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Test Code STING Stinging Insect Allergen Panel

Important Note

See Resources Section for Interpretation Guide

Useful For

Establishing a diagnosis of an allergy to honeybee, paper wasp, yellow jacket, yellow hornet, and white-faced hornet venoms

 

Defining the allergen responsible for eliciting signs and symptoms

 

Identifying allergens:

-Responsible for allergic response or anaphylactic episode

-To confirm sensitization prior to beginning immunotherapy

-To investigate the specificity of allergic reactions to insect venom allergens, drugs, or chemical allergens

 

This test is not useful for patients previously treated with immunotherapy to determine if residual clinical sensitivity exists, or in patients in whom the medical management does not depend upon identification of allergen specificity.

Specimen Requirements

Collection Container/Tube:

Preferred: Serum

Acceptable: Red top

Submission Container/Tube: Plastic vial

Specimen Volume: 2mL preferred, 1.5mL minimum 

Collection Instructions: Centrifuge within 2 hours and aliquot serum into a plastic vial.

Specimen Stability

Specimen Type Temperature Time
Serum Refrigerated (preferred)

7 days

  Frozen  90 days

Avoid multple freeze/thaw cycles.

Panel Components and Reflexes

 

HBEE Honey Bee IgE w/Rflx Whole Allergen Honey Bee, IgE with Reflex to Components
HBEEM1 Phospholipase A2 Honey Bee Component, Phospholipase A2, Api m 1
HBEEM3 Hyaluronidase Api m2 Honey Bee Component, Hyaluronidase, Api m 2
HBEEM4 Acid Phosphatase Honey Bee Component, Acid phosphatase, Api m 3
HBEEM5 Dipeptidyl peptidase Honey Bee Component, Dipeptidyl peptidase, Api m 5
HBEM10 Icarapin Honey Bee Component, Icarapin, Api m 10
     
WFH W.-Faced Hornet, IgE White-Faced Hornet, IgE
     
YJW Com. Wasp, IgE w/Rflx Common Wasp (Yellow Jacket), IgE with Reflex to Components
YJW5 Com. Wasp, Ves v5 Common Wasp Component, Ves v 5
YJW1 Com. Wasp, Ves v1 Common Wasp Component,  Ves v 1
     
PWV Paper Wasp IgE w/Rfx Paper Wasp, IgE with Reflex to Components
PWVD5 Paper Wasp, Pol d5 Paper Wasp Component, Pol d 5
     
YHV Yellow Hornet, IgE Yellow Hornet, IgE
     
TRPTSE TRYPTASE, TOTAL Tryptase, Total

 

 

Reference Values

< 0.10 kUa/l = Negative

Please see Interpretation Guide for additional information.

Method

ImmunoCAP® Fluorescence Enzyme Immunoassay (FEIA)

CPT Code

86003x5

83520

86008x9 (if appropriate)