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CBC<br />

9109<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 />

CBC with Differential, Blood<br />

Clinical Information: Red cells (RBC), white cells (WBC), and platelets are produced in the bone<br />

marrow and released into the peripheral blood. The primary function of the RBC is to deliver oxygen to<br />

tissues. WBC are key components of the immune system. Platelets play a vital role in blood clotting.<br />

Mean corpuscular volume (MCV) is a measure of the size of the average RBC. Anemias are characterized<br />

as microcytic (MCV100), or normocytic. The red cell distribution width (RDW)<br />

is a measure of the degree of variation in RBC size (anisocytosis). RDW may be helpful in distinguishing<br />

between some anemias. For example, iron deficiency anemia is characterized by a high RDW, while<br />

thalassemia is characterized by a low RDW.<br />

Useful For: The CBC is used as a screening tool to confirm a hematologic disorder, to establish or rule<br />

out a diagnosis, to detect an unsuspected hematologic disorder, or to monitor effects of radiation or<br />

chemotherapy. These counts are used as clinical guides in the diagnosis and/or monitoring of many<br />

diseases.<br />

Interpretation: Results outside of normal value ranges may reflect a primary disorder of the<br />

cell-producing organs or an underlying disease. Results should be interpreted in conjunction with the<br />

patientâ€s clinical picture and appropriate additional testing performed.<br />

Reference Values:<br />

RED BLOOD CELL COUNT (RBC)<br />

Males<br />

Birth: 3.90-5.50 x 10(12)/L<br />

1-7 days: 3.90-6.00 x 10(12)/L<br />

8-14 days: 3.60-6.00 x 10(12)/L<br />

15 days-1 month: 3.00-5.50 x 10(12)/L<br />

2-5 months: 3.10-4.50 x 10(12)/L<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 394

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