C-Reactive Protein - Understand the Test (2024)

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This article waslast modified on 5 November 2020.

At a Glance

Why Get Tested?

To identify the presence of inflammation, to determine its severity, and to monitor response to treatment.

When your doctor suspects that you might be suffering from an inflammatory disorder (as with certain types of arthritis and autoimmune disorders or inflammatory bowel disease) or to check for the possibility of infection (especially after surgery)

Sample Required?

A blood sample taken from a vein in your arm

Test Preparation Needed?

None

On average it takes 7 working days for the blood test results to come back from the hospital, depending on the exact tests requested. Some specialist test results may take longer, if samples have to be sent to a reference (specialist) laboratory. The X-ray & scan results may take longer. If you are registered to use the online services of your local practice, you may be able to access your results online. Your GP practice will be able to provide specific details.

If the doctor wants to see you about the result(s), you will be offered an appointment. If you are concerned about your test results, you will need to arrange an appointment with your doctor so that all relevant information including age, ethnicity, health history, signs and symptoms, laboratory and other procedures (radiology, endoscopy, etc.), can be considered.

Lab Tests Online-UK is an educational website designed to provide patients and carers with information on laboratory tests used in medical care. We are not a laboratory and are unable to comment on an individual's health and treatment.

Reference ranges are dependent on many factors, including patient age, sex, sample population, and test method, and numeric test results can have different meanings in different laboratories.

For these reasons, you will not find reference ranges for the majority of tests described on this web site. The lab report containing your test results should include the relevant reference range for your test(s). Please consult your doctor or the laboratory that performed the test(s) to obtain the reference range if you do not have the lab report.

For more information on reference ranges, please read Reference Ranges and What They Mean.

What is being tested?

C-reactive protein (CRP) is an acute phase reactant, a protein made by the liver that is released into the blood within a few hours after tissue injury, the start of an infection or other inflammation. Increased concentrations in the blood can be found after a heart attack, in sepsis, and after a surgical procedure. It is often the first evidence of inflammation or an infection in the body, with rising concentrations frequently preceding pain, fever or other clinical indicators. The concentration of CRP in the blood can jump a thousand-fold in response to inflammation and can be valuable in monitoring disease activity.

The CRP blood test is not diagnostic but it provides information to the doctor as to whether inflammation is present. This information can be used by the doctor in conjunction with other factors, such as signs and symptoms, physical examination and other tests to determine if someone has an acute inflammatory condition, or if they are experiencing a flare-up of a chronic inflammatory disease. The doctor may then follow up with further testing and treatment.

How is the sample collected for testing?

A blood sample is obtained by inserting a needle into a vein in your arm.

Is any test preparation needed to ensure the quality of the sample?

No test preparation is needed.

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Common Questions

  • How is it used?

    CRP is useful in assessing patients with:

    • Inflammatory bowel disease (IBD)
    • Some forms of arthritis
    • Autoimmune diseases
    • A suspected serious bacterial infection, such as sepsis
    • Pelvic inflammatory disease (PID)
    • CRP is also used to monitor patients after surgery or other invasive procedures to detect the presence of an infection during the recovery period.

    While measuring CRP in the blood is not specific enough to diagnose a particular disease, it does serve as a general, non-specific marker for infection and inflammationwhich can alert medical professionals that further testing and treatment may be necessary.

  • When is it requested?

    Because the concentration of CRP increases in severe cases of inflammation, the test is requested when acute inflammation is a risk (such as from an infection after surgery) or suspected based on patient symptoms. It is also requested to help evaluate chronic inflammatory conditions, such as rheumatoid arthritis and lupus (SLE) and is often repeated to determine whether treatment has been effective. This is particularly useful for inflammatory conditions since CRP levels drop as inflammation subsides.

  • What does the test result mean?

    A high or increasing amount of CRP in your blood suggests that you have an acute infection or inflammation but it does not help in identifying its location or the condition causing it. In people with chronic inflammatory conditions, high concentrations of CRP suggest a flare-up or that treatment has not been effective.
    If the CRP concentration in your blood drops, it means that you are getting better and inflammation is being reduced.

    When your results fall below 10 mg/L, you no longer have clinically active inflammation.

  • Is there anything else I should know?

    CRP concentrations can be elevated in the later stages of pregnancy, with use of birth control pills or in women taking hormone replacement therapy. Higher levels of CRP have also been observed in the obese.

    Another test to monitor inflammation is called the erythrocyte sedimentation rate (ESR). Both CRP and ESR are elevated in the presence of inflammation, but the concentration of CRP in the bloodstream rises and falls faster than ESR. CRP levels may therefore fall to normal if you have been treated successfully, such as for a flare-up of arthritis, but your ESR may remain abnormal for a while longer.

  • What are chronic inflammatory diseases?

    Chronic inflammatory diseases are diseases that lead to the development of long-lasting or frequently recurring inflammation. They can be caused by a number of different pathological conditions. Examples include rheumatoid arthritis, lupus, and inflammatory bowel disease (e.g. Crohn's disease or ulcerative colitis).

  • What is the difference between regular CRP and hs-CRP tests?

    Both tests measure the same molecule in the blood. The high sensitivity CRP (hs-CRP) test is not widely used but may be requested on seemingly healthy people to help assess their risk for heart disease. The regular CRP test is requested in patients who are at risk of bacterial or viral infections (such as after surgery) or in patients with chronic inflammatory diseases (such as rheumatoid arthritis).

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Related Content

On This Site
Tests:High-sensitivity C-reactive protein (hs-CRP);erythrocyte sedimentation rate (ESR)
Conditions:Arthritis,Autoimmune Disorders,Inflammatory Bowel Disease,Pelvic Inflammatory Disease,Systemic Lupus Erythematosus,Sepsis,Vasculitis,Meningitis and Encephalitis

Elsewhere On The Web
ACB, Analyte Monographs (AMALC): CRPC-Reactive Protein - Understand the Test (1)
Patient
National Rheumatoid Arthritis Society

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C-Reactive Protein - Understand the Test (2024)

FAQs

C-Reactive Protein - Understand the Test? ›

A c-reactive protein test measures the level of c-reactive protein (CRP) in a sample of your blood. CRP is a protein that your liver makes. Normally, you have low levels of c-reactive protein in your blood. Your liver releases more CRP into your bloodstream if you have inflammation in your body.

How do you read C-reactive protein blood test results? ›

Interpretation of CRP levels:

Less than 0.3 mg/dL: Normal (level seen in most healthy adults). 0.3 to 1.0 mg/dL: Normal or minor elevation (can be seen in obesity, pregnancy, depression, diabetes, common cold, gingivitis, periodontitis, sedentary lifestyle, cigarette smoking, and genetic polymorphisms).

What level of C-reactive protein is concerning? ›

C-reactive protein is measured in milligrams per liter (mg/L). Results equal to or greater than 8 mg/L or 10 mg/L are considered high. Range values vary depending on the lab doing the test. A high test result is a sign of inflammation.

What is an alarming level of CRP? ›

A CRP test result of more than 50 mg/dL is generally considered severe elevation. Results over 50 mg/L are associated with acute bacterial infections about 90% of the time.

What level of CRP indicates arthritis? ›

Normal C-reactive protein (CRP) levels
C-reactive protein level (in milligrams per liter of blood) in adultsWhat it means
10.0–100.0moderately elevated, which signifies infection or an inflammatory condition such as rheumatoid arthritis (RA), Crohn's disease, or lupus
4 more rows

Do you want high or low C-reactive protein? ›

You are at low risk of developing cardiovascular disease if your hs-CRP level is lower than 1.0 mg/L. You are at average risk of developing cardiovascular disease if your levels are between 1.0 mg/L and 3.0 mg/L. You are at high risk for cardiovascular disease if your hs-CRP level is higher than 3.0 mg/L.

What level of CRP indicates Crohn's disease? ›

Of the 53 patients with CD, the mean CRP was 2.80 mg/dL, regardless of disease location. Using a cutoff CRP level of 2.0 mg/dL, the odds ratio (OR) for terminal ileum involvement was 3.38, suggesting that those CD patients with a CRP greater than 2.0 mg/dL are more prone to have ileal involvement.

What level of C reactive protein indicates autoimmune disease? ›

You could also have a high level because you're in the second half of your pregnancy or you're using birth control pills. If your CRP level is between 1 and 10 mg/dL, you could have: Bodily inflammation from autoimmune diseases such as rheumatoid arthritis or lupus.

What cancers have high CRP? ›

Additionally, elevated CRP levels are associated with poor survival in many malignant tumors, such as soft tissue sarcoma, prostate cancer, breast cancer, renal cell carcinoma, colorectal cancer, non-small-cell lung cancer, malignant lymphoma, and pancreatic cancer (10, 13-20).

What is the most common cause of high CRP? ›

Significantly elevated CRP levels tend to occur with severe infections, such as bacterial or fungal infections. Bacterial infection is responsible for about 90% of the cases involving CRP levels higher than 50 mg/l.

Is CRP a tumor marker? ›

High CRP predicted prognosis in most reports (90%) in these two tumor groups. In addition CRP predicted prognosis in most reports in other solid tumors, so it may also be a clinically useful predictor in lung, pancreas, hepatocellular, and bladder cancers.

What level of CRP indicates sepsis? ›

Initial CRP levels did not differ among patients with sepsis or septic shock (median CRP level day 1 in sepsis: 150 (97–225) mg/l; septic shock: 127 (79–219) mg/l; p = 0.092). However, in the presence of septic shock, CRP was shown to increase until day 10 of ICU hospitalization (median 179 (66–225) mg/l).

How to lower C-reactive protein levels? ›

Limiting or avoiding inflammatory foods like refined carbohydrates, fried foods, red meat and processed meat can help reduce CRP. Instead, focus on eating more anti-inflammatory foods like leafy greens, nuts, fatty fish and whole grains.

What is a C-reactive protein level chart? ›

Normal Range of CRP Levels
S.No.CRP LevelInference
1.< 3 mg/LNormal
2.3 mg/L - 10 mg/LNormal or minor elevation
3.10 mg/L - 100 mg/LModerate elevation
4.100 mg/L - 500 mg/LMarked elevation
1 more row

What is considered a high RA level? ›

The normal level of anti-CCP is less than 20 Units. (At Hospital for Special Surgery, anti-CCP is reported in Units. Some labs report this same result using a different measurement notation, that is, as less than 20 EU/ml.) A level above 20 suggests the possibility of RA.

What is the treatment for high CRP? ›

Cyclooxygenase inhibitors (aspirin, rofecoxib, celecoxib), platelet aggregation inhibitors (clopidogrel, abciximab), lipid lowering agents (statins, ezetimibe, fenofibrate, niacin, diets), beta-adrenoreceptor antagonists and antioxidants (vitamin E), as well as angiotensin converting enzyme (ACE) inhibitors (ramipril, ...

What does it mean when your C-reactive protein is high? ›

High levels of CRP may mean you have a serious health condition that causes inflammation. Inflammation is your body's way of protecting your tissues and helping them heal from an injury, infection, or other disease. Inflammation can be acute (sudden) and temporary.

What is the range of CRP high sensitivity? ›

The hs-CRP test accurately detects lower levels of the protein than the standard CRP test. It measures CRP in the range from 0.3 to 10 mg/L. This test is used to evaluate individuals for risk of CVD.

What is the range of high C-reactive protein level in CRP test chart? ›

Normal Range of CRP Levels
S.No.CRP LevelInference
1.< 3 mg/LNormal
2.3 mg/L - 10 mg/LNormal or minor elevation
3.10 mg/L - 100 mg/LModerate elevation
4.100 mg/L - 500 mg/LMarked elevation
1 more row

What infections cause high CRP? ›

Bacterial and fungal infections can cause a rapid rise in CRP levels. Autoimmune diseases, such as rheumatoid arthritis and systemic lupus erythematosus (SLE), can cause chronic elevation of CRP levels, indicating ongoing inflammation.

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