Childhood Allergy (Food and Environmental) Profile [10659X]

IgE allergy testing for:
Alternaria alternata (m6)
Cat Dander (e1)
Cladosporium herbarum (m2)
Cockroach (i6)
Codfish (f3)
Cow's Milk (f2)
Dermatophagoides farinae (d2)
Dermatophagoides pteronyssinus (d1)
Dog Dander (e5)
Egg White (f1)
Mouse Urine Proteins (e72)
Peanut (f13)
Shrimp (f24)
Soybean (f14)
Walnut (f256)
Wheat (f4)

Immunoglobulin E

This in vitro allergen-specific IgE panel is used to quantitatively measure a child's IgE response to 16 different food and environmental allergens that are commonly associated with allergies. These allergens include Alternaria alternata, cat dander, Cladosporium herbarum, cockroach, codfish, cow's milk, Dermatophagoides farina, Dermatophagoides pteronyssinus, dog dander, egg white, mouse urine proteins, peanut, shrimp, soybean, walnut, and wheat. This IgE panel is intended to be used in conjunction with other clinical information to aid in the diagnosis of allergic diseases [1].

While allergen-specific serum IgE testing is considered comparable to skin testing in many instances, both the American Academy of Allergy, Asthma, and Immunology and the American College of Allergy, Asthma, and Immunology recognize that allergen-specific serum IgE testing may be preferred in some clinical situations. These include (1) the presence of widespread skin disease, (2) the recent use of antihistamines or other medications that can affect the results of allergy skin tests, (3) uncooperative patients, and (4) medical history suggesting that allergen skin testing would pose a significant risk for a serious allergic reaction [1].

Food-specific IgE tests are extremely sensitive. However, a positive test result only indicates that a patient is IgE-sensitized to the food of concern. Many IgE-sensitized individuals do not develop any symptoms when the food is ingested. A diagnosis of food allergy should only be made by a trained medical provider after conducting a thorough clinical evaluation [2,3]. While food-specific IgE test results may contribute to that evaluation, they cannot replace it. Moreover, several forms of food hypersensitivity are not associated with the presence of food-specific IgE in serum.

The results of this panel should be interpreted in the context of pertinent clinical and family history and physical examination findings. More specific information about each allergen included in this panel may be found on the Quest Diagnostics Test Directory.

References
1. Bernstein IL, et al. Ann Allergy Asthma Immunol. 2008;100(3 Suppl 3)S1-S148.
2. Sampson HA, et al. J Allergy Clin Immunol. 2014;134(5):1016-1025.
3. NIAID-Sponsored Expert Panel, Boyce JA, et al. J Allergy Clin Immunol. 2010;126(6 Suppl):S1-S58.