PMID- 30908739 OWN - NLM STAT- MEDLINE DCOM- 20190613 LR - 20220408 IS - 1365-3164 (Electronic) IS - 0959-4493 (Linking) VI - 30 IP - 3 DP - 2019 Jun TI - Agreement of serum allergen test results with unblocked and blocked IgE against cross-reactive carbohydrate determinants (CCD) and intradermal test results in atopic dogs. PG - 195-e61 LID - 10.1111/vde.12742 [doi] AB - BACKGROUND: Tests for allergen-specific immunoglobulin E (IgE) are used to select allergens for immunotherapy in atopic dogs. Antibodies against cross-reactive carbohydrate determinants (anti-CCD IgE) have been identified in serum samples of atopic dogs. Their presence in humans is a known cause of clinically irrelevant polysensitization to plant allergens. OBJECTIVES: To compare the results of an intradermal test (IDT) and a serum test for allergen-specific IgE, with and without blocking anti-CCD IgE, before testing in dogs. ANIMALS: Thirty-one privately owned dogs with atopic dermatitis. METHODS AND MATERIALS: Dogs were prospectively skin tested and their serum samples were analysed for anti-CCD IgE. An Fc-epsilon receptor-based serum test for allergen-specific IgE was performed with and without blocking anti-CCD IgE. RESULTS: In dogs with negative anti-CCD IgE samples, the agreement between the results of the serum test and the IDT was substantial (kappa = 0.71). Dogs with positive anti-CCD IgE samples (38.7%) showed no agreement between serum and skin testing (kappa = -0.35), blocking anti-CCD IgE in those samples resulted in a fair agreement (kappa = 0.43). Anti-CCD IgE positive sera had multiple positive results for grass and weed allergens, and blocking decreased them markedly. CONCLUSION AND CLINICAL IMPORTANCE: Intradermal testing agreed best with serum testing in dogs with no detectable anti-CCD IgE. Sera containing anti-CCD IgE had no agreement with IDT. Test agreement was improved by blocking the anti-CCD IgE. Apparent serum test polysensitization to plant allergens was associated with anti-CCD IgE. CI - (c) 2019 ESVD and ACVD. FAU - Gedon, Natalie K Y AU - Gedon NKY AUID- ORCID: 0000-0003-0224-9144 AD - Centre for Clinical Veterinary Medicine, LMU Munich, Veterinaerstrasse 13, 80539, Muenchen, Germany. FAU - Boehm, Teresa M S A AU - Boehm TMSA AUID- ORCID: 0000-0001-7886-0017 AD - Centre for Clinical Veterinary Medicine, LMU Munich, Veterinaerstrasse 13, 80539, Muenchen, Germany. FAU - Klinger, Christoph J AU - Klinger CJ AUID- ORCID: 0000-0003-1570-3078 AD - Centre for Clinical Veterinary Medicine, LMU Munich, Veterinaerstrasse 13, 80539, Muenchen, Germany. FAU - Udraite, Laura AU - Udraite L AD - Centre for Clinical Veterinary Medicine, LMU Munich, Veterinaerstrasse 13, 80539, Muenchen, Germany. FAU - Mueller, Ralf S AU - Mueller RS AUID- ORCID: 0000-0001-5835-5910 AD - Centre for Clinical Veterinary Medicine, LMU Munich, Veterinaerstrasse 13, 80539, Muenchen, Germany. LA - eng GR - Heska AG; Fribourg, Switzerland/ PT - Comparative Study PT - Journal Article DEP - 20190324 PL - England TA - Vet Dermatol JT - Veterinary dermatology JID - 9426187 RN - 0 (Allergens) RN - 0 (Carbohydrates) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Allergens/*immunology MH - Animals MH - Carbohydrates/*immunology MH - Cross Reactions MH - Dermatitis, Atopic/diagnosis/*veterinary MH - Dog Diseases/diagnosis/immunology MH - Dogs MH - Enzyme-Linked Immunosorbent Assay/veterinary MH - Immunoglobulin E/*blood MH - Intradermal Tests/methods/*veterinary MH - Prospective Studies MH - Serologic Tests/methods/veterinary MH - Skin Tests/*veterinary EDAT- 2019/03/26 06:00 MHDA- 2019/06/14 06:00 CRDT- 2019/03/26 06:00 PHST- 2019/01/22 00:00 [accepted] PHST- 2019/03/26 06:00 [pubmed] PHST- 2019/06/14 06:00 [medline] PHST- 2019/03/26 06:00 [entrez] AID - 10.1111/vde.12742 [doi] PST - ppublish SO - Vet Dermatol. 2019 Jun;30(3):195-e61. doi: 10.1111/vde.12742. Epub 2019 Mar 24.