centromere protein, strongly associated with limited cutaneous systemic sclerosis (scleroderma).

Centromere B (CENP-B) antibodies target a protein involved in cell division and are one of the most characteristic markers of limited cutaneous systemic sclerosis, a connective tissue condition sometimes described by the acronym CREST for its associated features. This antibody typically produces a distinctive centromere pattern on ANA testing. Clinicians often order it when Raynaud's phenomenon, skin tightening, difficulty swallowing, or small dilated blood vessels on the skin raise suspicion for systemic sclerosis. A positive result supports this association but is interpreted together with the ANA pattern, other scleroderma-related antibodies, and clinical examination rather than used as a stand-alone diagnostic test.

Tests often checked alongside this

How this can show up in how you look and feel

  • May be associated with Raynaud's-type color changes in fingers or toes
  • May be associated with skin thickening or tightening
  • May be associated with difficulty swallowing
  • May be associated with joint pain or fatigue

What can affect this marker

  • Age
  • Sex
  • Medications
  • Lab variability between testing methods

What to track over time

  • Whether the antibody and ANA pattern remain consistent on repeat testing
  • How results correlate with skin, circulation, or swallowing symptoms over time
  • Whether monitoring of related organ systems is considered over time

What to ask your doctor

  • What does this result suggest about my Raynaud's or skin symptoms?
  • Should I also be evaluated for systemic sclerosis more broadly?
  • Is monitoring of other organ systems recommended?
  • How does this fit with my overall ANA pattern and titer?

This glossary entry is for informational purposes only and is not a substitute for professional medical advice. Read our Terms of Use.

References

"Systemic Sclerosis" StatPearls.
Clinical "Antinuclear Antibody (ANA) Test" MedlinePlus. medlineplus.gov/lab-tests/ana-antinuclear-antibody-test.

About our sources

Clinical / professional

Medical societies, specialty colleges, and professional associations whose consensus statements reflect clinical practice standards.

Peer-reviewed research

Original research articles and systematic reviews published in indexed journals and verified through PubMed or DOI.

History of updates

Published · Jul 29, 2026

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