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IgE allergy diagnostics and other relevant tests in allergy, a World Allergy Organization position paper

Ignacio Javier Ansotegui, Giovanni Melioli, Giorgio Walter Canonica, Luis R. Caraballo, Elisa Villa, Motohiro Ebisawa, Giovanni Passalacqua, Eleonora Savi, Didier Gaston Ebo, René Maximiliano Gómez, Olga Luengo, John Oppenheimer, Erika Jensen‐Jarolim, David A. V. Fischer, Tari Haahtela, Martti Antila, Jean Bousquet, Victória Cardona, Wen Chin Chiang, Pascal M. Demoly, Lawrence M. DuBuske, Marta Ferrer, Roy Gerth van Wijk, Sandra Nora González Díaz, Alexei Gonzalez‐Estrada, Edgardo José Jares, Ayşe Füsun Kalpaklıoğlu, Luciana Kase Tanno, Marek Leszek Kowalski, Dennis K. Ledford

📄 Abstract

tests, and provides an overview of indications, advantages and disadvantages of each in conditions such as respiratory, food, venom, drug, and occupational allergy. Skin prick testing remains the first line approach in most instances; the added value of serum specific IgE to whole allergen extracts or components, as well as the role of basophil activation tests, is evaluated. Unproven, non-validated, diagnostic tests are also discussed. Throughout the review, the reader must bear in mind the relevance of differentiating between sensitization and allergy; the latter entails not only allergic sensitization, but also clinically relevant symptoms triggered by the culprit allergen.

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