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FBOMB<br />

90174<br />

BAP<br />

82985<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 />

Bombesin<br />

Clinical Information: Bombesin is a 14 amino acid peptide with strong Gastrin and gastric acid<br />

releasing properties. Bombesin also increases pancreatic enzyme output. Bombesin is found in high<br />

concentrations in the lung and has been proposed as a marker for oat-cell carcinoma. Bombesin<br />

hypersecretion has been associated with several physiological effects including anorexia, hypothermia,<br />

and hyperglycemia. It is also increased in small lung cell carcinoma and tumors of the APUD series.<br />

Bombesin infusion increases Neurotensin, Gastric Inhibitory Polypeptide and Enteroglucagon levels, but<br />

has no effect on pancreatic Glucagon.<br />

Reference Values:<br />

50-250 pg/mL<br />

This test was developed and its performance characteristics determined by Inter Science Institute. It has<br />

not been cleared or approved by the US Food and Drug Administration. The FDA has determined that<br />

such clearance or approval is not necessary.<br />

<strong>Test</strong> Performed by: Inter Science Inst<br />

944 West Hyde Park<br />

Inglewood, CA 90302<br />

Bone Alkaline Phosphatase, Serum<br />

Clinical Information: Bone alkaline phosphatase (BAP) is the bone-specific isoform of alkaline<br />

phosphatase. A glycoprotein that is found on the surface of osteoblasts, BAP reflects the biosynthetic<br />

activity of these bone-forming cells. BAP has been shown to be a sensitive and reliable indicator of bone<br />

metabolism.(1) Normal bone is constantly undergoing remodeling in which bone degradation or<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 283

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