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Mayo Test Catalog, (Sorted By Test Name) - Mayo Medical ...

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SPAG<br />

8980<br />

SGBF<br />

8275<br />

antibodies interact with allergen. In vitro serum testing for IgE antibodies provides an indication of the<br />

immune response to allergen(s) that may be associated with allergic disease. The allergens chosen for<br />

testing often depend upon the age of the patient, history of allergen exposure, season of the year, and<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<br />

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

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

Special Red Cell Antigen Typing<br />

Clinical Information: The presence or absence of a cellular antigen is an inherited trait. As a general<br />

rule, individuals will not make antibody directed against an antigen present on their own red blood cells.<br />

Useful For: Added proof of alloantibody specificity Determining possible antibody specificities in<br />

complex cases This test is not done for the purpose of establishing paternity<br />

Interpretation: Each antigen typed will be listed by name, followed by "pos" indicating that the<br />

antigen is present, or by "neg" indicating that the antigen is absent.<br />

Clinical References: Standards for Blood Banks and transfusion Services. 21st edition. AABB, 2002<br />

Specific Gravity, Body Fluid<br />

Clinical Information: Specific gravity (SG), the ration of the mass of a solution compared to the<br />

mass of an equal volume of water, is an estimate of the concentration of substances dissolved in the<br />

solution. Accessing whether a body fluid specimen is exudative or transudative in nature is the initial step<br />

Current as of January 3, 2013 2:22 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong>Laboratories.com Page 1618

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