Histamine Release (Chronic Urticaria)

Overview

  • EPIC Code:
  • MISC
  • Soft Test Code:
  • MSOT
  • Send Out Test Code:
  • 16838
Alternate Names
  • Anti IgE Receptor Antibody
  • Anti-IgE Receptor
  • Auto Immune Chronic Urticaria Test
  • CU Autoantibody Signature ™
  • CU Index
  • FC Epsilon Receptor Antibody
  • FCER1
  • Functional Anti-FceR
  • Histamine Release
  • IgE Receptor Ab
Clinical Significance

Chronic Urticaria (CU) is a common skin disorder affecting 1 to 6% of the general population. It is characterized by repeated occurrence of short-lived cutaneous wheals accompanied by redness and itching. Autoimmune urticaria is defined by the presence of a functional IgG antibody to high-affinity IgE receptor (Fc epsilon RI alpha) or IgE. These antibodies trigger mast cell and basophil degranulation by the engagement of Fc epsilon receptor. Functional IgG antibody to the receptor has been identified in approximately 30-40% of patients with CU, and anti IgE antibody has been identified in another 5%-10%.


Specimen Collection & Preparation

Patient Preparation

Patients taking calcineurin inhibitors should stop their medication for 72 hours prior to draw.  Patients taking prednisone should be off their medication for 2 weeks prior to draw.


Specimen Requirements:

-OR-

1.0 mL Serum from a Red Top Tube in a Plastic Vial
Minimum Volume:
1.0 mL Serum
Rejection Criteria:

Serum Separator Tube (SST)

Gross hemolysis

Gross lipemia

Icteric specimen

Specimen other than serum


Transport and Storage:
  • Ambient: 7 Days
  • Refrigerated: 7 Days
  • Frozen (-20 C or colder): 30 Days

Clinical Interpretation

Reference Range:

<16%


Methodology:
  • Cell Culture (CC)
  • Immunoassay (IA)

Clinical Significance

Chronic Urticaria (CU) is a common skin disorder affecting 1 to 6% of the general population. It is characterized by repeated occurrence of short-lived cutaneous wheals accompanied by redness and itching. Autoimmune urticaria is defined by the presence of a functional IgG antibody to high-affinity IgE receptor (Fc epsilon RI alpha) or IgE. These antibodies trigger mast cell and basophil degranulation by the engagement of Fc epsilon receptor. Functional IgG antibody to the receptor has been identified in approximately 30-40% of patients with CU, and anti IgE antibody has been identified in another 5%-10%.


Production Schedule

Sites Performed
  • Quest - Chantilly to San Juan Capistrano
Days Performed
Monday
Tuesday
Thursday
Departments
  • Sendouts - Miscellaneous
Turn Around Time

3 days


Coding & Compliance

CDM

00913333


CPT Coding

86343