Specific IgE Ab. request form

نوشته شده توسط مدیر سایت on . Posted in دانستنیهای تخصصی آزمایشگاه

                Request form for Specific IgE antibodies against Specific Allergens

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

                   Brief History:


                  Total IgE

Panel 1                       Panel 2               Panel 3                  Panel 4

Inhalation Allergens

Food Allergens

Pollen-associated Food Allergens

Inhalation & Food Allergens

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

                                                       

 Dr.........................