It is possible to have RA without any Rheumatoid factor. This is known as seronegative RA. However if you are suspected of having RA then any RF (rheumatoid factor) helps complete the diagnosis towards the possibility of RA.
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People that have rheumatoid arthritis often also have a high RF However not always. There are also many people with a high rheumatoid factor that never develop rheumatoid arthritis, so unless the person is showing the symptoms of RA it should have no effect.
A rheumatoid factor over 23 units and a titer over 1:80 indicates rheumatoid arthritis, However this may also occur in other conditions.False positive results can occur when the blood is high in fats.A negative test result for rheumatoid factor does not exclude the diagnosis of rheumatoid arthritis.
means a sign of inflamation level in body
I would start of by consulting a hematologist as consistently high ASO titre can indicate rheumatoid arthritis.