Anti-parietal cell antibodies (APCA) test is ordered to evaluate the possibility of autoimmune gastritis, a condition in which the immune system mistakenly attacks the parietal cells in the stomach lining that produce hydrochloric acid and intrinsic factor. APCA test is also used to help diagnose pernicious anemia, a type of anemia caused by vitamin B12 deficiency. Symptoms of autoimmune gastritis may include abdominal pain, weight loss, nausea, vomiting, bloating, and anemia.