Allergen, Food, Milk (Cow's) Components IgE
Ordering Recommendation
New York DOH Approval Status
Specimen Required
Multiple patient encounters should be avoided.
Serum separator tube. Multiple specimen tubes should be avoided.
Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum plus 0.1 mL for each additional allergen ordered to an ARUP Standard Transport Tube. (Min: 0.5 mL plus 0.04 mL for each allergen ordered)
Refrigerated.
Hemolyzed, icteric, or lipemic specimens.
After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
Methodology
Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Performed
Sun-Sat
Reported
1-3 days
Reference Interval
Reporting Range (reported in kU/L) |
Probability of IgE Mediated Clinical Reaction |
Class Scoring |
---|---|---|
Less than 0.10 | No significant level detected | 0 |
0.10 - 0.34 | Clinical relevance undetermined | 0/1 |
0.35 - 0.70 | Low | 1 |
0.71 - 3.50 | Moderate | 2 |
3.51 - 17.50 | High | 3 |
17.51 - 50.00 | Very high | 4 |
50.01 - 100.00 | Very high | 5 |
Greater than 100.00 | Very high | 6 |
Interpretive Data
Allergen results of 0.10-0.34 kU/L are intended for specialist use as the clinical relevance is undetermined. Even though increasing ranges are reflective of increasing concentrations of allergen-specific IgE, these concentrations may not correlate with the degree of clinical response or skin testing results when challenged with a specific allergen. The correlation of allergy laboratory results with clinical history and in vivo reactivity to specific allergens is essential. A negative test may not rule out clinical allergy or even anaphylaxis.
Alpha-lactoalbumin (Bos d 4) and Beta-lactoglobulin (Bos d 5) are heat labile and associated with a risk for reaction to fresh milk. Casein (Bos d 8) is heat stable and associated with a risk for reaction to all forms of milk. Note: Allergens included in this panel: Alpha-lactoalbumin (Bos d 4), Beta-lactoglobulin (Bos d 5), Casein (Bos d 8) and Milk (Cow's).
FDA
Note
Hotline History
CPT Codes
86003; 86008 x3
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
0055020 | Allergen, Food, Milk (Cow) IgE | 7258-7 |
0055074 | Allergen, Food, Beta-lactoglobulin IgE | 41397-1 |
0055081 | Allergen, Food, Casein IgE | 6062-4 |
0099543 | Allergen, Food, Alpha-Lactalbumin IgE | 7445-0 |
Aliases
- ImmunoCap (f76, f77, f78, f2) Milk Allergen Components
- Milk Component Panel
- Milk Components