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Histamine Release (Chronic Urticaria)

Test Summary

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%.

Aliases

  • N/A

Specimen Collection

Special Instructions

N/A

Preferred Specimen

1.5 mL serum collected in a red-top tube (no gel)

Minimum Volume

1 mL

Instructions

N/A

Patient Preparation

Patients taking calcineurin inhibitors should stop their medication for 72 hours prior to draw

Storage

Plastic screw-cap vial

Transport Temperature

Room temperature

Specimen Stability

  • Room temperature7 days
  • Refrigerated: 7 days
  • Frozen: 30 days

Limitations

N/A

Other Acceptable Specimens

N/A

Unacceptable Specimens

Gross hemolysis • Grossly lipemic • Icteric • Specimen other than serum • Serum separator tube (SST)

Order Code

HISTAM

EPIC (Premier) Code

LAB6041

Includes

N/A

CPT Code

  • 86343

Billing Code

  • 670045

CPT Statement

Methodology

Cell Culture (CC) • Immunoassay (IA)

FDA Status

This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Physician Attestation of Informed Consent

N/A

Testing Laboratory

Quest Diagnostics Nichols Institute
33608 Ortega Highway
San Juan Capistrano CA, 92675

Department

Reference Testing

Reference Range

<16 %

Setup Schedule / Expected Turnaround Time

Tuesday, Thursday morning; Report available: 3 days

Specimen Collection

Special Instructions

N/A

Preferred Specimen

1.5 mL serum collected in a red-top tube (no gel)

Minimum Volume

1 mL

Instructions

N/A

Patient Preparation

Patients taking calcineurin inhibitors should stop their medication for 72 hours prior to draw

Storage

Plastic screw-cap vial

Transport Temperature

Room temperature

Specimen Stability

  • Room temperature7 days
  • Refrigerated: 7 days
  • Frozen: 30 days

Limitations

N/A

Other Acceptable Specimens

N/A

Unacceptable Specimens

Gross hemolysis • Grossly lipemic • Icteric • Specimen other than serum • Serum separator tube (SST)

Billing

CPT Code

  • 86343

Billing Code

  • 670045

CPT Statement

Result Information

Methodology

Cell Culture (CC) • Immunoassay (IA)

Testing Laboratory

N/A

Reference Range

<16 %

Setup Schedule / Expected Turnaround Time

Tuesday, Thursday morning; Report available: 3 days