Catherine Stroud and Gavin Spickett
    A diagnosis of type I (IgE mediated) allergy is  made by the clinical history and confirmed by a  combination of in vivo and in vitro investigations.  Symptoms are highly variable, ranging  from rhinitis, conjunctivitis and urticaria to  shortness of breath, laryngeal oedema, hypotension  and anaphylaxis. One of the useful tests  available for type I allergy is the radioallergosorbent  test, which measures specific IgE to  an allergen. Other types of allergic reaction  (types II, III and IV) are not mediated via IgE and  therefore this form of testing is not appropriate.
    
    
    Dermatology in practice 2001; 9(2): 22–25
	
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