Acid Anhydride Profile

CPT: 86003(x2)
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Test Details

Test Includes

Phthalic anhydride-specific IgE; trimellitic anhydride-specific IgE

Methodology

Thermo Fisher ImmunoCAP®

Reference Interval

Normal: 0.00−2.00/HSA (human serum albumin)

Additional Information

Diagnostic information: Acid anhydrides are strong respiratory irritants known to produce hypersensitivity pulmonary disease, often beginning as hypersensitivity pneumonitis. Hypersensitivity pneumonitis can be precipitated either by acute or chronic exposure to acid anhydrides. Acute hypersensitivity pneumonitis may be characterized by fever, chills, nonproductive cough, chest pains, and dyspnea. Symptoms associated with chronic hypersensitivity include fever, cough, fatigue, weight loss, and shortness of breath.1

Clinical significance: Between 2% and 15% of all asthma associated with industry is due to occupational exposure to chemicals.1 Quantitative allergen-specific IgE testing offers the capability of monitoring workplace exposure to acid anhydrides through the measurement of acid anhydride-specific IgE levels. Increases in acid anhydride-specific IgE levels are correlated with elevations in exposure to acid anhydrides.

Sources of exposure: Phthalic anhydride (PA) and trimellitic anhydride (TMA) are two of the most widely used acid anhydrides in industry. Inhalation and dermal contact are the two most common routes of exposure to acid anhydrides in the workplace.2 Acid anhydrides are used as hardeners or plasticizers in the production of many epoxy resin systems.2 Acid anhydrides are also employed in some chemical and dye production processes.2

Specimen Requirements

Specimen

Serum

Volume

1 mL

Container

Red-top tube or gel-barrier tube

Storage Instructions

Room temperature

Stability Requirements

Temperature

Period

Room temperature

14 days

Refrigerated

14 days

Frozen

3 months

Freeze/thaw cycles

Stable x3

Clinical Information

Footnotes

1. Brooks BO, Sullivan JB. Immunotoxicology. In: Sullivan JB, Krieger GR, eds.Hazardous Material Toxicology: Clinical Principles of Environmental Health. Baltimore, Md: Williams & Wilkins;1992:209-210.
2. Montanaro A. Asthma Secondary to Acid Anhydrides. In: Bardana EJ, Montanaro A, O'Hollaren MT, eds. Occupational Asthma. Philadelphia, Pa: Hanley & Belfus Inc;1992:145-147.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
658559 Acid Anhydride Profile 602670 K086-IgE Trimellitic anhydride kU/L 7746-1
658559 Acid Anhydride Profile 602667 K079-IgE Phthalic anhydride kU/L 7601-8
Reflex Table for K086-IgE Trimellitic anhydride
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 602444 Class Description 602444 Class Description N/A
Reflex Table for K079-IgE Phthalic anhydride
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 602444 Class Description 602444 Class Description N/A

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