Laboratory Tests for Allergy - Melbourne Pathology
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
Laboratory Tests for Allergy
Allergen Specific IgE - RAST Testing Billing Policy
For example if you request:
Our fees for different allergen types
Single $5 Three single allergens @ $5 $15
Mixed $10 Two mixed allergens @ $10 $20
Allergen Components $40 One allergen component @ $40 $40
Billing policy for allergy testing Your patient will receive an invoice for $100 (which
includes our allergen test fee of $25).
Our policy is to respect your request for the allergens
and decode them according to our best practice. Even Practically, this means we will not accept a bulk-billed
if you have requested more allergens than our allowance request for more than four single allergens, two
under Medicare, we will bill your patient according to mixed allergens, or allergen components.
the pricing using the key above. If you have nominated Please note that eligible patients may be able to
the patient to be bulk-billed or if the patient has signed claim a rebate on four occasions per year for testing
a Medicare assignment form, this billing policy will still performed on four separate blood collections, with
apply for all tests above our allowance under Medicare. each episode at least 14 days apart.
You will see in our Allergen Menu that we now list a Ordering allergy tests
price for each allergen reagent and that this is organised
We ask that you specifically nominate which allergens you
into different allergen classes: single allergens are $5,
would like tested. Please do not write the allergens to be
mixed allergens are $10. Our highly specialised allergen
tested in the clinical notes section of the request form.
components are $40.
A comprehensive menu of allergens that we test for is
If the price of the allergens requested is more than the available in this brochure. If allergens are not available we
Medicare rebate of $22.80, the laboratory will not accept may use cross-reactive ones or advise you on the report.
bulk-billing for the request and the patient will be billed
Some “allergy symptoms” may result from intolerance
according to the price on the menu with our additional
mechanisms (salicylates, amines, MSG, metabisulphite)
allergen test fee of $25 and may claim a rebate of
and detection of IgE to them is not useful or possible. You
$22.80, subject to coning.
can request the allergens using their alphanumeric codes.
To assist staff performing data entry, we would appreciate
if you precede these codes by “Specific IgE for” or
“Allergy serology for” or “RAST for”.
Initial Investigation Panels A1: CHILD 6 years or less A2: ADULT, or CHILD over 6 years
If you write “RAST” or “Allergy serology”, but do Total IgE Total IgE
not specify the allergens, we will perform the tests F2 Cow’s milk M6 Alternaria
listed under A1 (for a child 6 years or less) or A2 D1 D. Pteronyssinus (Dustmite) E1 Cat
(Adult, or child over 6 years). F1 Egg white E5 Dog
F13 Peanut D1 D. Pteronyssinus (Dustmite)
Any subsequently requested additional allergens
F14 Soy G5 Grass Pollen
are charged according to the billing policy outlined (Perennial Rye grass)
above. For panels A1, A2 or A3 we will accept the
Medicare rebate.
A3: FOOD & INHALANTS
FX5 Staple Foods (egg white, G5 Grass Pollen D1 D. Pteronyssinus (Dustmite) M6 Alternaria
cow's milk, peanut, soy, (Perennial Rye grass)
wheat, and codfish)
3
Background and Testing Strategies
Diagnostic use of sIgE testing As with other tests in pathology, diagnostic accuracy is
T
esting for IgE to specific T
his information provides a D
ue to Medicare funding not 100 percent, ie. the presence of sIgE to a particular
allergens (“RAST” testing) is an summary of how this testing can constraints, the laboratory is sIgE is usually measured to confirm an allergic aetiology
for symptoms when there is a history that suggests a allergen is not 100 percent diagnostic of clinical reactivity
important step in the diagnosis be best utilised and outlines the unable to accept bulk billing to that allergen and absence of sIgE to a particular
of allergy cost of testing requests for more than very possible allergic cause. sIgE measurements are used in
the diagnostic algorithm of Type I allergy as presented in allergen does not 100 percent exclude clinical reactivity
basic allergy testing requests
Figure 2. to that allergen.
Testing for sIgE is not affected by medications. While the level of sIgE correlates with the likelihood of
Background “RAST” tests, which due to new laboratory techniques, Interpretation of sIgE testing is very dependent on the allergy, it does not correlate with the severity of an allergic
Immediate (Type I) hypersensitivity refers to a specific type are more accurately referred to as specific IgE (or) sIgE clinical picture. reaction. ie. severe reactions may occur in those with low
of immune response in which Immunoglobulin E (IgE) tests, detect the presence of specific IgE in the serum level sIgE and vice versa.
plays a central role. Clinical manifestations of immediate and were introduced into clinical practice in the early
hypersensitivity most commonly involve the skin 1980’s. Techniques for detection of allergen-specific IgE
History and examination
(urticaria), eyes (conjunctivitis), respiratory tract (rhinitis have improved significantly since this time.
and asthma) and cardiovascular system (hypotension). Melbourne Pathology has introduced a new platform
IgE is produced after first exposure to an allergen on which sIgE testing is performed – the Phadia
(an environmental molecule that induces an allergic ImmunoCap 250. As the majority of published studies in
response). This IgE subsequently binds to mast cells in allergy use this testing method, it is widely considered the
Suggest Type I allergy Doesn’t suggest Type I
tissues, such as those mentioned above. Subsequent benchmark for quantifying sIgE.
allergy
exposure to allergen causes activation of the mast cells,
to which the allergen-specific IgE is bound, causing
release of chemicals that cause the clinical manifestations
of allergy (see Figure 1 below).
sIgE positive sIgE negative sIgE testing is not
indicated*
First Exposure to Allergen *Please note: If sIgE testing
has been done inadvertently
Allergy confirmed Allergy not excluded in this situation and is positive,
consider referral to an allergist.
IgE Avoidance or consider desensitisation Referral to allergist, if IgE mediated
production (aeroallergens and stinging pathology is considered highly likely
Allergen B cell insect allergy) clinically, or if the risks of a false negative
IgE attachment result are high (eg. Allergen associated
to mast cell with anaphylaxis)
Second Exposure to Allergen Figure 2
Exposure to
allergen
Mast cell with Allergen attachment and
allergen-specific IgE degranulation of mast cell
Figure 1
4 5Allergens for which sIgE can be measured Clinical vignettes Conclusion
Several hundred allergens are available for testing. Targeted testing after a good clinical history allows maximisation 1. 35 year old female presents with a history of
A sIgE testing is very useful for confirmation of an allergic
of predictive values of sIgE tests. recurrent upper airway swelling following pesto. In aetiology in the setting of a history that suggests a
between episodes, she has tolerated pinenut. Pesto specific allergic cause for symptoms.
Allergens can be conveniently grouped according to Clinical Syndrome: often contains cashew nuts, so a cashew specific
IgE is ordered and returns a result of 37 kIU/L. Dr Gary Unglik
FOOD As she has tolerated other tree nuts in between MBBS, FRACP, FRCPA
Clinical manifestations of immediate hypersensitivity include one or more of acute urticaria, angioedema, wheeze episodes, she is told that she can continue to eat Immunology
or hypotension. them cautiously (with the knowledge that there is a
After graduating from Monash University
Most common in children: Cow’s milk, egg, peanut, tree nuts (most commonly cashew nut), sesame seed, small risk of reacting to cross contaminating cashew) in 1997, Dr Unglik trained at the Royal
soy and wheat and supplied with an adrenaline auto-injector and Melbourne and Alfred Hospitals.
Most common in adults: Peanut, tree nuts, “shellfish” (especially crustacean), fish, seeds and egg anaphylaxis plan to improve her safety, should she He obtained combined fellowship with
have accidental exposure. both the Royal Australasian College of
AEROALLERGENS Physicians and the Royal College of
2. 17 year old male with a history of allergic rhinitis
A Pathologists of Australasia in 2007.
Clinical manifestations include one or more of rhinitis, asthma and occasionally dermatitis.
only manifest in the spring has specific IgE ordered
Perennial for House Dust Mite (HDM), Cat, Dog and “Perennial Dr Unglik joined Melbourne Pathology in February 2010 as a
House dust mite, pet dander and less commonly moulds (eg. Penicillium/aspergillus) and cockroach Consultant Immunopathologist. He is also a Consultant Clinical
Rye Grass” (a grass that only pollinates in the spring Immunologist and Allergist in the Department of Clinical Immunology
Seasonal in Victoria). HDM returns a result of 1.5 kIU/L, and Allergy at the Royal Melbourne Hospital where he is also
Spring: Perennial Rye grass/Bermuda grass “Perennial Rye Grass”, 3kIU/L with Cat and Dog Consultant Immunopathologist in the Department of Pathology.
Summer: Bermuda grass and moulds (eg. Cladosporium, Altenaria) giving results ofAllergenMenu
Allergen Menu Allergen Menu
Single Allergens $5 each Single Allergens $5 each
Note: Requests for more than four of these will exceed our allowance under Medicare Note: Requests for more than four of these will exceed our allowance under Medicare
ANIMAL & AVIAN PROTEINS Chymopapain C209 MOULDS, YEASTS & TOXINS MITES (HOUSE DUST & STORAGE) PARASITES VENOMS
Budgerigar droppings E77 Gelatin bovine C74 Alternaria alternata M6 Acarus siro D70 Anisakis P4 Dolichovespula maculata I2
(White-faced hornet)
Budgerigar feathers E78 Insulin human C73 Aspergillus flavus M228 Blomia Tropicalis D201 Ascaris P1
Honey bee (Apis mellifera) I1
Canary bird feathers E201 Morphine C260 Aspergillus fumigatus M3 Dermatophagoides farinae D2
TREE POLLENS Paper wasp (Polistes spp.) I4
Cat epithelium & dander E1 Penicilloyl G C1 Aspergillus niger M207 Dermatophagoides microceras D3
Acacia T19 Polistes dominulus (European I77
Chicken droppings E218 Penicilloyl V C2 Aspergillus terreus M36 Dermatophagoides pteronyssinus D1
paper wasp)
Chicken feathers E85 American beech T5
Pholcodine C261 Aureobasidium pullulans M12 Euroglyphus maynei D74
Vespa crabro (European Hornet) I75
Chicken serum proteins E219 Australian pine T73
Suxamethonium (Succinylcholine) C202 Botrytis cinerea M7 Glycyphagus domesticus D73
Yellow hornet (Dolichovespula I5
Cow dander E4 Birch T3 arenaria)
Tetanus toxoid C208 Candida albicans (yeast) M5 House dust H2
Dog dander E5 Box-elder T1 Yellow jacket (Vespula spp. I3
Cephalosporium acremonium M202 Lepidoglyphus destructor D71
GRASS & GRAIN POLLENS Chestnut T206 Common wasp)
Duck feathers E86 Chaetomium globosum M208 Tyrophagus putrescentiae D72
Bahia grass G17 Cottonwood T14
Finch feathers E214 Cladosporium herbarum M2
Barley grain G201 Cypress T222
Goat epithelium E80 Curvularia lunata M16
Bermuda grass G2 Date T214
Goose feathers E70 Epicoccum purpurascens M14
Brome grass G11 Elm T8
Guinea pig epithelium E6 Fusarium moniliforme M9
Cultivated oat G14 Eucalyptus T18
Horse dander E3 Helminthosporium halodes M8
Cultivated wheat G15 Grey alder T2
Mouse epithelium E71 Malassezia spp. M227
Grass pollen (Fescue) G4 Italian cypress T23
Mouse serum proteins E76 Mucor racemosus M4
Johnson grass G10 Japanese cedar T17
Mouse urine proteins E72 Penicillium glabrum M209
Meadow grass G8 Melaleuca T21
Parakeet droppings E197 Penicillium notatum M1 MISCELLANEOUS
Perennial Rye grass G5 Mountain juniper T6
Parakeet feathers E196 Phoma betae M13 Cotton crude fibres O1
Sweet vernal grass G1 Oak T7 WEED AND CROP POLLENS
Parrot feathers E213 Rhizopus nigricans M11 Seminal fluid O70
Timothy grass G6 Oil palm T223 Canola (Rapeseed) W203
Pigeon droppings E7 Staphylococcus enterotoxin A M80 Tetramin fish feed O203
Velvet grass G13 Olive T9 Careless weed z
Pigeon feathers E215 Stemphylium botryosum M10 Tobacco leaf O201
Rabbit epithelium E82 Peppertree T217 Common pigweed W14
Tilletia tritici M201
INSECTS
Rabbit serum proteins E206 OCCUPATIONALS Pine T213 Common ragweed W1
Trichoderma viride M15
Berlin beetle I76
Rabbit urine proteins E211 Alphagal K048 Privet pollen T210 Dandelion W8
Trichophyton ment. var. M211
Blood worm I73 interdigitale
Rat epithelium E73 Castor bean K71 Red cedar T57 English plantain W9
Cockroach American I206 Trichophyton rubrum M205
Rat serum proteins E75 Chloramin T K85 Sweet gum T211 False ragweed W4
Cockroach Oriental I207 Trichosporon pullulans M203
Rat urine proteins E74 Ethylene oxide K78 Sycamore, London plane T11 Goosefoot Lamb`s quarters W10
Cockroach (Blatella germanica) I6 Ulocladium chartarum M204
Sheep epithelium E81 Formaldehyde/Formalin K80 White ash T15 Lupin W207
Fire ant (Solenopsis invicta ) I70
Swine epithelium E83 Green coffee bean K70 White pine T16 Mugwort W6
Green nimitti (Cladotanytarsus) I72
Swine serum albumin E222 Isocyanate HDI K77 Willow T12 Ox-eye daisy W7
Grain weevil (Sitophilius granarius) I202
Turkey feathers E89 Isocyanate MDI K76 Parietaria judaica W21
Horse fly I204
Isocyanate TDI K75 Rough marshelder W16
Mediterranean Flour Moth I203
DRUGS Ispaghula K72 Saltwort Russian thistle W11
Mosquito spp (Aedes communis) I71
Amoxicilloyl C6 Latex, Hevea braziliensis K82 Sheep sorrel W18
Moth I8
Ampicilloyl C5 Silk K74 Sunflower W204
Cefaclor C7 Silk waste K73 Western ragweed W2
Chlorhexidine C8 Sunflower seed K84 Wormwood W5
8 Trimellitic Anhydride TMA K86 9Allergen Menu Allergen Menu
Single Allergens $5 each Single Allergens $5 each
Note: Requests for more than four of these will exceed our allowance under Medicare Note: Requests for more than four of these will exceed our allowance under Medicare
FRUIT & VEGETABLES Orange F33 Beans - Soya F14 SPICES Mackerel F206 MISCELLANEOUS
Apple F49 Papaya F293 Brazil nut F18 Anise F271 Octopus F59 Cacao F93
Apricot F237 Passionfruit F294 Buckwheat F11 Basil F269 Oyster F290 Carob (E410) F296
Asparagus F261 Peach F95 Canola F316 Bay leaf F278 Red Snapper F381 Cochineal (Carmine red, E120) F340
Aubergine (eggplant) F262 Pear F94 Cashew nut F202 Black pepper F280 Salmon F41 Coffee F221
Avocado F96 Persimmon F301 Chickpea F309 Caraway F265 Sardine (Japanese Pilchard) F61 Guar, guar gum (E412) F246
Bamboo shoot F51 Pineapple F210 Coconut F36 Cardamon F267 Scallop F338 Gum arabic (E414) F297
Banana F92 Plum F255 Common millet F55 Chilli pepper F279 Shrimp F24 Honey F247
Beetroot F319 Potato F35 Corn F8 Cinnamon F220 Snail F314 Hop (fruit cone) F324
Blackberry F211 Pumpkin F225 Fenugreek F305 Coriander F317 Sole F337 Malt F90
Blueberry F288 Raspberry F343 Gluten F79 Curry (Santa Maria) F281 Squid F258 Mushroom (champignon) F212
Broccoli F260 Red currant F322 Hazel nut F17 Fennel seed F219 Swordfish F312 Tea F222
Brussel sprouts F217 Rockmelons F87 Japanese millet F57 Ginger F270 Trout F204 Tragacanth (E413) F298
Cabbage F216 Rose hip F330 Lentil F235 Green pepper (unripe seed) F263 Tuna F40 Yeast (S. cerevisiae) F45
Carrot F31 Spinach F214 Linseed F333 Mint F332 Whitefish F384
Cauliflower F291 Strawberry F44 Lupin F335 Mustard F89
Celery F85 Sweet potato F54 Macadamia nut F345 Oregano F283
Cherry F242 Tomato F25 Oat F7 Paprika sweet pepper F218
Cucumber F244 Watermelon F329 Pea F12 Parsley F86
Date F289 Peanut F13 Sage F344
MEAT
Fennel (fresh) F276 Thyme F273
Beef F27
Fig F328 Vanilla F234
Chicken meat F83
Garlic F47
Mutton F88 FISH & SHELLFISH
Grape F259
Pork F26 Abalone F346
Grapefruit F209
Rabbit meat F213 Anchovy F313 MILK
Guava F292
Turkey meat F284 Pecan nut F201 Blue mussel F37 Alpha lactalbumin F76
Kiwi fruit F84
Pine nut (pignoles) F253 Catfish F369 Beta lactoglobulin F77
POULTRY
Pistachio F203 Clam F207 Casein F78
Chicken meat F83
Poppy seed F224 Crab F23 Cheese Cheddar-type F81
Egg white F1
Pumpkin seed F226 Crayfish F320 Cheese Mould-type F82
Egg yolk F75
Quinoa F347 Eel F264 Cow’s whey F236
Turkey meat F284
Lemon F208 Rice F9 Codfish F3 Goat milk F300
Lettuce F215 Rye F5 Grouper F410 Milk F2
SEED, LEGUMES & NUTS
Lime F306 Sesame seed F10 Haddock F42 Sheep milk F325
Almond F20
Lychee F348 Spelt wheat F124 Hake F307 Sheep whey F326
Barley F6
Mandarin F302 Sweet Chestnut F299 Halibut F303
Beans - green F315
Mango fruit F91 Walnut F256 Herring F205
Beans - Lima F182
Olive (black fresh) F342 Wheat F4 Jack mackerel (Scad) F60
Beans - Red kidney F287
Onion F48 White bean F15 Lobster F80
10 11Allergen Menu Allergen Menu
Mixed Allergens $10 each Mixed Allergens $10 each
Note: Requests for more than two of these will exceed our allowance under Medicare Note: Requests for more than two of these will exceed our allowance under Medicare
HOUSE DUST Tree Mix 6 Box elder, Birch, TX6 (T1 T3 T5 T7 T10) COMBINATION INHALANT MIXES FOOD MIXES
American Beech, Oak,
Dust & Mite Mix Dust and mite mix HX2 (H2 D1 D2 I6) Walnut Inhalant 3 Bermuda grass, RX3 (G2 G5 G17 W1 W9 W10) Cereal Mix Wheat, Oat, Maize, FX3 (F4 F7 F8 F10 F11)
Perennial Rye grass, Sesame seed,
Tree Mix 7 Olive, Willow, White TX7 (T9 T12 T16 T18 T19 T21) Bahia grass, Common Buckwheat
ANIMAL DANDER MIXES Pine, Eucalyptus, Ragweed, English
Acacia, Melaleuca Plantain, Goosefoot Fruit Mix Orange, Apple, FX15 (F33 F49 F92 F95)
Animal Mix 1 Cat dander, Horse EX1 (E1 E3 E4 E5) Lamb’s Quarters Banana, Peach
dander, Cow dander, Tree Mix 8 Box elder, Birch, TX8 (T1 T3 T4 T7 T11)
Dog dander Hazel, Oak, Sycamore Inhalant 4 Sweet Vernals grass, RX4 (G2 G5 G1 W1 W6 W9) Meat Mix Pork, Beef, Chicken FX73 (F26 F27 F83)
Bermuda grass, Nut Mix Peanut, Hazel nut, FX1 (F13 F17 F18 F20 F36)
Animal Mix 2 Cat dander, Dog EX2 (E1 E5 E6 E87 E88) Tree Mix 9 Grey Alder, Birch, TX9 (T2 T3 T4 T7 T12) Perennial Rye grass,
dander, Guinea pig Hazel, Oak, Willow Brazil nut, Almond,
Common Ragweed, Coconut
epithelium, Rat, Mugwort, English
Mouse Tree Mix 10 Grey Alder, TX10 (T2 T3 T4 T15)
Birch,White Ash Plantain Seafood Mix Fish, Shrimp, Blue FX2 (F3 F24 F37 F40 F41)
Animal Mix 3 Guinea pig epithelium, EX70 (E6 E82 E84 E87 E88) mussel, Tuna, Salmon
Rabbit epithelium, OCCUPATIONAL MIXES Spice Mix 1 Tarragon, Marjoram, FX70 (F272 F274 F273 F275)
Hamster epithelium, WEED POLLEN MIXES Thyme, Lovage
Rat, Mouse Chemicals 1 Isocyanates (TDI, PAX5 (K75 K76 K77 K79)
Weed & Flower Common ragweed, WX5 (W1 W6 W7 W8 W12) MDI, HDI), Phthalic Spice Mix 2 Caraway, Mace, FX71 (F265 F266 F267 F268)
Bird Mix Budgerigar feathers, EX72 (E78 E201 E196 E213 Mix Mugwort, Ox-eye anhydride Cardamon, Clove
Canary bird feathers, E214) Daisy, Dandelion,
Parakeet feathers, Golden rod Chemicals 2 Ethylene oxide, PAX6 (K78 K79 K80 K85) Spice Mix 3 Basil, Fennel seed, FX72 (F269 F219 F270 F271)
Parrot feathers, Finch Phthalic anhydride, Ginger, Anise
feathers Weed Mix 1 Common ragweed, WX1 (W1 W6 W9 W10 W11) Formaldehyde,
Mugwort, English Chloramin T Staple Food Mix Egg white, Milk, FX5 (F1 F2 F3 F4 F13 F14)
Feather Mix Goose feathers, EX71 (E70 E85 E86 E89) Plantain, Goosefoot Fish, Wheat, Peanut,
Chicken feathers, Lamb’s Quarters, Occupational 4 Wheat & Soy flour, PAX4 (F4 F14 K87 I202) Soybean
Duck feathers, Turkey Saltwort alpha-amylase,
feathers Sitophilus granarius Vegetable Mix Carrot, Potato, FX19 (F31 F35 F214 F244)
Weed Mix 2 Western ragweed, WX2 (W2 W6 W9 W10 W15) Spinach, Cucumber
Mugwort, English
Plantain, Goosefoot Food Mix 7 Tomato, Yeast, Garlic, FX7 (F25 F45 F47 F48 F85)
GRASS POLLEN MIXES
Lamb’s Quarters, Onion, Celery
Grass Mix 1 Cocksfoot, Meadow GX1 (G3 G4 G5 G6 G8) Scale Lenscale Food Mix 20 Wheat, Rye, Barley, FX20 (F4 F5 F6 F9)
Fescue, Perennial Rye
Rice
grass, Timothy grass,
Meadow grass MOULD MIXES Food Mix 26 Egg white, Cow’s milk, FX26 (F1 F2 F13 F89)
Peanut, Mustard
Grass Mix 2 Bermuda grass, GX2 (G2 G5 G6 G8 G10 G17) Mould Mix 1 Penicillium MX1
Perennial Rye grass, chrysogenum, Food Mix 74 Cod, Herring, FX74 (F3 F205 F206 F254)
Timothy grass, Cladosporium Mackerel, Plaice
Meadow grass, herbarum, Aspergillus
Johnson grass, Bahia fumigatus, Alternaria
grass alternata
Grass Mix 4 Sweet Vernal grass, GX4 (G1, G5, G7, G12, G13) Mould Mix 2 Penicillium MX2 (M1 M2 M3 M5 M6 M8)
Perennial Rye grass, chrysogenum,
Common reed, Cladosporium
Cultivated rye, Velvet herbarum, Aspergillus
grass fumigatus,
Candida albicans,
Alternaria alternata,
TREE POLLEN MIXES Setomelanomma
rostrata
Tree Mix 1 Box elder, Birch, Oak, TX1 (T1 T3 T7 T8 T10)
Elm, Walnut Mould Mix 4 A. fumigatus, A. niger, MX4 (M3 M207 M36 M228)
A. terreus, A. flavus
Tree Mix 2 Box elder, Oak, Elm, TX2 (T1 T7 T8 T14 T22)
Cottonwood, Pecan
Hickory
Tree Mix 3 Mountain Juniper, TX3 (T6 T7 T8 T14 T20)
Oak, Elm,
Cottonwood,
Mesquite
Tree Mix 4 Oak, Elm, Sycamore, TX4 (T7 T8 T11 T12 T14)
Willow, Cotttonwood
Tree Mix 5 Grey Alder, Hazel, TX5 (T2 T4 T8 T12 T14)
Elm, Willow,
Cottonwood
12 13Allergen Menu Notes
Allergen Components $40 each
ANIMALS TREES
rCan f1 (recombinant dog) E101 rBet v 1 PR-10, Birch Betula verrucosa T215
rCan f2 (recombinant dog) E102
MOULDS
rFel d1 (recombinant cat) E94
rAlt a 1 (component alternaria) M229
nBos d 6 BSA, Cow Bos spp. E204
rAsp f 3 (recombinant aspergillus) M220
nCan f 3 Dog serum albumin Canis familiaris E221
rAsp f1 (recombinant aspergillus) M218
nFel d 2 Cat serum albumin Felis domesticus E220
rAsp f2 (recombinant aspergillus) M219
FOODS rAsp f4 (recombinant aspergillus) M221
nBos d 4 a-lactalbumin, Milk Bos spp. F76 rAsp f6 (recombinant aspergillus) M222
nBos d 5 b-lactoglobulin, Milk Bos spp. F77
LATEX
nBos d 8 Casein, Milk Bos spp. F78
rHev b 1 Latex Hevea brasiliensis K215
nBos d Lactoferrin, Milk Bos spp. F334
rHev b 3 Latex Hevea brasiliensis K217
nGal d 1 Ovomucoid, Egg Gallus spp. F233
rHev b 5 Latex Hevea brasiliensis K218
nGal d 2 Ovalbumin, Egg Gallus spp. F232
rHev b 6.01 Latex Hevea brasiliensis K219
nGal d 3 Conalbumin, Egg Gallus spp. F323
rHev b 6.02 Latex Hevea brasiliensis K220
rAra h 1 Peanut Arachis hypogaea F422
rHev b 8 Profilin, Latex Hevea brasiliensis K221
rAra h 2 Peanut Arachis hypogaea F423
rHev b 9 Latex Hevea brasiliensis K222
rAra h 3 Peanut Arachis hypogaea F424
OCCUPATIONAL ALLERGENS
rAra h 8 PR-10, Peanut Arachis hypogaea F352
nCar p 1 Papain, Papaya Carica K201
rAra h 9 LTP, Peanut Arachis hypogaea F427
nAsp o 1 a-amylase Aspergillus oryzae K87
rCor a 1 PR-10, Hazel nut Corylus avellana F428
rCor a 8 LTP, Hazel nut Corylus avellana F425 OTHERS (to exclude CCD reactivity)
rGad c 1 Cod Gadus morhua F426 nAna c 2 Bromelin, Pineapple Ananas comosus K202
rPen a 1 Tropomyosin, Shrimp Penaeus aztecus F351 nO214 MUXF3 CCD, Bromelin O214
rPru p 1 PR-10, Peach Prunus persica F419
MISCELLANEOUS
rPru p 3 LTP, Peach Prunus persica F420
Alpha-gal (Gal-alpha-1,3-Gal Thyroglobulin, bovine) U953
rPru p 4 Profilin, Peach Prunus persica F421
rTri a 19 Omega-5 Gliadin, Wheat Triticum spp F416
Note: These allergens are priced as single allergens ($5 ea)
VENOM
rApi m 1 Phospholipase A2, Honey Bee I208
rVes v 1 Phospholipase A1, Common Wasp I211
rVes v 5 Common Wasp I209
rPol d 5 European Paper Wasp I210
14 15Head Office & Central Laboratory Regional Laboratories
103 Victoria Parade Collingwood, Victoria 3066 Ballarat
Switchboard 9287 7700 63 Victoria Street 3350 5331 6429
Bendigo
Facsimile 9419 1486
First Floor, 1 Chum Street 3550 5444 2382
Results 9287 7777
Box Hill
Couriers 9287 7788 Epworth Eastern Medical Centre
Helpdesk 9287 7799 1 Arnold Street 3128 9899 3830
Accounts Department 9287 7888 Frankston
Frankston Private Hospital
www.mps.com.au 24–28 Frankston-Flinders Rd 3199 9783 5582
Heidelberg
Suite 11, 210 Burgundy Street 3084 9459 7404
Mornington
The Bays Hospital, Vale Street 3931 5973 5811
Mulgrave
The Valley Private Hospital
Suite 4, 529 Police Road 3170 9790 1388
Richmond
Epworth Centre
Suite 2.2, 32 Erin Street 3121 9429 2222
Details correct at time of printing – November 2013You can also read
