Allergy is a person’s extreme body reaction to any allergenic substance. Allergies may be hereditary. An allergic reaction typically triggers symptoms in the nose, lungs, throat, sinuses, ears, stomach, or skin. For some people, allergies can also trigger asthma symptoms.
Allergy symptoms vary from person to person. Symptoms may include itching, nasal congestion, frequent sneezing, chronic cough, shortness of breath or wheezing, rash or swelling on the body. The most dangerous reaction is the reaction we call ‘anaphylaxis’.
Anaphylaxis is a severe allergic reaction that may occur after contact with various poisons, food substances, medications, insect bites, exercise, radiocontrast substances, or in situations of unknown cause. After the development of anaphylaxis, people may experience narrowing of the respiratory tract, swelling of the tongue, wheezing, shortness of breath, low pulse and shock. Since anaphylactic shocks are sudden situations in certain or uncertain environments that the person is faced with, they require treatments aimed at resuscitating them without time for testing. Toxins found in all geographies can be different and have thousands of types. That’s why there are no such wide-platform test panels for anaphylaxis.
In the diagnosis of allergy, skin test (Prick test) and blood test are used. In the skin test, the most common allergens are used, the person’s skin reaction is measured, and in the blood test, the blood level of the IgE antibody, which the body creates to fight allergic reactions, is determined. If there are allergic symptoms to a certain substance or substances, the IgE level specific to those substances is measured.
Food and Inhalant Allergen Panels
If there is no allergen identified by the person, as a start, physicians can apply the ‘Specific Ige Inhalant panel’ for allergens that can be encountered through inhalation and the ‘Specific Ige (fx5) Food Panel’ tests, which include foods that can cause high allergic reactions, as frequently seen panels.
Specific Ige Inhalant
tx2 – Tree pollen
t3 – Betula berrucosa
gx4 – Meadow pollens
wx1 – Weed pollens
hx2 – House dust
d1 – Dermatophagoides pteronyssinus
d2 – Dermatophagoides farinae
mx1 – Fungus, yeast and mold
ex1 – Animal epithelia
Specific Ige (fx5) Food
f1 – Egg white
f2 – Milk
f3 – Pisces
f4 – Wheat
f13 – Peanuts
f14 – Soy
Specific IgE tests
Specific Ige tests are diverse and can be diversified according to the patient’s clinical condition and complaints. In our institution, specific Ige tests are available alone or in our 102-parameter panel that includes respiratory and food allergens.
RESPIRATORY – FOOD ALLERGY TEST (TOTAL 102 PARAMETERS)
MIXED RESPIRATORY ALLERGY PANEL (64)
1-SpIgE gx1 Herbs (Early Bloomers)
g3 Finger Grass
g4 Autumn Crocus
g5 Wild Weed
g6 Meadow Grass
g8 Forest Cluster
2-SpIgE gx2 Herb Mixture
g2 Great Couch Grass
g5 Wild Weed
g6 Meadow Grass
g8 Forest Cluster
g10 Millet
3-SpIgE tx4 Tree Mix
t7 Oak
t8 Elm
t11 Çınar
t12 Willow tree
t14 Poplar
4-SpIgE tx7 Tree Mixture
t9 Olive Tree
t12 Willow Tree
t16 Pine Tree
t18 Eucalyptus
t19 Acacia
t21 Melaluka Tree
5-SpIgE wx1 Weed/Flower Mixture 1
w1 Ragweed
w6 Wormwood
w9 Plantain
w10 Goose Foot Herb
w11 Milk Thistle
6-SpIgE wx7 Weed/Wild Flower Mixture
w7 Meadow Daisy
w8 Liontooth (Dandelion)
w9 Narrow Leaf Plantain
w10 Goose Foot Herb
w12 Goldenrod
7-SpIgE hx2 House DustMix
h1 House Dust – Greer
d1 Dermatophagoidespteronyssinus
d2 Dermatophagoidesfarinae
i6 Cockroach, German
8-SpIgE ex71 Feather Mix 1
e70 Goose down
e85 Chicken feather
e86 Duck feather
e89 Turkey feather
9-SpIgE ex72 Cage Bird Mixture
e78 Budgie feather
e201 Canary feather
e213 Parrot feather
10-SpIgE ex1 Animal Epithelium Mix 1
e1 Cat Epithelium and Dandruff
e3 Horse Bran
e4 Beef Bran
e5 Dog Dandruff
11-SpIgE mx2 Mold Fungus Mix 2 (MoldMix 2)
m1 Penicilliumnotatum
m2 Cladosporium herbarum
m3 Aspergillusfumigatus
m5 Candida albicans
m6 Alternariaalternata (A. tenius)
12- g12 Rye
13- t3 Birch
14- t1 Maple
15- t10 Walnut tree
16- t2 Red tree
17- t4 Hazelnut tree
18- w20 Nettle
19- d71 Lepidoglyphus deswtructor
20- d72 Tyrophogus putrescentiae
21- d73 Glycyphagus domesticus
22- k82 Latex
23- w11 Milk thistle
POISONS (2)
1-SpIgE i1 Honeybee Venom (HoneyBeeVenom)
2-SpIgE i3 Wasp Venom (CommonWasp/YellowJacketVenom)
MIXED FOOD ALLERGY PANEL (36)
1-SpIgE fx5 Pediatric Food Mix (PediatricFoodMix)
f1 Egg white
f2 Cow’s milk
f3 Cod
f4 Wheat flour
f13 Peanuts
f14 Soybeans
2-SpIgE fx2 Seafood Mixture
f3 Cod
f24 Shrimp
f37 Black shell mussel
f40 tuna
f41 Salmon
3-SpIgE fx10 Meat Mixture
f26 Pork
f27 Beef
f88 Mutton
f83 Chicken meat
4-SpIgE fx15 Fruit Mix 1
f33 Orange
f49 Apple
f92 Banana
f95 Peach
5-SpIgE fx11 Vegetable Mix 1
f12 Peas
f15 Dried beans
f31 Carrot
f35 Potato
6-SpIgE fx1 Peanut Varieties (Nuts)
f13 Peanut
f17 Hazelnut
f18 Brazil nut
f20 Almond
f36 coconut
7-SpIgE fx3 Cereal/Flour
f4 Wheat flour
f7 Oat flour
f8 Corn flour
f10 Ground sesame
f11 Buckwheat flour
8-f93 Cocoa
9-f79 Gluten (Gliadinω,γ)
11- f9 Brass
Food Intolerance Test
Another problem that is not an allergy but causes similar symptoms is food intolerance. Food intolerance is a health problem that occurs as a result of consuming certain foods. In this case, the body cannot digest some foods, which can cause various symptoms. While a protein in any food could previously be broken down during digestion due to various metabolic changes, infections and environmental reasons during life, due to a permanent or temporary defect in the relevant enzyme, the body now perceives the protein in that food as ‘foreign’ and forms a complex in unknown parts of the body. is accumulation. The accumulated substance is not IgE, which is studied in the allergy test, but IgG antibodies (the body’s response antibody to bacterial and viral infection). Depending on the location, this accumulation affects the metabolism of that area and causes some vague symptoms. The clinic cannot diagnose this and the patient feels helpless.
Symptoms of food intolerance can be listed as stomach problems, pain, tightness and burning sensation, nausea, vomiting, diarrhea, gas tightness, cramps, bloating, headache, anger and irritability, weakness, insomnia and fatigue.
Food intolerance can be diagnosed with a food intolerance test. In the food intolerance test, a food sensitivity test is performed and the diet is adjusted according to the results of this test.
Food intolerance tests containing 108 and 216 parameters are performed in our institution.
| 108 PARAMETER FOOD INTOLERANCE PANEL | |||
| test strip 1 | test strip 2 | ||
| 1 | barley flour | 55 | Cherry |
| 2 | Gluten | 56 | Grapes, (white/blue) |
| 3 | Oat flour | 57 | Kiwi |
| 4 | Rye flour | 58 | Lemon |
| 5 | red wheat | 59 | nectarine |
| 6 | Spelled Wheat | 60 | Orange |
| 7 | buckwheat | 61 | Pineapple |
| 8 | flaxseed | 62 | Strawberry |
| 9 | Sweetcorn | 63 | Watermelon |
| 10 | Millet | 64 | Pear |
| 11 | Rice | 65 | Plum |
| 12 | Beef | 66 | Grapefruit |
| 13 | Chicken | 67 | Peach |
| 14 | Lamb meat | 68 | Date |
| 15 | Pork, cooked | 69 | Basil |
| 16 | Turkey | 70 | Black pepper (black/white) |
| 17 | Cow milk | 71 | Cinnamon |
| 18 | Egg yolk (chicken) | 72 | Garlic |
| 19 | Egg white (chicken) | 73 | mustard seed |
| 20 | Goat cheese | 74 | Nutmeg |
| 21 | Goat milk | 75 | Oregano |
| 22 | sheep milk | 76 | Parsley |
| 23 | sheep cheese | 77 | Mint, English |
| 24 | Yogurt | 78 | poppy seed |
| 25 | Aubergine | 79 | Rosemary |
| 26 | Beet | 80 | Mountain Thyme |
| 27 | Green pepper | 81 | Vanilla |
| 28 | Broccoli | 82 | Almond |
| 29 | Carrot | 83 | cashew nuts |
| 30 | Celery | 84 | cocoa bean |
| 31 | Hot Red pepper, chili | 85 | Hazelnut |
| 32 | Cucumber | 86 | Peanut |
| 33 | horseradish | 87 | pistachios |
| 34 | Leek | 88 | Sesame |
| 35 | Olive | 89 | Sunflower seeds |
| 36 | Onion | 90 | Walnut |
| 37 | Potatoes | 91 | coconut |
| 38 | Red cabbage | 92 | Mushroom mix 1* |
| 39 | Tomatoes | 93 | mushroom mix 2* |
| 40 | Turnip | 94 | Crayfish |
| 41 | Courgette | 95 | Salmon |
| 42 | Artichoke | 96 | Tuna |
| 43 | Asparagus | 97 | Mussel |
| 44 | Spinach | 98 | Prawn |
| 45 | Green beans | 99 | Anchovy |
| 46 | Pea | 100 | swordfish |
| 47 | Soybean | 101 | Trout |
| 48 | Lentil | 102 | flounder |
| 49 | white beans | 103 | codfish |
| 50 | lettuce | 104 | Brewer’s yeast |
| 51 | lamb’s lettuce | 105 | Sourdough |
| 52 | Apple | 106 | Honey |
| 53 | Apricot | 107 | Coffee |
| 54 | Banana | 108 | Black tea |
| TEST NAME | TEST NAME | ||
| 1 | barley flour | 109 | Cherry |
| 2 | Gluten | 110 | Grapes, (white/blue) |
| 3 | Oat flour | 111 | Kiwi |
| 4 | Rye flour | 112 | Lemon |
| 5 | red wheat | 113 | nectarine |
| 6 | Spelled Wheat | 114 | Orange |
| 7 | buckwheat | 115 | Pineapple |
| 8 | flaxseed | 116 | Strawberry |
| 9 | Sweetcorn | 117 | Watermelon |
| 10 | Millet | 118 | Pear |
| 11 | Rice | 119 | Plum |
| 12 | Beef | 120 | Grapefruit |
| 13 | Chicken | 121 | Peach |
| 14 | Lamb meat | 122 | Date |
| 15 | Pork, cooked | 123 | Basil |
| 16 | Turkey | 124 | Black pepper (black/white) |
| 17 | Cow milk | 125 | Cinnamon |
| 18 | Egg yolk (chicken) | 126 | Garlic |
| 19 | Egg white (chicken) | 127 | mustard seed |
| 20 | Goat cheese | 128 | Nutmeg |
| 21 | Goat milk | 129 | Oregano |
| 22 | sheep milk | 130 | Parsley |
| 23 | sheep cheese | 131 | Mint, English |
| 24 | Yogurt | 132 | poppy seed |
| 25 | Aubergine | 133 | Rosemary |
| 26 | Beet | 134 | Mountain Thyme |
| 27 | Green pepper | 135 | Vanilla |
| 28 | Broccoli | 136 | Almond |
| 29 | Carrot | 137 | cashew nuts |
| 30 | Celery | 138 | cocoa bean |
| 31 | Hot Red pepper, chili | 139 | Hazelnut |
| 32 | Cucumber | 140 | Peanut |
| 33 | horseradish | 141 | pistachios |
| 34 | Leek | 142 | Sesame |
| 35 | Olive | 143 | Sunflower seeds |
| 36 | Onion | 144 | Walnut |
| 37 | Potatoes | 145 | coconut |
| 38 | Red cabbage | 146 | Mushroom mix 1* |
| 39 | Tomatoes | 147 | mushroom mix 2* |
| 40 | Turnip | 148 | Crayfish |
| 41 | Courgette | 149 | Salmon |
| 42 | Artichoke | 150 | Tuna |
| 43 | Asparagus | 151 | Mussel |
| 44 | Spinach | 152 | Prawn |
| 45 | Green beans | 153 | Anchovy |
| 46 | Pea | 154 | swordfish |
| 47 | Soybean | 155 | Trout |
| 48 | Lentil | 156 | flounder |
| 49 | white beans | 157 | codfish |
| 50 | lettuce | 158 | Brewer’s yeast |
| 51 | lamb’s lettuce | 159 | Sourdough |
| 52 | Apple | 160 | Honey |
| 53 | Apricot | 161 | Coffee |
| 54 | Banana | 162 | Black tea |
| 55 | goat horn | 163 | lime |
| 56 | canola | 164 | Lychee (Chinese Fruit) |
| 57 | Duck Meat | 165 | Mango |
| 58 | Goat | 166 | Papaya |
| 59 | Goose | 167 | Pomegranate |
| 60 | Ostrich | 168 | Raspberry |
| 61 | Quail | 169 | rosehip |
| 62 | Rabbit | 170 | cantaloupe melon |
| 63 | Roe | 171 | Raisins |
| 64 | guinea fowl | 172 | Anise |
| 65 | Horse | 173 | Leave of Daphne |
| 66 | Kefir | 174 | Yellow daisy |
| 67 | Beta-Lactoglubulin | 175 | Capers |
| 68 | Butter | 176 | chives |
| 69 | Camembert Cheese | 177 | Clove |
| 70 | Casein | 178 | Coriander Herb |
| 71 | Emmental Cheese | 179 | Cumin |
| 72 | Precipitate | 180 | Dill |
| 73 | mozzarella cheese | 181 | Ginger |
| 74 | Processed Cheese | 182 | marjoram |
| 75 | Curd Cheese | 183 | saffron |
| 76 | Bamboo shoot | 184 | Sage |
| 77 | Brussels Sprouts | 185 | Tabasco |
| 78 | Cauliflower | 186 | Curry |
| 79 | Chard | 187 | tarragon |
| 80 | Chinese Cabbage | 188 | Hops |
| 81 | Fennel | 189 | mint,garden |
| 82 | Pumpkin | 190 | Brazil Nuts |
| 83 | Sweet potato | 191 | Macadamia Nuts |
| 84 | Savoy | 192 | Pine nuts |
| 85 | Radish | 193 | Sweet chesnut |
| 86 | Kale | 194 | Colanut |
| 87 | Sweet potato | 195 | Carp fish |
| 88 | Vine Leaf | 196 | Squid |
| 89 | Green Cabbage | 197 | The eel |
| 90 | Shallot | 198 | sea bream |
| 91 | licorice | 199 | Whiting |
| 92 | Sultana Peas | 200 | pike |
| 93 | broad beans | 201 | Turbot |
| 94 | Chickpeas | 202 | Herring |
| 95 | Mung Beans | 203 | Lobster |
| 96 | Mexican Beans | 204 | Mackerel |
| 97 | Chicory | 205 | Octopus |
| 98 | Lettuce | 206 | Oyster |
| 99 | Rocket | 207 | Sardine |
| 100 | Avocado | 208 | Ocean Perch |
| 101 | Blackberry | 209 | Sea bass |
| 102 | Blueberries | 210 | Caviar |
| 103 | Red Blueberry | 211 | Crab |
| 104 | blackcurrant red | 212 | agar-agar |
| 105 | Blackcurrant black | 213 | Aloe vera |
| 106 | Fig | 214 | Green tea |
| 107 | Gooseberry | 215 | Baking Powder |
| 108 | Melon | 216 | safflower oil |