Abstract
When a medical history is suggestive of an allergic cause, proper testing is performed to identify clinically relevant allergens. The discovery of IgE antibody, along with the recognition of its central role in the allergic reaction, has established the identification of allergen-specific IgE as the key to the diagnosis of allergic diseases. Both in vivo skin testing and laboratory allergy testing are designed to detect allergen-specific IgE, although the pathophysiology of allergy is far more complex than just an IgE-mediated condition. Diagnostic testing for nonIgE-mediated allergic reactions and for allergies with predominant late-phase reaction and challenge testing with food or other allergens are beyond the scope of this chapter. Likewise, diagnostic tests for autoimmune conditions and immunodeficiencies are discussed in other chapters.
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Bibliography
AAAAI Work group report: Current approach to the diagnosis and management of adverse reactions to foods. www.aaaai.org/media/resources/academy_statements/practice_papers/adverse_reactions_to_foods.asp.
Ando H, Moverare R, Kondo Y, et al. Utility of ovomucoid-specific IgE concentrations in predicting symptomatic egg allergy. JACI. 2008;122:583.
Asarnoj A, Nilsson C, Lidholm J, et al. Peanut component Ara h8 sensitization and tolerance to peanut. JACI. 2012;130:468.
Ballmer-Weber BK, Wangorsch A, Bohle B, et al. Component-resolved in vitro diagnosis in carrot allergy: does the use of recombinant carrot allergens improve the reliability of the diagnostic procedure? Clin Exp Allergy. 2005;35:970.
Bernstein IL, et al. Allergy diagnostic testing: an updated practice parameter. Ann Allergy Asthma Immunol. 2008;100(3 Suppl 3).
Beyer K, Ellman-Grunther L, Jarvinen K-M, et al. Measurement of peptide-specific IgE as an additional tool in identifying patients with clinical reactivity to peanuts. J Allergy Clin Immunol. 2003;112:202.
Bock SA. Diagnostic evaluation. Pediatrics. 2003;111:1638.
Bolhaar ST, van de Weg WE, van Ree R, et al. In vivo assessment with prick-to-prick testing and double-blind, placebo-controlled food challenge of allergenicity of apple cultivars. J Allergy Clin Immunol. 2005;116:1080.
Sampson HA. Utility of food-specific IgE concentrations in predicting symptomatic food allergy. J Allergy Clin Immunol. 2001;107:891.
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Cheng, P. (2016). Diagnostic Testing in Allergic Diseases. In: Mahmoudi, M. (eds) Allergy and Asthma. Springer, Cham. https://doi.org/10.1007/978-3-319-30835-7_31
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DOI: https://doi.org/10.1007/978-3-319-30835-7_31
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