• Total IgE
• Chicken feathers
• Parrot Australian (Budgerigar) droppings
• Parrot Australian (Budgerigar) feathers
• Canary droppings
• Chicken serum
• Cockatiel droppings
• Finch droppings
• Parakeet droppings
• Parakeet serum
• Parrot droppings
• Parrot serum
• Pigeon/Dove droppings
• Pigeon/Dove serum
• Aspergillus fumigatus mix
• Aureobasidium pullulans

For patients who have both precipitating antibody specific for bird antigens and the symptoms and the clinical findings for pneumonitis, a diagnosis of Bird fancier's lung disease may be appropriate.

Gold serum separator (SST) tube

Immediately following collection, mix sample by gently inverting 5 times

1. Allow sample to clot for a minimum of 30 minutes
2. Spin within two (2) hours of sample collection
3. Transfer serum to a Transfer vial/tube with cap - 12mL (LabCorp), labelled as serum

Transfer vial/tube with cap - 12mL (LabCorp)

Red serum vial/tube, 5 mL

1. Allow sample to clot
2. Spin within two (2) hours of sample collection
3. Transfer serum to a Transfer vial/tube with cap - 12mL (LabCorp), labelled as serum

Ambient (preferred)

Frozen (OK)

ImmunoCap - IgE & Gel diffusion

See report

It is important to recognize that a positive serology alone cannot be used to establish the diagnosis of HP or Bird fancier's lung without the appropriate clinical findings and exposure history. In patients who lack the symptoms of HP but who have precipitating antibody (usually IgG) the serology can be taken to document significant exposure to bird antigens. Although the gel diffusion methods may be less sensitive than new methods, such as the ELISA tests for these bird antigens, it may be more specific.

Medical necessity