Regional Allergy Screening

Aka: Regional Allergy Screening, Allergy Testing Antigens

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II. Epidemiology: Most common allergans

  1. Dust mites (27%)
  2. Perennial rye (27%)
  3. Short ragweed (26%)
  4. German cockroach (26%)
  5. Bermuda grass (18%)
  6. Cat (17%)
  7. Russian Thistle (15%)
  8. White oak (13%)
  9. Alternaria alternata (13%)
  10. Salo (2014) J Allergy Clin Immunol 134(2): 350-9 [PubMed]

III. General: Screen with 8 Antigen panel

  1. Two controls (positive and negative)
  2. Three Antigens (Dog or cat, mite mix, mold)
  3. Three regional Antigens (tree, grass, weed)
    1. Pick one from each category (cross reacts)

IV. Regions: All areas

  1. Positive Control: Histamine 1 mg/ml
  2. Negative Control: Glycerinated Saline
  3. Epithelium: Dog, Cat
  4. Dust mite
    1. Dermatophagoides farinae
    2. Dermatophagoides pteronyssinus
  5. Alternaria mold

V. Regions: Northeast and Mid-Atlantic (Maine to West Virginia)

  1. Trees: Oak, Maple, Birch (Elm in Mid-Atlantic)
  2. Grasses: Orchard, Meadow Fescue, Perennial Rye, Blue
  3. Weeds:
    1. Ragweed (short and tall), Cocklebur, Lamb's Quarters
    2. Rough pigweed

VI. Regions: Southern (Virginia to Louisiana)

  1. Trees: Oak, Pecan
  2. Grasses: Orchard, Bermuda, Blue
  3. Weeds:
    1. Ragweed (short, tall, and southern)
    2. Rough marsh elder

VII. Regions: Southern Florida and Hawaii

  1. Trees: Australian Pine
  2. Grasses: Bermuda, Johnson, Brome
  3. Weeds:
    1. Ragweed (short and tall), Cocklebur, Lamb's Quarters
    2. Rough pigweed

VIII. Regions: Midwest (Ohio to Minnesota south to Missouri)

  1. Trees: Oak, Maple, Birch, Elm
  2. Grasses: Timothy, Blue, Red Top, Orchard
  3. Weeds: Ragweed (short and tall)

IX. Regions: Central Texas and Oklahoma

  1. Trees: Mountain cedar, Pecan
  2. Grasses: Bermuda, Johnson, Brome
  3. Weeds:
    1. Russian thistle, Kochia, Sagebrush
    2. Ragweed (Western and False)

X. Regions: Desert Southwest (New Mexico to Eastern California)

  1. Trees: Olive, Mulberry
  2. Grasses: Perennial Rye
  3. Weeds:
    1. Russian thistle, Kochia, Sagebrush
    2. Ragweed (Western and False)

XI. Regions: Southern California

  1. Trees: California Live Oak
  2. Grasses: Johnson, Bermuda, Timothy, Blue
  3. Weeds:
    1. Cocklebur, Rough pigweed, English plantain
    2. Lamb's Quarters

XII. Regions: Pacific Northwest (Northern California to Washington)

  1. Trees: California Live Oak (south), White oak (north)
  2. Grasses:
    1. Timothy, Orchard, Blue, Red top, Meadow fescue
    2. Perennial rye
  3. Weeds: Sage

XIII. Regions: High Plains and Intermountain

  1. Location
    1. Western Washington to North Dakota south to
    2. Nevada to Kansas
  2. Trees: Juniper, Cottonwood
  3. Grasses: Perennial rye
  4. Weeds:
    1. Russian thistle, Kochia, Ragweed (False, Western)
    2. Sagebrush
    3. Ragweed (short and tall) in KS, NE, SD, ND

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