A new framework for the interpretation of IgE sensitization tests Article Swipe
Graham Roberts
,
Markus Ollert
,
Rob C. Aalberse
,
Moira Austin
,
Adnan Čustović
,
Audrey DunnGalvin
,
Philippe Eigenmann
,
Filippo Fassio
,
Clive Grattan
,
Peter W. Hellings
,
J. Hourihane
,
Edward F. Knol
,
A. Muraro
,
Nikolaos G. Papadopoulos
,
Alexandra F. Santos
,
Sabine Schnadt
,
Kassiani Tzeli
·
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.1111/all.12939
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.1111/all.12939
IgE sensitization tests, such as skin prick testing and serum-specific IgE, have been used to diagnose IgE-mediated clinical allergy for many years. Their prime drawback is that they detect sensitization which is only loosely related to clinical allergy. Many patients therefore require provocation tests to make a definitive diagnosis; these are often expensive and potentially associated with severe reactions. The likelihood of clinical allergy can be semi-quantified from an IgE sensitization test results. This relationship varies though according to the patients' age, ethnicity, nature of the putative allergic reaction and coexisting clinical diseases such as eczema. The likelihood of clinical allergy can be more precisely estimated from an IgE sensitization test result, by taking into account the patient's presenting features (pretest probability). The presence of each of these patient-specific factors may mean that a patient is more or less likely to have clinical allergy with a given test result (post-test probability). We present two approaches to include pretest probabilities in the interpretation of results. These approaches are currently limited by a lack of data to allow us to derive pretest probabilities for diverse setting, regions and allergens. Also, cofactors, such as exercise, may be necessary for exposure to an allergen to result in an allergic reaction in specific IgE-positive patients. The diagnosis of IgE-mediated allergy is now being aided by the introduction of allergen component testing which may identify clinically relevant sensitization. Other approaches are in development with basophil activation testing being closest to clinical application.
Related Topics
Concepts
Sensitization
Immunoglobulin E
Basophil activation
Medicine
Allergy
Immunology
Provocation test
Allergen
Asthma
Basophil
Pathology
Antibody
Alternative medicine
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/all.12939
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/all.12939
- OA Status
- bronze
- Cited By
- 96
- References
- 65
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2401029547
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W2401029547Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1111/all.12939Digital Object Identifier
- Title
-
A new framework for the interpretation of IgE sensitization testsWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2016Year of publication
- Publication date
-
2016-05-25Full publication date if available
- Authors
-
Graham Roberts, Markus Ollert, Rob C. Aalberse, Moira Austin, Adnan Čustović, Audrey DunnGalvin, Philippe Eigenmann, Filippo Fassio, Clive Grattan, Peter W. Hellings, J. Hourihane, Edward F. Knol, A. Muraro, Nikolaos G. Papadopoulos, Alexandra F. Santos, Sabine Schnadt, Kassiani TzeliList of authors in order
- Landing page
-
https://doi.org/10.1111/all.12939Publisher landing page
- PDF URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/all.12939Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
- OA URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/all.12939Direct OA link when available
- Concepts
-
Sensitization, Immunoglobulin E, Basophil activation, Medicine, Allergy, Immunology, Provocation test, Allergen, Asthma, Basophil, Pathology, Antibody, Alternative medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
96Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 8, 2024: 10, 2023: 13, 2022: 8, 2021: 13Per-year citation counts (last 5 years)
- References (count)
-
65Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.allergic | 87, 204 |
| abstract_inverted_index.allergy. | 37 |
| abstract_inverted_index.basophil | 238 |
| abstract_inverted_index.clinical | 17, 36, 62, 91, 99, 142, 244 |
| abstract_inverted_index.diagnose | 15 |
| abstract_inverted_index.diseases | 92 |
| abstract_inverted_index.drawback | 24 |
| abstract_inverted_index.exposure | 196 |
| abstract_inverted_index.features | 119 |
| abstract_inverted_index.identify | 228 |
| abstract_inverted_index.patients | 39 |
| abstract_inverted_index.presence | 123 |
| abstract_inverted_index.putative | 86 |
| abstract_inverted_index.reaction | 88, 205 |
| abstract_inverted_index.relevant | 230 |
| abstract_inverted_index.results. | 72, 163 |
| abstract_inverted_index.setting, | 183 |
| abstract_inverted_index.specific | 207 |
| abstract_inverted_index.according | 77 |
| abstract_inverted_index.component | 224 |
| abstract_inverted_index.currently | 167 |
| abstract_inverted_index.diagnosis | 211 |
| abstract_inverted_index.estimated | 105 |
| abstract_inverted_index.exercise, | 191 |
| abstract_inverted_index.expensive | 52 |
| abstract_inverted_index.necessary | 194 |
| abstract_inverted_index.patient's | 117 |
| abstract_inverted_index.patients' | 80 |
| abstract_inverted_index.patients. | 209 |
| abstract_inverted_index.precisely | 104 |
| abstract_inverted_index.therefore | 40 |
| abstract_inverted_index.(post-test | 149 |
| abstract_inverted_index.activation | 239 |
| abstract_inverted_index.allergens. | 186 |
| abstract_inverted_index.approaches | 154, 165, 233 |
| abstract_inverted_index.associated | 55 |
| abstract_inverted_index.clinically | 229 |
| abstract_inverted_index.coexisting | 90 |
| abstract_inverted_index.cofactors, | 188 |
| abstract_inverted_index.definitive | 47 |
| abstract_inverted_index.diagnosis; | 48 |
| abstract_inverted_index.ethnicity, | 82 |
| abstract_inverted_index.likelihood | 60, 97 |
| abstract_inverted_index.presenting | 118 |
| abstract_inverted_index.reactions. | 58 |
| abstract_inverted_index.development | 236 |
| abstract_inverted_index.potentially | 54 |
| abstract_inverted_index.provocation | 42 |
| abstract_inverted_index.IgE-mediated | 16, 213 |
| abstract_inverted_index.IgE-positive | 208 |
| abstract_inverted_index.application. | 245 |
| abstract_inverted_index.introduction | 221 |
| abstract_inverted_index.relationship | 74 |
| abstract_inverted_index.probabilities | 158, 180 |
| abstract_inverted_index.probability). | 121, 150 |
| abstract_inverted_index.sensitization | 1, 29, 70, 109 |
| abstract_inverted_index.interpretation | 161 |
| abstract_inverted_index.sensitization. | 231 |
| abstract_inverted_index.serum-specific | 9 |
| abstract_inverted_index.semi-quantified | 66 |
| abstract_inverted_index.patient-specific | 128 |
| cited_by_percentile_year.max | 100 |
| cited_by_percentile_year.min | 97 |
| corresponding_author_ids | https://openalex.org/A5065281895 |
| countries_distinct_count | 9 |
| institutions_distinct_count | 17 |
| corresponding_institution_ids | https://openalex.org/I2802965805, https://openalex.org/I4210132793, https://openalex.org/I4210137711, https://openalex.org/I4210166773, https://openalex.org/I43439940 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.5799999833106995 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.9813846 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |