The Choosing Wisely campaign and others advocate against indiscriminate IgE testing in evaluating allergy
10.3949/ccjm.83a.14125
CHERYL K. LAU, PhD
Calgary Laboratory Services, Calgary, Alberta, Canada
CHRISTOPHER NAUGLER, MD, CCFP, FCFP, FRCPC*Calgary Laboratory Services, Calgary, Alberta, Canada; Division Head, General Pathology, Department of Pathology and Laboratory Medicine, Department of Family Medicine, Associate Professor, University of Calgary, Alberta, Canada
A 25-YEAR-OLD MAN is evaluated for angioedema (swelling of lips and tongue) after eating paella at a Spanish restaurant. He has no history of allergies, but he says he had never eaten such a large variety of seafood before, especially shellfish.
He suspects that he is allergic to shellfish and asks the attending physician to order blood tests for seafood allergies, as he heard from a friend that blood tests are superior to other types of tests for allergy. The physician requests a serum immunoglobulin E (IgE) food panel test for this patient...
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