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Allergy, Peanut Test

About peanut allergy test

When you have a peanut allergy, your body reacts negatively to peanuts. It occurs when your body incorrectly identifies peanuts as a harmful substance. A peanut allergy is one of the most common types of food allergies and can result in anaphylaxis. Anaphylaxis is a potentially fatal allergic reaction symptom that causes difficulty breathing t due to the narrowing of the airways.

A peanut allergy test IgE will reveal whether the patient has an allergy to peanuts. The blood IgE antibody production triggered by peanut allergens is measured using this test.

Thus, undergoing a peanut allergy test will confirm a peanut allergy diagnosis and assist in avoiding a bad allergic reaction. 

Symptoms of peanut allergy

Symptoms of peanut allergy usually occur within 2 hours of eating peanuts or peanut-containing foods and may last for several weeks. The symptoms range from mild to severe and commonly include

Difficulty in breathing

Difficulty in breathing

Diarrhea

Diarrhea

Red patches and rashes

Red patches and rashes

Nausea and vomiting

Nausea and vomiting

Swelling in the tongue or lips

Swelling in the tongue or lips

Weak pulse

Weak pulse

Pale or blue skin

Pale or blue skin

Dizziness

Dizziness

Confusion

Confusion

Foods to avoid if you have a peanut allergy

Peanuts or peanut products are commonly found in the following foods

Ground or mixed nuts

Ground or mixed nuts

Cakes and cookies

Cakes and cookies

Ice cream and frozen desserts

Ice cream and frozen desserts

Energy bars

Energy bars

Cereals and granola

Cereals and granola

Grain breads

Grain breads

Salad dressings

Salad dressings

Peanut oil

Peanut oil

Chocolate candies

Chocolate candies

Preparation for the test

No special preparation is required.

How is peanut allergy diagnosed?

Antibody type IgE test:  This allergy blood test measures immunoglobulin E (IgE) antibodies in your blood. Our body produces IgE antibodies in response to a specific food, like peanuts, when we might be allergic to it.

Elimination diet: You will be advised to remove peanuts from your diet for a period of one or two weeks and then add the peanuts back into your diet. If no allergy symptoms are observed during this time and symptoms return when you consume peanuts again, it may indicate a peanut allergy. This method cannot be used safely if you've had a severe reaction to peanuts.

Skin test: Your skin is pricked with a needle, and a small amount of food containing peanuts, like peanut butter, is placed on the skin. If you are allergic to peanuts, you will experience an allergic reaction such as a raised bump on the skin surface where the food was placed.

Food diary: Your doctor may advise you to keep a food diary detailing your eating habits, medical conditions, and prescription drugs. You will keep track of any allergic reactions you experience and this information can assist your doctor in making a precise diagnosis.

 

Interpretation of results

The relative amount of IgE antibody to specific peanut components can help identify the strength and type of allergenic response.

Class        

IgE kU/L

Interpretation

0                

<0.10

Negative

0/1             

0.10-0.34

Borderline/ Equivocal

1                 

0.35-0.69

Equivocal

2       

0.70-3.49

Positive

3                

3.50-17.4

Positive

4                

17.5-49.9

Strongly positive

5                

50.0-99.9

Strongly positive

6                

> or =100

Strongly positive

 

 

Deviation from normal levels indicates the following:

·         The likelihood of developing an allergy is increased by the presence of IgE antibodies in serum (Class 1 or greater).

·         Higher total IgE level is typically a sign that you have one or more allergies, such as peanut allergy.

·         Increased IgE levels are occasionally linked to parasitic infections.

FAQs

How is the sample collected during antibody type IgE testing for peanut allergy?

A blood sample is collected from a vein in your arm using a small needle. Usually, this process does not take more than 5 minutes.

What are the risks associated with an antibody type IgE blood test?

This test involves negligible risk. There might be slight soreness or tenderness around the site where the blood is drawn. Rarely, the site can become infected.

4. What is the turnaround time (TAT) for the antibody type IgE blood test?

Test results of an IgE based blood test are usually available after 6 working days, although it could take longer at times.

When should I go for a peanut allergy test?

It is recommended to take a peanut allergy test when you notice any specific symptoms/ reactions after eating peanuts or peanuts-containing foods.

What happens if the test result is abnormal?

If your test results show that you have a peanut allergy, your doctor or allergist will work with you to develop a plan to avoid foods that are unsafe. The doctor will also write you a prescription for an emergency medicine called epinephrine, which you should always carry with you in case of a serious allergic reaction.

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