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Test Code LAB3423 IgE Peanut, Component Allergen Panel if Positive

Test Name Alias

allergen | ImmunoCAP|RAST| Allergy | Allergen panel | Allergen Profile | Component Allergen | 7005

Clinical Information

IgE antibodies to Ara h 1, Ara h 2, Ara h 3 and Ara h 6 components are associated with higher risk of anaphylactic and other systemic reactions to peanut exposure. Antibodies to Ara h 2 are nearly always associated with clinical peanut allergy. Patients with IgE antibodies to any of these components need to strictly avoid all exposure to peanut products.

Antibodies to Ara h 9 component are associated with variable risk of anaphylactic and other systemic reactions to peanut exposure. These antibodies may be cross reactive to peach and other fruits with pits. Patients with IgE antibodies to Ara h 9 (with or without antibodies to Ara h 8) but no antibodies to Ara h 1, Ara h 2, Ara h 3, or Ara h 6 may or may not need to avoid peanut exposure, depending on clinical history of symptoms.

Antibodies to Ara h 8 component are associated with lower risk of systemic reactions. These antibodies may be cross reactive with birch and other pollens. Oral food challenge may be indicated for patients with IgE antibodies to Ara h 8 only. If oral food challenge is negative, avoidance of peanut consumption or exposure may not be necessary.

Collection Instructions

Specimen Collection: Blood

Container(s): Gold Top (Serum Separator-SST Gel)

Preferred Volume to Collect: Full tube (5 mL)

Minimum Volume to Collect: 2.0 mL

Neonate Volume to Collect: 2.0 mL

Capillary collect ok? Yes

Microtainer acceptable: Yes

Collection Instructions:

  • Gently invert gold tube(s) 8 – 10 times to mix clot activator with blood.
  • Specimen should be processed within 2 hours – See Processing Instructions.
  • 1 full tube per 15 – 20 allergens.

Processing Instructions (Laboratory, Outpatient or Off-site collection)

Processed Specimen: Serum

Centrifuge/Spin: Yes

Aliquot: No

Processing Instructions: Allow blood to clot for 30 minutes in a vertical position and centrifuge within 2 hours.

Transport Temperature: Refrigerate

Rejection Criteria

  • Quantity not sufficient (QNS)
  • Specimen not centrifuged within 2 hours

Specimen Stability

Ambient: 12 hours
Refrigerate: 7 days
Frozen: aliquot serum for longer storage
Laboratory Retention: 30 days

Reflex Information

If Peanut IgE IgE is greater than or equal to 0.10 kU/L, then Peanut Component IgE Panel (Peanut Ara h 1 IgE, Peanut Ara h 2 IgE, Peanut Ara h 3 IgE, Peanut Ara h 6 IgE, Peanut Ara h 8 IgE, Peanut Ara h 9 IgE) will be ordered.

Test Frequency

Available Monday through Friday, usual TAT 1-3 days.

Reference Range

<0.10 kU/L

Performing Department


Performing Department Laboratory Location

Spectrum Health Regional Laboratory, Grand Rapids, MI


ImmunoCAP® System Fluorescence Enzyme Immunoassay (FEIA)




This test may reflex to another test and may drop additional charges.

86008 x6

CDM Code


Epic Test ID


Interface Order Alias


Interface Information

Not available

Mayo Access Code


Additional Information

Lab Staff:
For 1 allergen: 0.3mL serum
For more than 1 allergen: (0.05 mL x number of allergens) + 0.25mL dead space
1 tube per panel

Reviewed Date