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How do you approach aeroallergen testing in preparation for SCIT to treat allergic rhinitis in a patient with CSU on antihistamines?

Do you rely solely on serum IgE testing to build vials or attempt to taper and skin test?
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How do you approach aeroallergen testing in preparation for SCIT to treat allergic rhinitis in a patient with CSU on antihistamines?

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Allergy & Immunology · Case Western Reserve University School of Medicine
Answered on

In such a case, I would rely solely on IgE testing. However, you need to consider the concept of IgE density by comparing the allergen-specific IgE level with the total IgE level. This relationship may help differentiate more substantial sensitization from mild-to-moderate sensitization. When allerg...

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