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VITC<br />

60296<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 McPherson RA, Pincus MR. WB Saunders, Publ, New York,<br />

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

Ascorbic Acid, Plasma<br />

Clinical Information: Ascorbic acid (vitamin C) is essential for the enzymatic amidation of<br />

neuropeptides, production of adrenal cortical steroid hormones, promotion of the conversion of<br />

tropocollagen to collagen, and metabolism of tyrosine and folate. It also plays a role in lipid and vitamin<br />

metabolism and is a powerful reducing agent or antioxidant. Specific actions include: activation of<br />

detoxifying enzymes in the liver, antioxidation, interception and destruction of free radicals, preservation<br />

and restoration of the antioxidant potential of vitamin E, and blockage of the formation of carcinogenic<br />

nitrosamines. In addition, vitamin C appears to function in a variety of other metabolic processes in which<br />

its role has not been well characterized. Prolonged deficiency of vitamin C leads to the development of<br />

scurvy, a disease characterized by an inability to form adequate intercellular substance in connective<br />

tissues. This results in the formation of swollen, ulcerative lesions in the gums, mouth, and other tissues<br />

that are structurally weakened. Early symptoms may include weakness, easy fatigue and listlessness, as<br />

well as shortness of breath and aching joints, bones, and muscles. The need for vitamin C can be increased<br />

by the use of aspirin, oral contraceptives, tetracycline, and a variety of other medications. Psychological<br />

stress and advancing age also tend to increase the need for vitamin C. Among the elderly, lack of fresh<br />

fruit and vegetables often adds vitamin C depletion to the inherently increased need, with development of<br />

near-scurvy status.<br />

Useful For: Diagnosing vitamin C deficiency As an aid to deter excessive intake<br />

Interpretation: Values 0.6 mg/dL indicate<br />

adequate supply. The actual level at which vitamin C is excessive has not been defined. Values >3.0<br />

mg/dL are suggestive of excess intake. Whether vitamin C in excess is indeed toxic continues to be<br />

uncertain. However, limited observations suggest that this condition may induce uricosuria and, in<br />

individuals with glucose-6-phosphate dehydrogenase deficiency, may induce increased red blood cell<br />

fragility.<br />

Reference Values:<br />

0.6-2.0 mg/dL<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 187

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