Allergy Asthma Respir Dis.  2018 Sep;6(5):237-240. 10.4168/aard.2018.6.5.237.

Proper allergen selection for serum specific IgE test in children

Affiliations
  • 1Department of Pedaitrics, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea.
  • 2Department of Pediatrics, Soonchunhyang University Seoul Hospital, Seoul, Korea.
  • 3Department of Pediatrics, College of Medicine, The Catholic University, Seoul, Korea.
  • 4Department of Pediatrics, CHA Bundang Medical Center, CHA University School of Medicine, Bundang, Korea.
  • 5Department of Pediatircs, Inje University Sanggye Paik Hospital, Seoul, Korea. kimck@paik.ac.kr

Abstract

Identifying allergic sensitization is important for the proper diagnosis and management of allergic diseases. Skin prick testing and measuring serum specific IgE antibodies are standard tests to confirm allergic sensitization. Skin prick testing has many advantages, but it is difficult to perform on young children. Serum specific IgE can be easily performed on young children, but it can be performed only up to 12 antigens in patients younger than 6 years due to insurance coverage. Therefore, it is important to select appropriate antigens for the patients. Appropriate allergens may vary depending on the patient's age, accompanying disease, and residential area, so that detailed history taking is essential for proper allergen selection. In this review, we will discuss considerations for selecting appropriate allergens for clinicians when performing an allergy test on difficult-to-test children under 6 years of age.

Keyword

Allergens; Atopic dermatitis; Allergic rhinitis; Asthma

MeSH Terms

Allergens
Antibodies
Asthma
Child*
Dermatitis, Atopic
Diagnosis
Humans
Hypersensitivity
Immunoglobulin E*
Insurance Coverage
Rhinitis, Allergic
Skin
Allergens
Antibodies
Immunoglobulin E

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