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Sorted By Test Name - Mayo Medical Laboratories

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FSMN<br />

91449<br />

SEPTK<br />

61101<br />

clinical manifestations. In individuals predisposed to develop allergic disease(s), the sequence of<br />

sensitization and clinical manifestations proceed as follows: eczema and respiratory disease (rhinitis and<br />

bronchospasm) in infants and children less than 5 years due to food sensitivity (milk, egg, soy, and wheat<br />

proteins) followed by respiratory disease (rhinitis and asthma) in older children and adults due to<br />

sensitivity to inhalant allergens (dust mite, mold, and pollen inhalants).<br />

Useful For: <strong>Test</strong>ing for IgE antibodies may be useful to establish the diagnosis of an allergic disease<br />

and to define the allergens responsible for eliciting signs and symptoms. <strong>Test</strong>ing also may be useful to<br />

identify allergens which may be responsible for allergic disease and/or anaphylactic episode, to confirm<br />

sensitization to particular allergens prior to beginning immunotherapy, and to investigate the specificity of<br />

allergic reactions to insect venom allergens, drugs, or chemical allergens.<br />

Interpretation: Detection of IgE antibodies in serum (Class 1 or greater) indicates an increased<br />

likelihood of allergic disease as opposed to other etiologies and defines the allergens that may be<br />

responsible for eliciting signs and symptoms. The level of IgE antibodies in serum varies directly with the<br />

concentration of IgE antibodies expressed as a class score or kU/L.<br />

Reference Values:<br />

Class IgE kU/L Interpretation<br />

0 Negative<br />

1 0.35-0.69 Equivocal<br />

2 0.70-3.49 Positive<br />

3 3.50-17.4 Positive<br />

4 17.5-49.9 Strongly positive<br />

5 50.0-99.9 Strongly positive<br />

6 > or =100 Strongly positive Reference values<br />

apply to all ages.<br />

Clinical References: Homburger HA: Allergic diseases. In Clinical Diagnosis and Management by<br />

Laboratory Methods. 21st edition. Edited by RA McPherson, MR Pincus. New York, WB Saunders<br />

Company, 2007, Chapter 53, Part VI, pp 961-971<br />

SensoriMotor Neuropathy Profile Complete<br />

Reference Values:<br />

A final report will be faxed under separate cover.<br />

<strong>Test</strong> Performed by: Athena Diagnostics<br />

377 Plantation Street<br />

Worcester, MA 01605<br />

SEPT9 Gene, Known Mutation<br />

Clinical Information: Hereditary neuralgic amyotrophy (HNA) is an autosomal dominant disorder<br />

characterized by periods of severe pain involving the brachial plexus followed by muscle atrophy and<br />

weakness. These recurrent episodes can also be accompanied by decreased sensation and paresthesias.<br />

Individuals with this disease are generally symptom-free between pain attacks, though many experience<br />

lingering effects with repeated attacks. The pain episodes are frequently triggered by physical, emotional,<br />

or immunological stress. Less commonly, affected individuals can exhibit non-neurological features<br />

including short stature, skin folds, hypotelorism, and cleft palate. Mutations in the SEPT9 gene cause the<br />

clinical manifestations of HNA. There are 3 common mutations that have been reported in affected<br />

individuals: c.-134G->C, p.R88W, and p.S93F. Additionally, a common exonic duplication attributed to<br />

Current as of January 4, 2013 7:15 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong><strong>Laboratories</strong>.com Page 1572

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