By rray, 2 March, 2017 Don t routinely order nasal smears for eos total IgE IgG imaging studies 1 2 Don t order tests that haven t been validated cytotoxic tests provocation neutralization electrodermal tests applied kinesiology iridology hair analysis1
By rray, 2 March, 2017 If tests Pts generally considered nonallergic but local AR can cause sx in pts w skin tests immunoassay these pts may have nasal allergen provocation test1
By rray, 2 March, 2017 If (+) tests: Correlate to sx upon exposure, since (+) test alone doesn’t dx allergy1-3
By rray, 2 March, 2017 Allergen selection. Adult: Test inhalant allergens but not foods. Child: OK to consider limited selection of foods, since hx may be less clear, food allergy more common1
By rray, 2 March, 2017 Skin prick puncture tests preferred vs serum immunoassay per AAI JTF 1 BSACI 3 however AAO considers these equivalent options 2 Skin tests suppressed by some meds eg antihistamines tricyclics which should be d c d prior to testing 1 3 Immunoassay preferre
By rray, 2 March, 2017 S P clinical dx suboptimal response to empiric tx or allergen identification will guide tx
By rray, 2 March, 2017 Test if lack of response to empiric tx dx uncertain or need to know allergen to guide trigger avoidance or immuno tx per AAI JTF 1 AAO 2 However BSACI recommends testing time of clinical dx3
By rray, 2 March, 2017 Test if: lack of response to empiric tx, dx uncertain, or need to know allergen to guide trigger avoidance or immuno-tx, per AAI-JTF,4 AAO.5 However, BSACI recommends testing @ time of clinical dx3
