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CARO<br />

8288<br />

CROT<br />

82742<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 />

Carotene, Serum<br />

Clinical Information: Carotenes are provitamins, or precursors of vitamin A. They produce the<br />

orange color observed in carrots, sweet potatoes, cantaloupe, and many other fruits and vegetables. Both<br />

elevated and deficient levels of carotene can have clinical consequences for patients. The highest levels of<br />

carotene can be found in the serum of individuals ingesting large amounts of vegetables, primarily carrots.<br />

These people may have a slight yellowish tinge of the skin, but the sclera of the eye is not discolored.<br />

More moderate elevations can be observed in patients with diabetes mellitus, myxedema, hyperlipidemia,<br />

or chronic nephritis. Decreased serum levels may be seen in individuals with nutritional deficiencies<br />

including anorexia nervosa, malabsorption, and steatorrhea. Lycopenemia, in which a patient has a<br />

yellow-orange pigmentation of the skin, is a very rare condition resulting from excessive consumption of<br />

lycopene-containing fruits and berries. Individuals with lycopenemia have normal carotene levels.<br />

Useful For: Detection of a nutritional deficiency of carotene or lipid malabsorption Detection of<br />

excessive ingestion of carotene Investigation of lycopenemia<br />

Interpretation: Normal: 48 mcg/dL to 200 mcg/dL High: >400 mcg/dL Moderately high: >300<br />

mcg/dL Low (malabsorption): 20 mcg/dL<br />

Reference Values:<br />

48-200 mcg/dL<br />

Clinical References: 1. Maharshak N, Shapiro J, Trau H: Carotenoderma - a review of the current<br />

literature. Int J Dermatol 2003;42(3):178-181 2. Karthik SV, Campbell-Davidson D, Isherwood D:<br />

Carotenemia in infancy and its association with prevalent feeding practices. Pediatr Dermatol<br />

2006;23(6):571-573<br />

Carrot, IgE<br />

Clinical Information: Clinical manifestations of immediate hypersensitivity (allergic) diseases are<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 383

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