Integration of in vitro allergy test results and ratio analysis for the diagnosis and treatment of allergic patients (INTEGRA).

IgE IgE ratio allergy molecular diagnosis recommendations

Journal

Clinical and translational allergy
ISSN: 2045-7022
Titre abrégé: Clin Transl Allergy
Pays: England
ID NLM: 101576043

Informations de publication

Date de publication:
Aug 2021
Historique:
revised: 05 07 2021
received: 11 05 2021
accepted: 30 07 2021
entrez: 28 9 2021
pubmed: 29 9 2021
medline: 29 9 2021
Statut: ppublish

Résumé

The introduction of molecular diagnosis into routine clinical practice has substantially improved the diagnosis and management of allergic patients by allowing clinicians to precisely identify the allergenic molecule responsible for immunoglobulin E (IgE)-mediated allergies. However, it can be challenging to accurately interpret the results of molecular assays, partly due to the limited evidence base. In this context, a panel of experts with extensive experience in interpreting in vitro measures of total and serum specific IgE reviewed the available scientific evidence. After this review, the panel selected a series of representative case studies to demonstrate how determination of specific and total IgE values and the relationship between them (ratio analysis) can add value to the diagnostic process by more precisely defining the patient's sensitization profile. Finally, the experts developed a series of recommendations on the clinical application of ratio analysis to optimize and complement the classical approach to allergy diagnosis.

Identifiants

pubmed: 34582103
doi: 10.1002/clt2.12052
pmc: PMC9082998
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

e12052

Subventions

Organisme : Thermo Fisher Scientific

Informations de copyright

© 2021 The Authors. Clinical and Translational Allergy published by John Wiley & Sons Ltd on behalf of European Academy of Allergy and Clinical Immunology.

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Auteurs

Mariona Pascal (M)

Immunology Department, Centre de Diagnòstic Biomèdic, Hospital Clínic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain.
ARADyAL Network, Health Institute Carlos III, Madrid, Spain.

Carmen Moreno (C)

ARADyAL Network, Health Institute Carlos III, Madrid, Spain.
Allergy Service, Hospital Universitario Reina Sofía, Maimonides Biomedical Research Institute of Córdoba (IMIBIC), Córdoba, Spain.

Ignacio Dávila (I)

ARADyAL Network, Health Institute Carlos III, Madrid, Spain.
Allergy Service, Department of Biomedical and Diagnostic Sciences and Institute for Biomedical Research of Salamanca (IBSAL), University Hospital of Salamanca, Salamanca, Spain.

Ana I Tabar (AI)

ARADyAL Network, Health Institute Carlos III, Madrid, Spain.
Allergy Service, Hospital Complex of Navarra, Pamplona, Spain.
Navarra Institute for Health Research (IdiSNA), Cooperative Health Research Thematic Networks (RETICs) for Asthma, Madrid, Spain.

Joan Bartra (J)

ARADyAL Network, Health Institute Carlos III, Madrid, Spain.
Allergy Section, Pneumology Department, Hospital Clínic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain.

Moisés Labrador (M)

ARADyAL Network, Health Institute Carlos III, Madrid, Spain.
Allergy Section, Internal Medicine Department, Hospital Universitari Vall d´Hebron, Institut de Recerca Vall d'Hebron (VHIR), Universitat Autònoma de Barcelona. Barcelona, Spain.

Olga Luengo (O)

ARADyAL Network, Health Institute Carlos III, Madrid, Spain.
Allergy Section, Internal Medicine Department, Hospital Universitari Vall d´Hebron, Institut de Recerca Vall d'Hebron (VHIR), Universitat Autònoma de Barcelona. Barcelona, Spain.

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