Hypersensitivity Pneumonitis Extended Panel (Farmer's Lung Panel)
0050157
 
Ordering Recommendation
Mnemonic
HYPER EXT
Methodology
Qualitative Immunodiffusion/Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Performed
Sun-Sat
Reported
3-7 days
New York DOH Approval Status
This test is New York DOH approved.
Specimen Required
Patient Preparation
 
Collect
Serum separator tube.  
Specimen Preparation
Separate serum from cells ASAP or within 2 hours of collection. Transfer two 2.5 mL aliquots of serum to individual ARUP Standard Transport Tubes. (Min: 1 mL)  
Storage/Transport Temperature
Refrigerated.  
Unacceptable Conditions
Plasma. Contaminated, hemolyzed, or severely lipemic specimens.  
Remarks
 
Stability
Refer to individual components.  
Reference Interval
Test Number Components Reference Interval
A. fumigatus #1 Ab, Precipitin None detected
A. fumigatus #6 Ab, Precipitin None detected
A. pullulans Ab, Precipitin None detected
Pigeon Serum, Ab, Precipitin None detected
M. faeni Ab, Precipitin None detected
T. vulgaris #1 Ab Precipitin None detected
A. flavus Ab, Precipitin None detected
A. fumigatus #2 Ab, Precipitin None detected
A. fumigatus #3 Ab, Precipitin None detected
S. viridis Ab, Precipitin None detected
T. candidus Ab, Precipitin None detected
T. sacchari Ab, Precipitin None detected
0055390Allergen, Fungi and Molds, Phoma betae Effective 02/18/2014
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
0055096Allergen, Food, Beef Effective 02/18/2014
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
0099780Allergen, Food, Pork Effective 02/18/2014
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
0055037Allergen, Epidermals and Animal Proteins, Feather Mix Negative
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.

See Compliance Statement A: www.aruplab.com/CS
Note
Testing includes antibodies directed at Aspergillus fumigatus #1, Aspergillus fumigatus #6, Aureobasidium pullulans, Micropolyspora faeni, Thermoactinomyces vulgaris #1, Aspergillus flavus, Aspergillus fumigatus #2, Aspergillus fumigatus #3, Saccharomonospora viridis, Thermoactinomyces candidus and Thermoactinomyces sacchari.
CPT Code(s)
86003 x3; 86005; 86331 x7; 86606 x5
Components
Component Test Code*Component Chart Name
0055037Allergen, Animal, Feather Mix IgE
0055041Allergen, Interp, Immunocap Score IgE
0055066A. fumigatus #1 Ab, Precipitin
0055067A. fumigatus #6 Ab, Precipitin
0055068A. pullulans Ab, Precipitin
0055069Pigeon Serum Ab, Precipitin
0055071M. faeni Ab, Precipitin
0055072T. vulgaris #1 Ab, Precipitin
0055096Allergen, Food, Beef IgE
0055220A. flavus Ab, Precipitin
0055221A. fumigatus #2 Ab, Precipitin
0055222A. fumigatus #3 Ab, Precipitin
0055223S. viridis Ab, Precipitin
0055224T. candidus Ab, Precipitin
0055225T. sacchari Ab, Precipitin
0055390Allergen, Fungi/Mold, Phoma betae IgE
0099780Allergen, Food, Pork IgE
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, contact interface support at interface.support@aruplab.com.
Cross References
  • Farmer's Lung Panel
  • HP
  • Hyper Pneumo
  • hypersensitivity pneumonitis