Food Allergies

Diagnosis

Indications for Testing

  • Medical history (pruritus, urticaria, gastrointestinal symptoms, angioedema anaphylaxis) indicating temporal association between food ingestion and symptoms (<2 hours), chronic diarrhea, and failure to thrive in children

Laboratory Testing

  • Two tests
    • Skin testing (pin prick) is no longer necessary, although generally less costly
    • Specific food serum IgE testing along with appropriate history – group or panel allergen tests may be helpful (ImmunoCAP appears to be best validated)
    • Neither test predicts severity of allergic reaction
    • Positive results may not be diagnostic – cross reactivity exists between proteins
    • Serum tryptase – elevated at 1-4 hours after anaphylaxis and can help confirm diagnosis
  • Food testing
    • Food challenges may be helpful but should not precede IgE testing
      • Administration of suspected food in gradually increasing doses
      • May be necessary if pin prick or IgE testing is negative and strong suspicion still exists for allergy 
      • May be dangerous to do food testing in certain patients with severe allergies
      • Needs to be performed under controlled circumstances with very specific endpoints
        • Double-blind testing – considered gold standard
  • Patch testing – typically used in non-IgE mediated food allergy (eg, eosinophilic esophagitis)
    • No standard reagent methods or interpretation available
    • Not recommended by the National Institute of Allergy and Infectious Diseases for routine evaluation

Differential Diagnosis

Clinical Background

Food allergies are a common form of allergic presentation in childhood. The National Institute of Allergy and Infectious Diseases defines food allergy as an adverse immune response occurring reproducibly on exposure to a given food and is distinct from other adverse responses to food, such as food intolerance, pharmacologic reactions, and toxin-induced reactions.

Epidemiology

  • Incidence
    • Varies by geographic region
    • Increased incidence reported over the past 10 years – especially peanut allergies
  • Age
    • Adults – <3% with allergies
    • Usually in children – as much as 6% of children <3 years are affected
  • Sex
    • M:F, equal

Risk Factors

  • History of asthma
  • Parent or sibling with a history of atopy or asthma

Pathophysiology

  • Any food can potentially sensitize the immune system and cause antibody production
    • Foods most likely to cause sensitivity include those that are
      • Water soluble
      • Heat resistant
      • Acidic
      • Proteolytic
  • Most food allergies are IgE mediated but may also be IgG mediated
    • 90% of IgE-mediated allergies are caused by just eight foods – cow milk, soy, chicken eggs, peanuts, tree nuts, wheat, fish, and crustaceans
    • Non-IgE-mediated reactions are also common to soy, wheat, and cow milk
  • Wheat, milk, egg, and soy allergies usually disappear gradually with age
  • Food intolerance is not the same as food allergy

Clinical Presentation

  • Classic IgE-mediated (immediate hypersensitivity)
    • Reaction occurs within an hour after food is ingested
    • Classification
      • Oral allergy syndrome – pruritus, tingling, swelling of lips and palate after fresh fruit/vegetable 
        • Birch sensitivity – symptoms with raw carrots, celery, and apples
        • Ragweed sensitivity – symptoms with cantaloupe, watermelon, honeydew, and bananas
        • No symptoms when food is cooked
      • Gastrointestinal – nausea, abdominal pain, cramps, vomiting, diarrhea
      • Cutaneous – urticaria, angioedema, generalized pruritus, flushing, morbilliform rash
      • Respiratory – pruritus, tearing, nasal congestion, rhinorrhea, throat tightness, hoarseness, shortness of breath, dyspnea, wheezing
      • Cardiovascular – syncope, chest pain, dysrhythmia, hypotension, shock
      • Neurologic – anxiety, headache, seizure, loss of consciousness
  • Mixed IgE/non-IgE
  • Non-IgE (cell-mediated)
    • Occurs 24 hours after food ingested
  • 80-85% of children outgrow food allergies by 5 years
  • Most persistent allergens are nuts, seeds, fish
    • Classification
      • Food protein-induced proctocolitis
        • Infants appear healthy
        • Blood-tinged stools in first 2-4 months of life
        • Usually secondary to milk or soy protein and most often in breast-fed infants
      • Food protein-induced enterocolitis syndrome
        • Infants appear ill
        • Bloody diarrhea, recurrent vomiting, failure to thrive
        • Most often secondary to milk and soy protein; rice, oat, other cereal grains, and chicken have also been implicated
        • Infants usually tolerate breast milk

Treatment

  • Avoid foods that cause allergic reaction
    • Requires careful reading of package labels, especially for those with nut allergies
      • Many products are coproduced in factories where nut residue may be present
      • Warnings on packages do not correlate with actual risks
  • Patients with documented severe food allergies or children with allergies and coexistent asthma must have epinephrine kits readily available
  • Allergen immunotherapy – associated with significant adverse side effects (desensitization)

Prevention

  • Avoid cow milk and dairy products until 6 months old
    • Suggest breast feeding
    • Soy-based formulas have no role in prevention
  • Avoid supplemental feeding and solid foods until 6 months old

Indications for Laboratory Testing

  • Tests generally appear in the order most useful for common clinical situations
  • Click on number for test-specific information in the ARUP Laboratory Test Directory
Test Name and Number Recommended Use Limitations Follow Up
Allergens, Food, Common Adult Food 0050486
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Test for 11 most common food allergens and total serum IgE (clam, egg white, codfish/whitefish, corn, cow-milk, peanut, shrimp, scallop, soybean, walnut, and wheat)

Does not test for any other allergens

Individual allergen testing

Tryptase 0099173
Method: Quantitative Fluorescent Enzyme Immunoassay

Aid in confirming food allergies as the cause of anaphylaxis

   
Additional Tests Available
 
Click the plus sign to expand the table of additional tests.
Test Name and NumberComments
Allergen, Food, Almond 0099577
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Almond IgG 0090284
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Alpha-Gal (galactose-alpha-1,3-galactose) IgE 2007994
Method: Immunoassay
Allergen, Food, Alpha-Lactalbumin 0099543
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Anchovy IgE 0093498
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Apple 0099632
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Apricot 0055423
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Artichoke IgE 2007179
Method: Quantitative Conventional RAST
Allergen, Food, Asparagus IgE 0098873
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Avocado 0099695
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Baker's Yeast IgG 0097706
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Baker's Yeast/Brewer's Yeast 0055079
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Banana 0099634
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Banana IgG 0090286
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Barley 0055056
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Barley IgG 0097707
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Basil IgE 0093496
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Bass Black IgE 0099692
Method: Quantitative Conventional RAST
Allergen, Food, Beef 0055096
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Beef IgG 0097708
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Beta-Lactoglobulin 0055074
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Blackberry IgE 2007629
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Black Olive IgG 0055214
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Black Pepper 0055424
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Blueberry 0055426
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Blue Mussel 0055425
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Brazil Nut 0099574
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Broccoli 0098531
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Buckwheat IgE (Fagopyrum esculentum0092597
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Cabbage 0055094
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Carrot 0055005
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Casein 0055081
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Casein (Cow's Milk) IgG 0097653
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Values <2 mgA/L represent absent or undetectable levels of allergen-specific IgG antibody; >2 mgA/L indicate progressive increases in relative concentration of allergen-specific IgG antibody

Allergen, Food, Cashew 0099573
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Catfish IgE 0097629
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Celery 0099054
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Cheese, Cheddar IgG  2007353
Method: Quantitative Enzyme Immunoassay
Allergen, Food, Cheese, Cheddar 0099583
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Cheese Mold 0099593
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Cherry IgE 0099466
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Chestnut 0055254
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Chicken 0055008
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Chicken IgG 0097656
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Chickpea (Garbanzo Bean) IgE 0055200
Method: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Allergen, Food, Chocolate 0099642
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Chocolate IgG 0097657
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Cinnamon 0098876
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Clam 0099488
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Clove IgE 0098875
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Coconut 0099473
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Codfish IgE 0055036
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Coffee 0099757
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Coffee IgG 0097302
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Coriander/Cilantro IgE 2007623
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Corn 0055078
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Corn IgG 0097658
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Values <2 mgA/L represent absent or undetectable levels of allergen-specific IgG antibody; >2 mgA/L indicate progressive increases in relative concentration of allergen-specific IgG antibody

Allergen, Food, Crab 0055011
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Cranberry IgE 0098874
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Crayfish IgE 0097637
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Cucumber IgE 0098868
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Cumin Seed IgE 2007780
Method: Quantitative Conventional RAST
Allergen, Food, Dill IgE 0093492
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Eel IgE 0097639
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Egg White 0055013
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Egg White IgG 0097659
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Values <2 mgA/L represent absent or undetectable levels of allergen-specific IgG antibody; >2 mgA/L indicate progressive increases in relative concentration of allergen-specific IgG antibody

Allergen, Food, Egg, Whole IgG 2007355
Method: Quantitative Enzyme Immunoassay
Allergen, Food, Egg Yolk 0055212
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Egg Yolk IgG 0097315
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Egg Whole 0055381
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Eggplant 0055432
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Fennel, Fresh IgE 0093490
Method: Quantitative Conventional RAST 
Allergen, Food, Flaxseed/Linseed IgE 2003298
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Gulf Flounder IgE 0099739
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Garlic 0099479
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Garlic IgG 0090287
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Ginger IgE 0098865
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Gluten 0099569
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Gluten IgG 0090289
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Goat Milk IgE  2007619
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Grape 0055015
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Grapefruit 0099641
Method: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Allergen, Food, Green Bean (String) IgE 0099649
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Haddock IgE 0098864
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Halibut 0098516
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Hazelnut (Filbert) 0098617
Method: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Allergen, Food, Herring IgE 0097631
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Honey IgE  2007615
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Honeydew Melon/Cantaloupe 0055435
Method: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Allergen, Food, Hops 0055436
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Kidney Bean 0055440
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Kiwi 0055203
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Lamb 0099631
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Lemon 0098270
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Lentil 0099659
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Lettuce 0055019
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Lettuce IgG 0097651
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Lima Bean/White Bean 0099766
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Lobster 0099062
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Lime IgE 0098271
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Macadamia Nut IgE 0093246
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Mackerel 0098474
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Malt 0099744
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Malt IgG 0097652
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Mango 0055204
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Milk (Cow's) 0055020
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Mint IgE  2007613
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Mushroom 0099770
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Mushroom IgG 0097299
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Mustard 0055443
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Navy Bean 0055022
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Nutmeg IgE 0093502
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Oat 0055040
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Oat IgG 0097654
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Values <2 mgA/L represent absent or undetectable levels of allergen-specific IgG antibody; >2 mgA/L indicate progressive increases in relative concentration of allergen-specific IgG antibody

Allergen, Food, Onion 0099474
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Onion IgG 0097306
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Orange 0055023
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Orange IgG 0097647
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Orris Root IgE 0098862
Method: Quantitative Radioimmunoassay
Allergen, Food, Oyster 0099638
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Papaya 0055250
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Parsley 0099492
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Pea 0099895
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Peach 0099582
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Peanut 0055024
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Peanut Components (uKnow) IgE 2007211
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Peanut IgG 0097648
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Values <2 mgA/L represent absent or undetectable levels of allergen-specific IgG antibody; >2 mgA/L indicate progressive increases in relative concentration of allergen-specific IgG antibody

Allergen, Food, Pear 0055207
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Pecan 0099572
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Pepper C. annuum IgE 0055002
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Pepper C. frutescens IgE 0055428
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Perch IgE 0099687
Method: Quantitative Conventional RAST
Allergen, Food, Pine (Pinon) Nut 0055445
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Pineapple 0099477
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Pistachio 0055447
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Plaice IgE 2008798
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Plum 0055448
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Poppy Seed IgE 0098858
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Pork IgG 0097649
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Pork 0099780
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Potato 0055051
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Potato (White) IgG 0097641
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Raspberry IgE 0099493
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Red Snapper IgE 0097628
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Rice 0055054
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Rice IgG 0097323
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Rye 0055026
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Rye IgG 0097642
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Sage IgE 0093514
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Salmon 0099680
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Sardine IgE 0097638
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Scallop 0099495
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Sesame Seed 0099698
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Shrimp 0055030
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Sole IgE 0093512
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Soybean 0055031
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Soybean IgG 0097643
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Values <2 mgA/L represent absent or undetectable levels of allergen-specific IgG antibody; >2 mgA/L indicate progressive increases in relative concentration of allergen-specific IgG antibody

Allergen, Food, Spinach 0055208
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Squid IgE 0097632
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Strawberry 0099639
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Sugar Beet IgE 0098645
Method: Quantitative Conventional RAST
Allergen, Food, Sugar Cane IgG4 0097911
Method: Quantitative Enzyme Immunoassay
Allergen, Food, Sugar Cane IgE 0099736
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Summer Squash IgE 0099122
Method: Quantitative Conventional RAST
Allergen, Food, Sweet Potato IgE 0097326
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Swordfish IgE 0097633
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Tea 0055451
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Thyme IgE  0093510
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Tilapia IgE 2003296
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Tomato 0055033
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Trout 0099727
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Tuna 0055062
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Turkey 0099627
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Vanilla 0055452
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Walleye Pike IgE  2007611
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Walnut (Juglans spp.) IgE 0055209
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Watermelon IgE 0055157
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Wheat 0055034
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Wheat IgG 0097636
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Values <2 mgA/L represent absent or undetectable levels of allergen-specific IgG antibody; >2 mgA/L indicate progressive increases in relative concentration of allergen-specific IgG antibody

Allergen, Food, Whey IgE 0055453
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Whey IgG 0090291
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Whitefish IgE 0097634
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Allergen, Food, Yam IgE 0097325
Method: Quantitative Conventional RAST
Allergen, Food, Zucchini IgE 0099134
Method: Quantitative Conventional RAST
Allergens, Food, Extended Panel IgG 2007213
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include wheat, potato white, rye, soybean, tomato, orange, peanut, pork, lettuce, malt, cow's milk, oat, chicken, chocolate, corn, egg white, baker's yeast, barley, and beef IgG

Allergens, Food, Common Panel IgG 2007215
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include almond, banana, cow's milk, chicken, corn, egg white, garlic, gluten, oat, orange, peanut, potato white, rice, soybean, tomato, wheat, whey, and baker's yeast IgG

Allergens, Food, Cereal Profile 0055350
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include barley, gluten, rice, rye, and wheat

Allergens, Food, Comprehensive Profile 1 0055100
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include barley, beef, bell pepper, cabbage, carrot, chicken, codfish/whitefish, corn, crab, egg white, grape, lettuce, milk (cow's), navy bean, oat, orange, peanut, pork, potato, rice, rye, shrimp, soybean, tomato, tuna, and wheat

Allergens, Food, Fish Profile IgE 2007036
Method: ImmunoCAP Fluorescent Enzyme Immunoassay

Components include codfish, tuna, mackerel, halibut, salmon, trout

Allergens, Food, Nut Mix Profile 0055345
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include almond, coconut, peanut, pecan, sesame seed

Allergens, Food, Nuts 0051831
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include peanut, walnut/black walnut, chestnut, hazelnut, pecan, cashew, brazil nut, and almond

Allergens, Food, Profile 4 0055142
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include egg white, peanut, potato, and wheat

Allergens, Food, Profile 8 0055133
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include corn, egg white, milk (cow's), orange, peanut, shrimp, soybean, and wheat

Allergens, Food, Profile 9 0055104
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include chicken, codfish/whitefish, egg white, milk (cow's), peanut, shrimp, soybean, tomato, and wheat

Allergens, Food, Profile 10 0055174
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include apple, corn, egg white, milk (cow's), oat, orange, peanut, soybean, tomato, and wheat

Allergens, Food, Profile 13 0055301
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include carrot, chicken, codfish/whitefish, corn, egg white, egg yolk, milk (cow's), oat, peanut, rice, soybean, tomato, and wheat

Allergens, Food, Profile 19 0055172
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include egg white, lettuce, pork, potato, baker's yeast, malt, corn, peanut, milk (cow's), beef, chocolate, chicken, barley, soybean, tomato, orange, wheat, rye, and oat

Allergens, Food, Salad Profile 0055340
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include celery, lettuce, orange, parsley, and tomato

Allergens, Food, Seafood Profile 0055335
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include codfish/whitefish, crab, lobster, shrimp, and tuna

Allergens, Food, Shell Fish Profile 0051835
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include crab, shrimp, blue mussel, lobster, clam, scallop, and oyster

Allergens, Food, Southeast Profile 0055384
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include almond, apple, banana, cashew, codfish/whitefish, crab, egg whole, green bean (string), milk (cow's), oat, pea (green), peanut, pecan, potato (white), scallop, shrimp, soybean, tomato, tuna, walnut/black walnut, and wheat

Allergens, Food, Southwest Basic Profile 0055370
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include chicken, codfish/whitefish, egg white, egg yolk, milk (cow's), orange, peanut, pecan, shrimp, soybean, and wheat

Allergens, Food, Vegetable Profile IgE 0055330
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include carrot, corn, pea, potato, and lima/white bean

Allergens, Food, West Kentucky Group 0055218
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include chocolate, corn, egg white, milk (cow's), IgE, serum total, peanut, oat, rice, soybean, and wheat

Allergens, Foods, Common 10 2002124
Method: ImmunoCAP Fluorescent Enzyme Immunoassay

Components include banana, peanut, egg white, egg yolk, corn, gluten, milk (cow's), strawberry, soybean, and wheat

Allergens, Inhalants/Foods, Comprehensive Profile 1 0055114
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include Alternaria alternata (tenuis), Aspergillus fumigatus, bent/redtop grass, Bermuda grass, cat epithelium & dander, cow hair & dander, dog dander, egg white, elm tree, false ragweed, feather mix, horse hair & dander, house dust greer, June grass/Kentucky bluegrass, milk (cow's), oak tree, olive tree, orchard grass/cocksfoot grass, peanut, Penicillium notatum, pigweed, Russian thistle, rye, sagebrush/wormwood, soybean, sycamore tree, timothy grass, western ragweed, and wheat

Allergens, Inhalants/Foods, Comprehensive Profile 2 0055099
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include Alternaria alternata (tenuis), Bermuda grass, cat epithelium & dander, corn, D. farinae (mites), dog dander, egg white, eucalyptus tree, goldenrod, Hormodendrum (Cladosporium), house dust stier, June grass/Kentucky bluegrass, kochia/firebush, box elder/maple tree, milk (cow's), mugwort, oak tree, orange, peanut, Penicillium notatum, perennial rye grass, Russian thistle, shrimp, soybean, sycamore tree, timothy grass, western ragweed, wheat, and white ash tree

Allergens, Inhalants/Foods, Environmental Profile 0055307
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include baker’s yeast, cat epithelium & dander, D. farinae (mites), D. pteronyssinus (mites), dog dander, egg white, egg yolk, feather mix, horse hair & dander, house dust stier, house dust greer, milk (cow's), orange, peanut, rice, shrimp, and soybean

Allergens, Inhalants/Foods, Pacific Northwest Profile 0055131
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include Aspergillus fumigatus, cat epithelium & dander, cottonwood tree, dog dander, egg white, elm tree, Hormodendrum (Cladosporium), house dust stier, June grass/Kentucky bluegrass, milk (cow's), orchard grass/cocksfoot grass, peanut, perennial rye grass, pigweed, Russian thistle, sagebrush, and wheat

Allergens, Inhalants/Foods, Profile A 0055126
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include Alternaria alternata (tenuis), Aspergillus fumigatus, cat epithelium & dander, cockroach (German), common/short ragweed, corn, D. farinae (mites), dog dander, house dust greer, June grass/Kentucky bluegrass, milk (cow's), oak tree, and timothy grass

Allergens, Inhalants/Foods, Southeast Profile 0055240
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include Alternaria alternata (tenuis), Aspergillus fumigatus, Bermuda grass, Candida albicans, cat epithelium & dander, common/short ragweed, corn, D. farinae (mites), dog dander, egg white, egg yolk, English plantain, Hormodendrum (Cladosporium), house dust greer, meadow fescue, milk (cow's), oak tree, peanut, pecan, Penicillium notatum, wheat, and white pine tree

Allergens, Inhalants/Foods, Western Allergy Profile 0055129
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include Alternaria alternata (tenuis), Aspergillus fumigatus, bent/redtop grass, Candida albicans, cat epithelium & dander, cottonwood tree, dog dander, egg white, egg yolk, English plantain, false ragweed, feather mix, Hormodendrum (Cladosporium), horse hair & dander, house dust greer, June grass/Kentucky bluegrass, lamb's quarters, milk (cow's), peanut, Penicillium notatum, soybean, western ragweed, wheat, and willow tree

Allergens, Latex/Cross-Reactive Food Panel IgE 0055245
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include avocado, banana, celery, chestnut, grape, IgE, serum total, kiwi, papaya, potato, tomato, and watermelon

Allergens, Pediatric Foods Profile 1 0055121
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include egg white, milk (cow's), oat, soybean, and wheat

Allergens, Pediatric Foods/Inhalants Profile 0055300
Method: Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Components include Alternaria alternata (tenuis), cat epithelium & dander, corn, D. farinae (mites), D. pteronyssinus (mites), dog dander, egg white, house dust greer, milk (cow's), soybean, and wheat