Specific IgE antibodies against Specific Allergens

Specific IgE antibodies against Specific Allergens

Patient Name: Gender: F□ M□ Age : Date:

Physician Name: ID #:

Total IgE = IU/mL

Inhalation Allergens	Class	Food Allergens	Class	Pollen-associat Food Allergens	Class	Inhalation & Food Allergens	Class
Sweet vernal grass		Egg white		Timothy grass		Timothy grass
Cocksfoot		Egg yolk		Birch		Cultivated rye
Timothy grass		Milk		Mugwort		Birch
Cultivated rye		Yeast		Wheat flour		Mugwort
Alder		Wheat flour		Rye flour		Cat
Birch		Rye flour		Peanut		Dog
Hazel		Rice		Hazelnut		Horse
Oak		Soybean		Almond		Dermatophagoides pternoyssinus
Common ragweed		Peanut		Onion		Cladosporium herbarum
Mugwort		Hazelnut		Mustard		Alternaria alternata
Plantain		Almond		Anise		Egg white
Dermatophagoides pternoyssinus		Apple		Lovage		Milk
Dermatophagoides farinae		Kiwi		Strawberry		Codfish
Cat		Apricot		Apple		Wheat flour
Dog		Tomato		Lychee		Rice
Horse		Carrot		Apricot		Soya bean
Penicillium notatum		Potato		Fig		Hazelnut
Cladosporium herbarum		Celery		Carrot		Carrot
Aspergillus fumigatus		Codfish		Potato		Potato
Alternaria alternata		Crab		Celery		Apple

Panel 1 □ Panel 2 □ Panel 3 □ Panel 4 □

Class	Result
0	Negative (no clinical significance)
+	Low allergen-specific IgE concentration (Partial clinical significance)
++	Moderate allergen-specific IgE concentration (Often with clinical significance)
+++	High allergen-specific IgE concentration (Clinical symptoms in most cases)