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Isocyanates Profile

CPT

86003(x3)

Test Details

Methodology

Thermo Fisher ImmunoCAP®

Result Turnaround Time

3 - 5 days

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Related Information

Related Documents

For more information, please view the literature below.

Allergy Services: Identify and Manage Patients With Allergic Disease

Allergy Test Menu

Test Includes

Hexamethylene diisocyanate (HDI)-specific IgE; methylene diphenyl diisocyanate (MDI)-specific IgE; toluene diisocyanate (TDI)-specific IgE

Custom Additional Information

Diagnostic information: Exposure to isocyanates may cause chemical bronchitis with initial symptoms of throat irritation, laryngitis, coughing, and chest pain or tightness.1 Asthma (with symptoms of wheezing, coughing, and shortness of breath) may also follow exposure to isocyanates.1 Other effects associated with isocyanate exposure are hypersensitive pneumonitis, chronic pulmonary disease, and contact dermatitis (following direct skin contact).1

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

Sources of exposure: TDI, MDI, and HDI are three of the most frequently used isocyanates in industry.3 The isocyanates are used primarily as starting materials for a variety of manufacturing processes, including the production of plastics, polyurethane, foams, and electrical wire insulation.1 Isocyanates are also common components of paints and other durable and protective finishes, adhesives, and elastomers in automobile bumpers, printing rolls, and coated fabrics.1 Exposure can occur at any stage from the initial manufacturer of the isocyanates to their final use in various production processes.1 Exposure can also occur from the application of paints and polyurethanes, from the handling and machining of foams, and from the combustion of these materials.1

Specimen Requirements

Specimen

Serum

Volume

1 mL

Container

Red-top tube or gel-barrier tube

Storage Instructions

Room temperature

Footnotes

1. Phillips KK, Peters JM. Isocyanates. In: Sullivan JB, Krieger GR, eds. Hazardous Materials Toxicology, Clinical Principles of Environmental Health. Baltimore, Md: Williams & Wilkins;1992:946-949.
2. 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.
3. Montanaro A. Isocyanate asthma. 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
630988 Isocyanates Profile 602662 K075-IgE Isocyanate TDI kU/L 7431-0
630988 Isocyanates Profile 602663 K076-IgE Isocyanate MDI kU/L 7430-2
630988 Isocyanates Profile 602665 K077-IgE Isocyanate HDI kU/L 7429-4
Order Code630988
Order Code NameIsocyanates Profile
Order Loinc
Result Code602662
Result Code NameK075-IgE Isocyanate TDI
UofMkU/L
Result LOINC7431-0
Order Code630988
Order Code NameIsocyanates Profile
Order Loinc
Result Code602663
Result Code NameK076-IgE Isocyanate MDI
UofMkU/L
Result LOINC7430-2
Order Code630988
Order Code NameIsocyanates Profile
Order Loinc
Result Code602665
Result Code NameK077-IgE Isocyanate HDI
UofMkU/L
Result LOINC7429-4