Hazelnut (F017) IgE with Component Reflex-15159
Test info
Allergen
Hazelnut, IgE with component reflex
This test reflexes to components Cor a 1, Cor a 8, Cor a 9, Cor a 14.
Component resolved diagnostics can help to1-6:
- Distinguish between allergy due to cross-reactivity and primary allergy.
- Improve the risk assessment using allergen components.
- Improve management of allergic patients.
Specimen
(Note: This volume does not allow for repeat testing.)
Immediately following collection, mix sample by gently inverting 5 times
- Allow sample to clot for a minimum of 30 minutes
- Spin within two (2) hours of sample collection
Gold serum separator (SST) tube
- Allow sample to clot
- Spin
- Transfer serum to a Transfer vial/tube with cap - 12mL (LabCorp), labelled as serum, within two (2) hours of sample collection
Ambient (preferred) - 14 days
Refrigerated - 14 days
Frozen - 3 months
Performance
ImmunoCAP® allergen specific IgE
Clinical and Interpretive info
> 0.10 kU/L
The measurement of specific immunoglobulin E (IgE) to individual components of an allergen, either purified native or recombinant, is referred to as component resolved diagnosis (CRD). This approach represents an improvement over traditional measurement of IgE to allergen extracts that contain a mixture of proteins. The pattern of specific IgE reactivity to component allergens can predict which patients are at higher risk for systematic allergic reactions versus those who are sensitized but clinically tolerant. CRD can also be used to predict which patients are at risk for more severe reactions and which patients are likely to have milder symptoms.
Allergies to plant-derived foods can occur as the result of sensitization to relatively stable proteins, such as the seed storage or lipid transfer proteins. Sensitization to this type of protein can be associated with more severe, systemic reactions and a higher risk for anaphylaxis. Alternatively, allergies to plant-derived foods may occur in pollen-sensitized individuals due to pollen allergens that cross-react with food allergens. Examples of pollen-associated allergens are the profilins or PR10 proteins that are homologues of the major white birch pollen antigen Bet v 1.
Allergy to this family of proteins is associated with symptoms that are generally limited to the oropharyngeal area (commonly referred to as the oral allergy syndrome of pollen food allergy syndrome).
Component resolved diagnostics can help to:
• Distinguish between allergy due to cross-reactivity and primary allergy.
• Improve the risk assessment using allergen components.
• Improve management of allergic patients.