2013
DOI: 10.1002/alr.21207
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Total serum immunoglobulin E as a marker for missed antigens on in vitro allergy screening

Abstract: This pilot study evaluated patients clinically suspected of allergy with a negative inhalant IgE screen. Those with a high total IgE were more likely to have a missed inhalant allergen on expanded testing, as well as asthma and chronic sinusitis, compared to those with a low total IgE. Further investigation of "missed antigen" and the role of chronic respiratory inflammatory disease in patients with elevated total IgE is warranted.

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Cited by 9 publications
(5 citation statements)
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“…In vitro testing (27) : a) Serum total IgE (tIgE) There is some disagreement over the role of serum tIgE in the diagnosis of atopic disorders. The capacity of the tIgE serum level to identify patients with atopy in general may be what makes it so significant.…”
Section: Intradermal Skin Test (Idst)mentioning
confidence: 99%
See 1 more Smart Citation
“…In vitro testing (27) : a) Serum total IgE (tIgE) There is some disagreement over the role of serum tIgE in the diagnosis of atopic disorders. The capacity of the tIgE serum level to identify patients with atopy in general may be what makes it so significant.…”
Section: Intradermal Skin Test (Idst)mentioning
confidence: 99%
“…In AR patients, a serum tIgE level more than 140 IU/mL may be indicative of atopy. In the absence of a positive inhalant-specific IgE test, a high tIgE may indicate inhalant sensitivity to unknown allergens or another kind of chronic respiratory inflammatory illness other than AR (27) .…”
Section: Intradermal Skin Test (Idst)mentioning
confidence: 99%
“…19,20 Başka bir çalışmada da, in vitro allerjen testi ile gözden kaçan antijen duyarlılığını değerlendirmede serum total IgE dü-zeyinin kullanılması önerilmiştir. 21 Astım ve allerjik rinitte IgE yüksekliği klinisyeni allerjen duyarlılığını incelemeye yönlendirmelidir.…”
Section: İmmünglobuli̇n E Yüksekli̇ği̇nde Ayirici Taniunclassified
“…The vast majority of asthmatics display higher total serum IgE. Consequently, including a broader panel of allergens in the testing reveals more cases of "allergic asthma" (extrinsic asthma) among asthmatics (6). So far, many patients with asthma lack proper allergy diagnosis due to the fact that in vitro routine allergy diagnostic tests are missing clinically relevant allergen sources, and where allergen sources are included as raw extract allergens, these often lack clinically relevant single allergenic components and, therefore, appropriate sensitivity.…”
Section: Introductionmentioning
confidence: 99%