Allergic Bronchopulmonary Aspergillosis (ABPA) Panel

Label Mnemonic:	ABPA
Epic code:	LAB8750
Downtime form:	Doctor/Provider Orders - Pathology Core and Specialty Care Nursery

Commercial Mailout Laboratory
6240-8 RCP
356-8593

Specimen(s):

Serum
Separate serum from cells within 2 hours of collection.

Collection Medium:

Red top tube 5 mL (Clot Activator)

Minimum:

Preferred Minimum: 2.3 mL serum
Absolute Minimum: 0.5 mL serum

Rejection Criteria:

Plasma. Hemolyzed, icteric or lipemic specimens.

Turn Around Time:

3-7 days upon receipt at reference laboratory

Reference Range:

Immunoglobulin E (Effective 11-17-14) 
Age                     Ref. Interval
0-5 months              13 kU/L or less
6-12 months             34 kU/L or less
1-2 years               97 kU/L or less
3 years                199 kU/L or less
4-6 years              307 kU/L or less
7-8 years              403 kU/L or less
9-12 years             696 kU/L or less
13-15 years            629 kU/L or less
16-17 years            537 kU/L or less
18 years and older     214 kU/L or less

A. fumigatus #1 Ab, Precipitin - None detected

A. fumigatus #6 Ab, Precipitin - None detected

Allergen, Fungi and Molds, Aspergillus fumigatus (Effective 2/18/14)

Reporting Range         Probability of IgE Mediated          Class 
(reported in kU/L)      Clinical Reaction                   Scoring
Less than 0.10          No significant level detected          0
0.10-0.34               Clinical relevance undetermined       0/1
0.35-0.70               Low                                    1
0.71-3.50               Moderate                               2
3.51-17.50              High                                   3
17.51-50.00             Very high                              4
50.01-100.00            Very high                              5
Greater than 100.00     Very high                              6

Interpretive Data:

Refer to report.

Comments:

Multiple specimen tubes and multiple patient encounters should be avoided.

Methodology:

Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay/Qualitative Immunodiffusion

CPT Code:

Immunoglobulin E - 82785
Allergen, A. fumigatus IgE - 86003
A. fumigatus Precipitins 1 & 6 - 86606 x2