IgE allergy diagnostics and other relevant tests in allergy, a World Allergy Organization position paper

Currently, testing for immunoglobulin E (IgE) sensitization is the cornerstone of diagnostic evaluation in suspected allergic conditions. This review provides a thorough and updated critical appraisal of the most frequently used diagnostic tests, both in vivo and in vitro. It discusses skin tests, c...

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Veröffentlicht in:The World Allergy Organization journal Jg. 13; H. 2; S. 100080
Hauptverfasser: Ansotegui, Ignacio J., Melioli, Giovanni, Canonica, Giorgio Walter, Caraballo, Luis, Villa, Elisa, Ebisawa, Motohiro, Passalacqua, Giovanni, Savi, Eleonora, Ebo, Didier, Gómez, R. Maximiliano, Luengo Sánchez, Olga, Oppenheimer, John J., Jensen-Jarolim, Erika, Fischer, David A., Haahtela, Tari, Antila, Martti, Bousquet, Jean J., Cardona, Victoria, Chiang, Wen Chin, Demoly, Pascal M., DuBuske, Lawrence M., Ferrer Puga, Marta, Gerth van Wijk, Roy, González Díaz, Sandra Nora, Gonzalez-Estrada, Alexei, Jares, Edgardo, Kalpaklioğlu, Ayse Füsun, Kase Tanno, Luciana, Kowalski, Marek L., Ledford, Dennis K., Monge Ortega, Olga Patricia, Morais Almeida, Mário, Pfaar, Oliver, Poulsen, Lars K., Pawankar, Ruby, Renz, Harald E., Romano, Antonino G., Rosário Filho, Nelson A., Rosenwasser, Lanny, Sánchez Borges, Mario A., Scala, Enrico, Senna, Gian-Enrico, Sisul, Juan Carlos, Tang, Mimi L.K., Thong, Bernard Yu-Hor, Valenta, Rudolf, Wood, Robert A., Zuberbier, Torsten
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States Elsevier Inc 01.02.2020
Elsevier BV
Elsevier
World Allergy Organization
Schlagworte:
IgE
SPT
IDT
EIA
AEC
AIT
AP
IVD
NPA
ABA
PPA
FDA
CBA
IgE
HPO
PPT
w/v
CCD
CL
H1
H2
NIH
mAb
BAT
ISSN:1939-4551, 1939-4551
Online-Zugang:Volltext
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Abstract Currently, testing for immunoglobulin E (IgE) sensitization is the cornerstone of diagnostic evaluation in suspected allergic conditions. This review provides a thorough and updated critical appraisal of the most frequently used diagnostic tests, both in vivo and in vitro. It discusses skin tests, challenges, and serological and cellular in vitro tests, and provides an overview of indications, advantages and disadvantages of each in conditions such as respiratory, food, venom, drug, and occupational allergy. Skin prick testing remains the first line approach in most instances; the added value of serum specific IgE to whole allergen extracts or components, as well as the role of basophil activation tests, is evaluated. Unproven, non-validated, diagnostic tests are also discussed. Throughout the review, the reader must bear in mind the relevance of differentiating between sensitization and allergy; the latter entails not only allergic sensitization, but also clinically relevant symptoms triggered by the culprit allergen.
AbstractList Currently, testing for immunoglobulin E (IgE) sensitization is the cornerstone of diagnostic evaluation in suspected allergic conditions. This review provides a thorough and updated critical appraisal of the most frequently used diagnostic tests, both in vivo and in vitro. It discusses skin tests, challenges, and serological and cellular in vitro tests, and provides an overview of indications, advantages and disadvantages of each in conditions such as respiratory, food, venom, drug, and occupational allergy. Skin prick testing remains the first line approach in most instances; the added value of serum specific IgE to whole allergen extracts or components, as well as the role of basophil activation tests, is evaluated. Unproven, non-validated, diagnostic tests are also discussed. Throughout the review, the reader must bear in mind the relevance of differentiating between sensitization and allergy; the latter entails not only allergic sensitization, but also clinically relevant symptoms triggered by the culprit allergen.
Currently, testing for immunoglobulin E (IgE) sensitization is the cornerstone of diagnostic evaluation in suspected allergic conditions. This review provides a thorough and updated critical appraisal of the most frequently used diagnostic tests, both in vivo and in vitro. It discusses skin tests, challenges, and serological and cellular in vitro tests, and provides an overview of indications, advantages and disadvantages of each in conditions such as respiratory, food, venom, drug, and occupational allergy. Skin prick testing remains the first line approach in most instances; the added value of serum specific IgE to whole allergen extracts or components, as well as the role of basophil activation tests, is evaluated. Unproven, non-validated, diagnostic tests are also discussed. Throughout the review, the reader must bear in mind the relevance of differentiating between sensitization and allergy; the latter entails not only allergic sensitization, but also clinically relevant symptoms triggered by the culprit allergen.
Currently, testing for immunoglobulin E (IgE) sensitization is the cornerstone of diagnostic evaluation in suspected allergic conditions. This review provides a thorough and updated critical appraisal of the most frequently used diagnostic tests, both in vivo and in vitro. It discusses skin tests, challenges, and serological and cellular in vitro tests, and provides an overview of indications, advantages and disadvantages of each in conditions such as respiratory, food, venom, drug, and occupational allergy. Skin prick testing remains the first line approach in most instances; the added value of serum specific IgE to whole allergen extracts or components, as well as the role of basophil activation tests, is evaluated. Unproven, non-validated, diagnostic tests are also discussed. Throughout the review, the reader must bear in mind the relevance of differentiating between sensitization and allergy; the latter entails not only allergic sensitization, but also clinically relevant symptoms triggered by the culprit allergen.Currently, testing for immunoglobulin E (IgE) sensitization is the cornerstone of diagnostic evaluation in suspected allergic conditions. This review provides a thorough and updated critical appraisal of the most frequently used diagnostic tests, both in vivo and in vitro. It discusses skin tests, challenges, and serological and cellular in vitro tests, and provides an overview of indications, advantages and disadvantages of each in conditions such as respiratory, food, venom, drug, and occupational allergy. Skin prick testing remains the first line approach in most instances; the added value of serum specific IgE to whole allergen extracts or components, as well as the role of basophil activation tests, is evaluated. Unproven, non-validated, diagnostic tests are also discussed. Throughout the review, the reader must bear in mind the relevance of differentiating between sensitization and allergy; the latter entails not only allergic sensitization, but also clinically relevant symptoms triggered by the culprit allergen.
Currently, testing for immunoglobulin E (IgE) sensitization is the cornerstone of diagnostic evaluation in suspected allergic conditions. This review provides a thorough and updated critical appraisal of the most frequently used diagnostic tests, both and . It discusses skin tests, challenges, and serological and cellular tests, and provides an overview of indications, advantages and disadvantages of each in conditions such as respiratory, food, venom, drug, and occupational allergy. Skin prick testing remains the first line approach in most instances; the added value of serum specific IgE to whole allergen extracts or components, as well as the role of basophil activation tests, is evaluated. Unproven, non-validated, diagnostic tests are also discussed. Throughout the review, the reader must bear in mind the relevance of differentiating between sensitization and allergy; the latter entails not only allergic sensitization, but also clinically relevant symptoms triggered by the culprit allergen.
Currently, testing for immunoglobulin E (IgE) sensitization is the cornerstone of diagnostic evaluation in suspected allergic conditions. This review provides a thorough and updated critical appraisal of the most frequently used diagnostic tests, both in vivo and in vitro. It discusses skin tests, challenges, and serological and cellular in vitro tests, and provides an overview of indications, advantages and disadvantages of each in conditions such as respiratory, food, venom, drug, and occupational allergy. Skin prick testing remains the first line approach in most instances; the added value of serum specific IgE to whole allergen extracts or components, as well as the role of basophil activation tests, is evaluated. Unproven, non-validated, diagnostic tests are also discussed. Throughout the review, the reader must bear in mind the relevance of differentiating between sensitization and allergy; the latter entails not only allergic sensitization, but also clinically relevant symptoms triggered by the culprit allergen. Keywords: IgE, Allergy, In vitro tests, Skin tests, Diagnostic strategies
ArticleNumber 100080
Author DuBuske, Lawrence M.
Cardona, Victoria
Poulsen, Lars K.
Romano, Antonino G.
Kalpaklioğlu, Ayse Füsun
Demoly, Pascal M.
Pawankar, Ruby
Ebisawa, Motohiro
Sisul, Juan Carlos
Jares, Edgardo
Renz, Harald E.
Passalacqua, Giovanni
Savi, Eleonora
Jensen-Jarolim, Erika
Gerth van Wijk, Roy
Canonica, Giorgio Walter
Ferrer Puga, Marta
Wood, Robert A.
González Díaz, Sandra Nora
Luengo Sánchez, Olga
Pfaar, Oliver
Ledford, Dennis K.
Rosário Filho, Nelson A.
Rosenwasser, Lanny
Haahtela, Tari
Fischer, David A.
Kase Tanno, Luciana
Zuberbier, Torsten
Tang, Mimi L.K.
Caraballo, Luis
Thong, Bernard Yu-Hor
Antila, Martti
Gómez, R. Maximiliano
Valenta, Rudolf
Sánchez Borges, Mario A.
Ansotegui, Ignacio J.
Chiang, Wen Chin
Monge Ortega, Olga Patricia
Ebo, Didier
Morais Almeida, Mário
Kowalski, Marek L.
Senna, Gian-Enrico
Scala, Enrico
Melioli, Giovanni
Villa, Elisa
Gonzalez-Estrada, Alexei
Bousquet, Jean J.
Oppenheimer, John J.
AuthorAffiliation k Allergy Section, Department of Internal Medicine, Vall d’Hebron University Hospital, Barcelona, Spain
ar University of Missouri at Kansas City, School of Medicine, Kansas City, MO, USA
ag Hospital Sírio Libanês, University of São Paulo, São Paulo, Brazil
h Ospedale Civile, Gossolengo, PC, Italy
i Department of Immunology - Allergology - Rheumatology, Antwerp University Hospital, Antwerp University, Department Immunology and Allergology, AZ Jan Palfijn Gent, Ghent, Belgium
e Azienda Sanitaria Locale di Vercelli, S.C. Pneumologia, Vercelli, Italia
s Université Versailles St-Quentin-en-Yvelines, Montigny le Bretonneux, France
r INSERM, Villejuif, France
ao University Hospital GI & MR GmbH, Institute of Laboratory Medicine & Pathology, Standort Marburg, Marburg, Germany
t Euforea, Brussels, Belgium
l Pulmonary & Allergy Associates, Denville, NJ, USA
n Fischer Medicine Professional Corporation, Barrie, Ontario, Canada
j Universidad Católica de Salta, Fundación Ayre, Buenos Aires, Argentina
g Allergy a
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– name: ay Division of Immunopathology, Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria
– name: t Euforea, Brussels, Belgium
– name: z Immunology Research Institute of New England, Gardner, MA, USA
– name: aw Royal Children's Hospital, Department of Allergy & Immunology, Parkville, Victoria, Australia
– name: an Nippon Medical School, Dept. of Otolaryngology, Tokyo, Japan
– name: at Experimental Allergy Unit, Istituto Dermopatico dell'Immacolata, Rome, Italy
– name: c Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Personalized Medicine, Asthma and Allergy, Humanitas Research Hospital, Rozzano, Milan, Italy
– name: r INSERM, Villejuif, France
– name: aq University of Parana, Curitiba, PR, Brazil
– name: u CHU Montpellier, France
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– name: ah Faculty of Medicine, Department of Clinical Immunology & Allergy, Medical University of Łódź, Łódź, Poland
– name: f Clinical Research Center for Allergy and Rheumatology, Sagamihara National Hospital, Sagamihara, Kanagawa, Japan
– name: j Universidad Católica de Salta, Fundación Ayre, Buenos Aires, Argentina
– name: v Universitat Autónoma de Barcelona, Hospital Universitario Vall d'Hebron, Servicio de Medicina Interna, Sección de Alergología, Barcelona, Spain
– name: ag Hospital Sírio Libanês, University of São Paulo, São Paulo, Brazil
– name: ax Tan Tock Seng Hospital, Deptartment of Rheumatology, Allergy & Immunology, Singapore, Singapore
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– name: ar University of Missouri at Kansas City, School of Medicine, Kansas City, MO, USA
– name: h Ospedale Civile, Gossolengo, PC, Italy
– name: y Sorbonne Université, Paris, France
– name: p Clínica de Alergía, Sorocaba, São Paulo, Brazil
– name: as Centro Médico Docente La Trinidad, Caracas, Venezuela
– name: b Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy
– name: ap Stallergenes, Rome, Italy
– name: aj Allergology Unit, San Juan de Dios Hospital, University of Costa Rica, San José, Costa Rica
– name: al Department of Otorhinolaryngology, Head and Neck Surgery, Section of Rhinology and Allergy, University Hospital Marburg, Philipps-Universität Marburg, Marburg, Germany
– name: n Fischer Medicine Professional Corporation, Barrie, Ontario, Canada
– name: ae Femeca Femedica, Buenos Aires, Argentina
– name: ak Hospital CUF-Descobertas, Lisbon, Portugal
– name: ba Laboratory of Immunopathology, Department of Clinical Immunology and Allergy, Sechenov First Moscow State Medical University, Moscow, Russia
– name: e Azienda Sanitaria Locale di Vercelli, S.C. Pneumologia, Vercelli, Italia
– name: k Allergy Section, Department of Internal Medicine, Vall d’Hebron University Hospital, Barcelona, Spain
– name: a Hospital Quironsalud Bizkaia, Bilbao-Erandio, Spain
– name: i Department of Immunology - Allergology - Rheumatology, Antwerp University Hospital, Antwerp University, Department Immunology and Allergology, AZ Jan Palfijn Gent, Ghent, Belgium
– name: o Skin and Allergy Hospital, University of Helsinki, Helsinki, Finland
– name: ab Erasmus MC, Sector Allergologie, Rotterdam, the Netherlands
– name: bc Campus Charite Mitte, Klinik fur Dermatologie & Allergologie, Berlin, Germany
– name: x University Hospital Montpellier, Montpellier, France
– name: ai University of South Florida College of Medicine, Tampa, FL, USA
– name: s Université Versailles St-Quentin-en-Yvelines, Montigny le Bretonneux, France
– name: g Allergy and Respiratory Diseases, IRCCS Policlinico San Martino, University of Genoa, Genoa, Italy
– name: q MACVIA-France, Montpellier, France
– name: m Institute for Pathophysiology and Allergy Research, Center of Pathophysiology, Infectiology and Immunology, The Interuniversity Messerli Research Institute, University of Veterinary Medicine Vienna, Medical University Vienna, Vienna, Austria
– name: l Pulmonary & Allergy Associates, Denville, NJ, USA
– name: au Ospedale Civile Maggiore, Verona, Italy
– name: bb Johns Hopkins University School of Medicine, Johns Hopkins Hospital, Baltimore, MD, USA
– name: ad Department of Allergy, Mayo Clinic, Jacksonville, FL, USA
– name: az NRC Institute of Immunology FMBA of Russia, Moscow, Russia
– name: af Kirikkale Universitesi, Tip Fakultesi, Kirikkale, Turkey
– name: am Gentofte University Hospital, Lab for Allergology, Allergy Clinic, Hellerup, Denmark
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  organization: Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Personalized Medicine, Asthma and Allergy, Humanitas Research Hospital, Rozzano, Milan, Italy
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– sequence: 7
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  surname: Ebo
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– sequence: 10
  givenname: R. Maximiliano
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  fullname: Gómez, R. Maximiliano
  organization: Universidad Católica de Salta, Fundación Ayre, Buenos Aires, Argentina
– sequence: 11
  givenname: Olga
  surname: Luengo Sánchez
  fullname: Luengo Sánchez, Olga
  organization: Allergy Section, Department of Internal Medicine, Vall d’Hebron University Hospital, Barcelona, Spain
– sequence: 12
  givenname: John J.
  surname: Oppenheimer
  fullname: Oppenheimer, John J.
  organization: Pulmonary & Allergy Associates, Denville, NJ, USA
– sequence: 13
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  surname: Jensen-Jarolim
  fullname: Jensen-Jarolim, Erika
  organization: Institute for Pathophysiology and Allergy Research, Center of Pathophysiology, Infectiology and Immunology, The Interuniversity Messerli Research Institute, University of Veterinary Medicine Vienna, Medical University Vienna, Vienna, Austria
– sequence: 14
  givenname: David A.
  surname: Fischer
  fullname: Fischer, David A.
  organization: Fischer Medicine Professional Corporation, Barrie, Ontario, Canada
– sequence: 15
  givenname: Tari
  surname: Haahtela
  fullname: Haahtela, Tari
  organization: Skin and Allergy Hospital, University of Helsinki, Helsinki, Finland
– sequence: 16
  givenname: Martti
  surname: Antila
  fullname: Antila, Martti
  organization: Clínica de Alergía, Sorocaba, São Paulo, Brazil
– sequence: 17
  givenname: Jean J.
  surname: Bousquet
  fullname: Bousquet, Jean J.
  organization: MACVIA-France, Montpellier, France
– sequence: 18
  givenname: Victoria
  surname: Cardona
  fullname: Cardona, Victoria
  organization: Universitat Autónoma de Barcelona, Hospital Universitario Vall d'Hebron, Servicio de Medicina Interna, Sección de Alergología, Barcelona, Spain
– sequence: 19
  givenname: Wen Chin
  surname: Chiang
  fullname: Chiang, Wen Chin
  organization: Mount Elizabeth Medical Centre, Chiang Children's Allergy & Asthma Clinic, Singapore, Singapore
– sequence: 20
  givenname: Pascal M.
  surname: Demoly
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  organization: University Hospital Montpellier, Montpellier, France
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– sequence: 23
  givenname: Roy
  surname: Gerth van Wijk
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  organization: Erasmus MC, Sector Allergologie, Rotterdam, the Netherlands
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  givenname: Sandra Nora
  surname: González Díaz
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  surname: Gonzalez-Estrada
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  organization: Faculty of Medicine, Department of Clinical Immunology & Allergy, Medical University of Łódź, Łódź, Poland
– sequence: 30
  givenname: Dennis K.
  surname: Ledford
  fullname: Ledford, Dennis K.
  organization: University of South Florida College of Medicine, Tampa, FL, USA
– sequence: 31
  givenname: Olga Patricia
  surname: Monge Ortega
  fullname: Monge Ortega, Olga Patricia
  organization: Allergology Unit, San Juan de Dios Hospital, University of Costa Rica, San José, Costa Rica
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  surname: Morais Almeida
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  organization: Hospital CUF-Descobertas, Lisbon, Portugal
– sequence: 33
  givenname: Oliver
  surname: Pfaar
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  organization: Department of Otorhinolaryngology, Head and Neck Surgery, Section of Rhinology and Allergy, University Hospital Marburg, Philipps-Universität Marburg, Marburg, Germany
– sequence: 34
  givenname: Lars K.
  surname: Poulsen
  fullname: Poulsen, Lars K.
  organization: Gentofte University Hospital, Lab for Allergology, Allergy Clinic, Hellerup, Denmark
– sequence: 35
  givenname: Ruby
  surname: Pawankar
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  givenname: Harald E.
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  organization: University Hospital GI & MR GmbH, Institute of Laboratory Medicine & Pathology, Standort Marburg, Marburg, Germany
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  surname: Romano
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  organization: IRCCS Oasi Maria S.S., Troina, Italy
– sequence: 38
  givenname: Nelson A.
  surname: Rosário Filho
  fullname: Rosário Filho, Nelson A.
  organization: University of Parana, Curitiba, PR, Brazil
– sequence: 39
  givenname: Lanny
  surname: Rosenwasser
  fullname: Rosenwasser, Lanny
  organization: University of Missouri at Kansas City, School of Medicine, Kansas City, MO, USA
– sequence: 40
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  surname: Sánchez Borges
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  givenname: Gian-Enrico
  surname: Senna
  fullname: Senna, Gian-Enrico
  organization: Ospedale Civile Maggiore, Verona, Italy
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  givenname: Juan Carlos
  surname: Sisul
  fullname: Sisul, Juan Carlos
  organization: Allergy & Asthma Institute, Asunción, Paraguay
– sequence: 44
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  surname: Tang
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  organization: Royal Children's Hospital, Department of Allergy & Immunology, Parkville, Victoria, Australia
– sequence: 45
  givenname: Bernard Yu-Hor
  surname: Thong
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  organization: Tan Tock Seng Hospital, Deptartment of Rheumatology, Allergy & Immunology, Singapore, Singapore
– sequence: 46
  givenname: Rudolf
  surname: Valenta
  fullname: Valenta, Rudolf
  organization: Division of Immunopathology, Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria
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  givenname: Robert A.
  surname: Wood
  fullname: Wood, Robert A.
  organization: Johns Hopkins University School of Medicine, Johns Hopkins Hospital, Baltimore, MD, USA
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  givenname: Torsten
  surname: Zuberbier
  fullname: Zuberbier, Torsten
  organization: Campus Charite Mitte, Klinik fur Dermatologie & Allergologie, Berlin, Germany
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Issue 2
Keywords Allergy
Diagnostic strategies
AU/mL
Anti-IgE
LAMP-3
SPT
IDT
NMBAs
EIA
AEC
In vitro tests
EAACI
CaFE
MRGPRX2
SCAR
AIT
AP
IVD
FEIA
FcεRI
AAAAI
Skin tests
DBPCFC
NPA
ELISA
ABA
PPA
sIgE
FDA
CBA
IgE
HPO
FACS
CDER
PPT
NSAIDs
MBAD
w/v
ENPP-3
BAU/mL
EMEA
CCD
CL
H1
H2
pNPP
NIH
ISAC
mAb
ACAAI
IUIS
BAT
RAST
kUA/L
NMBAs, NeuroMuscular Blocking Agents
EIA, Enzyme Immune Assay
RAST, Radio Allergo Sorbent Test
FEIA, Fluorescent Enzyme Immunoassays
NSAIDs, Non-Steroidal Anti-Inflammatory Drugs
NPA, Negative Percent Agreement
H2, Histamine 2 receptor
AEC, Allergen Exposure Chambers
ELISA, Enzyme Linked Immuno Sorbent Analysis
ENPP-3, EctoNucleotide Pyrophosphatase/Phosphodiesterase 3
DBPCFC, Double-Blind Placebo-Controlled Food Challenge
mAb, Monoclonal Antibody
FDA, Food and Drug Administration (U.S. Department of Health and Human Services)
SCAR, severe cutaneous adverse drug reactions
pNPP, p-Nitrophenylphosphate
sIgE, specific IgE
ABA, Allergen Bead Array
ACAAI, American College of Allergy Asthma and Immunology
FcεRI, High affinity IgE receptor
CaFE, Calibrated Fluorescence Enhancement
IDT, Intradermal Test
ISAC, Immuno-Solid phase Allergen Chip
MBAD, Molecule Based Allergy Diagnostics
kUA/L, kilo Units of Allergen/Liter for allergen-specific IgE antibody assays
BAU/mL, Biologic Allergenic Units milliLiter
BAT, Basophil Activation Test
LAMP-3, Lysosomal-Associated Membrane Protein
CL, Chemiluminescence
EAACI, European Academy of Allergy and Immunology
IUIS, International Union of Immunological Societies
CCD, Cross-reactive Carbohydrate Determinants
NIH, National Institutes of Health (USA)
HPO, Horseradish Peroxidase
AAAAI, American Academy of Allergy Asthma and Immunology
AU/mL, Allergenic Units milliLiter
MRGPRX2, Mas-related G protein receptor 2
w/v, weight /volume
FACS, Fluorescence-Activated Cell Sorting
EMEA, European MEdicine Agencies
IgE, immunoglobulin E
PPT, Prick-Prick Test
AIT, allergen immunotherapy
H1, Histamine 1 receptor
SPT, Skin prick test
AP, Alkaline Phosphatase
CDER, Center for Drug Evaluation and Research (USA)
IVD, in vitro diagnostic tool
CBA, Cytometric Bead Array
Anti-IgE, Antibody against IgE
PPA, Positive Percent Agreement
In vitro tests
Language English
License This is an open access article under the CC BY-NC-ND license.
2019 The Authors.
Attribution - NonCommercial - NoDerivatives: http://creativecommons.org/licenses/by-nc-nd
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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PMCID: PMC7044795
These authors equally contributed to this manuscript
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Snippet Currently, testing for immunoglobulin E (IgE) sensitization is the cornerstone of diagnostic evaluation in suspected allergic conditions. This review provides...
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SubjectTerms Allergens
Allergies
Allergy
Anaphylaxis
Chronic fatigue syndrome
Diagnostic strategies
Disease
Food allergies
IgE
Immunotherapy
In vitro tests
Life Sciences
Medical diagnosis
Precision medicine
Skin tests
Urticaria
Title IgE allergy diagnostics and other relevant tests in allergy, a World Allergy Organization position paper
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