APPENDIX Allergy (ImmunoCap ) Testing Allergen IgE Antibodies
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1 Acacia/Huisache T , Acarus Siro D , Acremonium Cephalosporium M , Alfalfa RW , Allergen National Food Profile NFP Allergy Panel Animal RAP3 Allergen Profile with IgE, Rsp Area I (CT, APR1 MA, ME, NH, NJ, NY, PA, RI, VT) Allergen Profile w/ige, Rsp Area 2 (DC, DE, APR2 MD, MC, VA) Allergen Profile with IgE, Rsp Area 3 (GA, APR3 North FL, SC) Allergen Profile with IgE, Rsp Area 5 (IN, APR5 KY, OH, TN, WV) Allergen Profile w/ige, Rsp Area 6 (AL, AR, APR6 LA, MS) Allergen Profile w/ige, Rsp Area 8 (IA, IL, APR8 MO) Allergen Profile with IGE, Rsp-Area 11 APR11 AZ,CO,ID,MT,NM,UT,WY Allergen Profile w/ige, Rsp Area 15 (South APR15 ID, NV) Allergen Profile w/ige, Rsp Area 16 (WA, APR16 OR) Allergen Profile w/ige, Rsp Area 17 (nw CA, APR17 wst OR, wst WA) Almond F , Alpha-Lactalbumin F , Alternaria Alternata (Tenuis) M , American Beech Tree T , Anchovy F313Q Annatto Seed ANNSE , Apple F , Apricot F , Artichoke ARTIE , Ascaris P1EQ , Asparagus F261E , Aspergillus Fumigatus M , Aspergillus Niger M , Aureobasidium Pullulans M , Australian Pine T , Avocado F , Bahia Grass G ,
2 Baker s/brewer s Yeast F , Bald Cypress RT , Banana F , Barley F , Basil F269E , Bass Black BABLE Not available Bay Leaf F278E , Bean, Black BEBLE , Bean, Green RF , Bean, Pinto BEAPE , Bean, Red Kidney RF , Bee Venom Panel RAP12 Not available Beef F , Beetroot RF , Bermuda Grass G , Beta-Lactalbumin F , Black Ant BLANT , Black Bass BABLE Not available Black Pepper F , Blackberry RF , Blueberry RF , Botrytis Cinerea M , Brazil Nut F , Broccoli F , Brome Grass G , Buckwheat F , Budgerigar Droppings (see Parrot/Parakeet) Budgerigar Feathers E , Bumble Bee Venom RI205 Cabbage F , Canary Feathers E , Candida Albicans M , Cardamon F267E , Carmine Dye/Red Dye CARDY , Carob F296E , Carrot F , Casein F , Cashew F , Cat Dander (Epithelium) RAE , Catfish (Siluformes sp) RF , Cat Hair CAHEE Not available Cauliflower RF , Cedar T ,
3 Cedar Elm RT45 Celery F , Chaetomiom Globosum RM208 Cheddar Cheese F , Cheese, American CHAME , Cheese, Bleu CHBLU Cheese, Cottage CHCOE , Cherry F , Chestnut Tree RT206 Chick Pea F , Chicken F Chicken Feathers E , Childhood Allergy Panel CAP Childhood Allergy Panel No IgE CAPF Chili Pepper RF , Chocolate F , Chymopapain (Disease) RC , Cinnamon RF , Cladosporium Herbarum M , Clam F , Clove F268E , Cocklebur W , Cockroach, American RI , Cockroach-German I , Cocksfoot (Orchard Grass) G , Cocksfoot-See Orchard Grass Coconut F , Codfish F , Coffee RF , Common Pigweed W , Common Ragweed, Short W , Common Reed G , Common Silver Birch Tree RAT , Coriander/Cilantro RF , Corn F , Corn Pollen G , Cottonseed K , Cottonwood Tree T , Cow Dander E , Cow s Milk F , Crab F , Cranberry F341E , Crayfish RF ,
4 Cucumber F , Cultivated Oat Pollen G , Cultivated Rye G , Cultivated Wheat G , Curry F281E , Curvularia Lunata M , Curvularia Specifera CURVE , Dandelion W , Deer Epithelium E216E , Dermat Farin (Mites) D , Dermat Pteron (Mites) D , Dill F277E , Dog Dander E , Duck Feather E , Dust Panel RAP4 Egg White F , Egg Yolk F , Eggplant F262E , Elder Tree RT , Elm Tree, American T , English Plantain, Ribwort W , Epicocc Pupurascen M14 Not available Ethylene Oxide K , Eucalyptus Tree, Gum Tree T , Euroglyphus Maynei D , European Hornet I , False Ragweed W , Finch Feathers E214E , Fire Ant I , Firebush, Kochia W , Flounder RF , Formaldehyde K , Fusarium proliferatum M9 Not available Galactose-alpha-1,3-galactose GLAGE Not available Garlic F , Gelatin Bovine GELBE , Gerbil E209E , Giant Ragweed W , Ginger RF , Gluten F , Goat Epithelium E , Goat Milk F300E , Goldenrod W ,
5 Goose Feathers E , Goosefoot, Lamb s Quarters W , Grape F , Grapefruit F , Grass Panel RAP5 Green Bean RF , Green Pea F , Grey Alder Tree T , Grouper GROPE Guar Bean Gum F246E , Guinea Pig Epithelium E , Gum Arabic RF , Hackberry (Celtis occidentalis) RT , Haddock HADDK , Hake (Whiting) RF , Halibut RF , Hamster Epithelium E , Hazel Tree RAT , Hazelnut F , Helminthosporium sativum/drechslera HESAE , Herring F , Hickory, Shagbark HICSE , House Fly I204E Honey RF , Honeybee I , Hops RF , Hormodendrum See Cladosporium Herbarum , Horse Dander E , Horsefly I204E , Horse Serum Protein E205E , House Dust (Greer) H , House Dust (H-S) H , Insect Panel RAP9 Insulin, Bovine C71EQ , Insulin, Human C73EQ , Insulin, Porcine C70EQ , Isocyanate HDI K , Isocyanate MDI K , Isocyanate TDI K , Isphagula (Psyllium) K72EQ Italian Cypress T , Johnson Grass G , Kentucky Blue Grass-see Meadow Grass
6 Kiwi F , Latex K82 Lemon F , Lentil F , Lepidoglyphus Destructor D , Lettuce F , Lima Bean BEALE , Lime RF , Linseed/Flaxseed RF , Lobster F , Macadamia Nut RF , Mace RF , Mackerel RF , Mahi Mahi MAHIE Not available Malt F , Mandarin (Tangarine/Clementine) RF , Mango F , Maple (Box Elder) T1 Not available Maple Leaf Sycamore Tree, London plane T , Maple Red RDMAE , Maple Sugar Tree (Ace sacchurum) MAPSE , Marguerite, Ox-Eye Daisy W , Marjoram F274E , May Fly MAFLY Meadow Fescue G , Meadow Foxtail G , Meadow Grass, Kentucky Blue G , Melaleuca Tree, Cajeput Tree T , Melon F87 Not available Mesquite Tree T , Millet, Common F , Mint F332E , Mold Panel RAP6 Mold Cheese F , Molds Mix MX2 Not available Mosquito I , Mountain Juniper T , Mountain West Panel MTWST Mouse Epithelium E , Mouse E88EQ Not available Mouse Serum Proteins E , Mouse Urine Protein E , Mucor Racemosus M ,
7 Mugwort (Sagebrush) W , Mulberry T70 Not available Mushroom RF , Mussel F , Mustard F , Mutton F , Nettle W , Nigrospora sphaerica NIGSE , Nutmeg RF , Nut Panel RAP22 Oak Tree T7 Not available Oat F , Ocean Perch PEROE Not available Ohio Respiratory Screen ORAP Okra (abelmoschus esculentus) IgE OKRA , Olive Tree T , Olive, Black RF , Onion F , Orange F , Oregano F , Ovalbumin F , Ovomucoid F , Oyster F , Paecilomyces variotii PAVAE Papaya RF , Paper Wasp I , Parietaria Judaica W , Parietaria Officinalis W , Parrot/Parakeet E77EQ , Parsley F , Pea (Green) F , Peach F , Peanut F , Peanut Component Panel PNTP Pear F , Pecan F , Pecan Tree, Hickory Tree T , Pediatric Food Panel RAP10 Penicillium Chrysogenum M , Penicillium Frequentans M209E , Penicilloyl G RAC , Penicilloyl V RAC , Pepper, Cayenne PEPCE ,
8 Pepper, Green RF , Pepper, Sweet F , Perch Ocean PEROE Not available Phoma Betae M , Pig Epithelium E , Pigweed (Careless Weed) W14 Pine RT , Pine Nut RF , Pineapple F , Pistachio F , Pityrosporum Orbiculare M70EQ , Plum F , Pollock White POLWE , Poppy Seed RF , Pork F , Potato F , Potato Sweet F , Privet T , Pullaria Pullulans/Aureobasidium M , Pumpkin F , Queen Palm T , Quinoa F347Q Rabbit Epithelium E , Ragweed, Common, Short W , Rapeseed RF , Raspberry RF , Rat Epithelium E , Rat Serum Proteins E , Rat Urine Protein E , Red Snapper RSNAE , Red Top, Bentgrass G , Respiratory Allergy Profile Region VII: MI, MWMPA MN, WE (Panel A) (must order both A & B) Respiratory Allergy Profile Region VII: MI, MWMPB MN, WI (Panel B) (must order both A & B) Rhizopus Nigricans M , Rhodotorula RHODE , Rice F , Rough Marshelder W , Rye F , Rye grass G , Saffron RF , Sage RF ,
9 Sagebrush-See Mugwort and Wormwood Salmon F , Salt Grass RG , Saltwort, Russian Thistle W , Sardine F , Scale, Lenscale W , Scallop F , Seafood Panel RAP11 Seminal Fluid O , Sesame Seed F , Setomelanomma rostrata M , Shagbark Hickory HICSE , Sheep Epithelium E , Sheep Sorrel W , Shellfish Panel SHELF Shrimp F , Smut Corn (Ustilago maydis) SMCOE Snail RF , Sole IgE F337E , Soybean F , Spinach F , Spiny Lobster RF , Spondylocladium SPOND Squash, Summer SUSQE , Squid, Pacific F , Stachybtrys chararmum/atra STACH , Stemphylium herbarum M10 Storage Mite (Gly. Domesticus) D , Strawberry F , Sugar Beet SBIQ Sugar Cane (Saccharum officinarum) SUGCE , Sulfamethoxazole SULMZ , Sunflower Pip K , Sweet Chestnut F , Sweet Gum RT , Sweet Vernal Grass G , Swordfish F312E , Tapioca TAPIE , Tarragon RF , Tea RF , Tetanus Toxiod C208E Thyme IgE F273E , Tilapia R ,
10 Timothy Grass G , Tobacco Leaf RO , Tomato F , Tragacanth IgE F298E Tree Panel RAP7 Tree Pollen Mix TX2 Trichoderma Viride M , Trichophyton Rubrum M , Trimellitic Acid Anhydride K , Trout F , Tuna F , Turkey Meat F , Turmeric TURME Tyrophagus Putreus D , Universal Screen Panel RAP1 Vanilla IgE RF , Velvet Grass G , Venison IgE VENIS , Virginia Live Oak RT , Wall Pellitory (Patietaria Officinalis IgE) W , Walnut F , Walnut Tree T10 Wasp (See Paper Wasp) Watermelon RF , Weed Panel RAP13 Weed Pollen Mix WX1 Western Ragweed W , Wheat F , Whey F236 White Ash Tree T15 White Bean F , White Fish WFISE , White Hickory WHIC , White Oak Tree T , White Pine T16 White Poplar WPOPL , White-Faced Hornet I , Willow Black (Salix nigra) WILBE , Willow Tree T , Wormwood (Sagebrush) W , Xanthan Gum GUXAE Yellow Hornet I , Yellow Jacket I ,
11 Zucchini Squash ZUCSE Not available
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ALLERGEN TEST REQUEST FORM Department of Laboratories St. Louis, Missouri 63110
Date} NAME ADDRESS ACCOUNT INFORMATION PHONE ORDERING PHYSICIAN BILL TO: 9 ACCOUNT 9 PATIENT/INSURANCE 9 ALTERNATE SEND ADDITIONAL COPY OF REPORT TO: CLIENT NUMBER/PHYSICIAN NAME PHONE/FAX NUM. PHYSICIAN
APPENDIX Allergy (ImmunoCap ) Testing Allergen IgE Antibodies
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