PMID- 34582103 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 2045-7022 (Print) IS - 2045-7022 (Electronic) IS - 2045-7022 (Linking) VI - 11 IP - 7 DP - 2021 Aug TI - Integration of in vitro allergy test results and ratio analysis for the diagnosis and treatment of allergic patients (INTEGRA). PG - e12052 LID - 10.1002/clt2.12052 [doi] LID - e12052 AB - The introduction of molecular diagnosis into routine clinical practice has substantially improved the diagnosis and management of allergic patients by allowing clinicians to precisely identify the allergenic molecule responsible for immunoglobulin E (IgE)-mediated allergies. However, it can be challenging to accurately interpret the results of molecular assays, partly due to the limited evidence base. In this context, a panel of experts with extensive experience in interpreting in vitro measures of total and serum specific IgE reviewed the available scientific evidence. After this review, the panel selected a series of representative case studies to demonstrate how determination of specific and total IgE values and the relationship between them (ratio analysis) can add value to the diagnostic process by more precisely defining the patient's sensitization profile. Finally, the experts developed a series of recommendations on the clinical application of ratio analysis to optimize and complement the classical approach to allergy diagnosis. CI - (c) 2021 The Authors. Clinical and Translational Allergy published by John Wiley & Sons Ltd on behalf of European Academy of Allergy and Clinical Immunology. FAU - Pascal, Mariona AU - Pascal M AD - Immunology Department, Centre de Diagnostic Biomedic, Hospital Clinic de Barcelona, Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain. AD - ARADyAL Network, Health Institute Carlos III, Madrid, Spain. FAU - Moreno, Carmen AU - Moreno C AD - ARADyAL Network, Health Institute Carlos III, Madrid, Spain. AD - Allergy Service, Hospital Universitario Reina Sofia, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Cordoba, Spain. FAU - Davila, Ignacio AU - Davila I AD - ARADyAL Network, Health Institute Carlos III, Madrid, Spain. AD - Allergy Service, Department of Biomedical and Diagnostic Sciences and Institute for Biomedical Research of Salamanca (IBSAL), University Hospital of Salamanca, Salamanca, Spain. FAU - Tabar, Ana I AU - Tabar AI AD - ARADyAL Network, Health Institute Carlos III, Madrid, Spain. AD - Allergy Service, Hospital Complex of Navarra, Pamplona, Spain. AD - Navarra Institute for Health Research (IdiSNA), Cooperative Health Research Thematic Networks (RETICs) for Asthma, Madrid, Spain. FAU - Bartra, Joan AU - Bartra J AD - ARADyAL Network, Health Institute Carlos III, Madrid, Spain. AD - Allergy Section, Pneumology Department, Hospital Clinic de Barcelona, Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain. FAU - Labrador, Moises AU - Labrador M AD - ARADyAL Network, Health Institute Carlos III, Madrid, Spain. AD - Allergy Section, Internal Medicine Department, Hospital Universitari Vall d Hebron, Institut de Recerca Vall d'Hebron (VHIR), Universitat Autonoma de Barcelona. Barcelona, Spain. FAU - Luengo, Olga AU - Luengo O AUID- ORCID: 0000-0002-8905-2776 AD - ARADyAL Network, Health Institute Carlos III, Madrid, Spain. AD - Allergy Section, Internal Medicine Department, Hospital Universitari Vall d Hebron, Institut de Recerca Vall d'Hebron (VHIR), Universitat Autonoma de Barcelona. Barcelona, Spain. LA - eng GR - Thermo Fisher Scientific/ PT - Journal Article PT - Review PL - England TA - Clin Transl Allergy JT - Clinical and translational allergy JID - 101576043 PMC - PMC9082998 OTO - NOTNLM OT - IgE OT - IgE ratio OT - allergy OT - molecular diagnosis OT - recommendations COIS- The authors have received consulting fees and financial support from Thermo Fisher Scientific to attend workshops related to the preparation of this article. EDAT- 2021/09/29 06:00 MHDA- 2021/09/29 06:01 PMCR- 2021/09/16 CRDT- 2021/09/28 12:33 PHST- 2021/07/05 00:00 [revised] PHST- 2021/05/11 00:00 [received] PHST- 2021/07/30 00:00 [accepted] PHST- 2021/09/28 12:33 [entrez] PHST- 2021/09/29 06:00 [pubmed] PHST- 2021/09/29 06:01 [medline] PHST- 2021/09/16 00:00 [pmc-release] AID - CLT212052 [pii] AID - 10.1002/clt2.12052 [doi] PST - ppublish SO - Clin Transl Allergy. 2021 Aug;11(7):e12052. doi: 10.1002/clt2.12052.