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Tests and diagnosis

By Mayo Clinic staff

Your doctor may suspect pet allergy based on symptoms, an examination of your nose and your answers to his or her questions. He or she may use a lighted instrument to look at the condition of the lining of your nose. If you have a pet allergy, the lining of the nasal passage may be swollen or appear pale or bluish.

Your doctor may suspect a pet allergy, based on your comments. For example, you may have a pet allergy if your symptoms are worse when you have direct contact with your pet or when your pet sleeps in your bedroom or on the bed.

Allergy skin test
Your doctor may suggest an allergy skin test to determine exactly what you're allergic to. You may be referred to an allergy specialist (allergist) for this test.

In this test, tiny drops of purified allergen extracts — including extracts with animal proteins — are pricked into your skin's surface. This is usually carried out on the forearm, but it may be done on the upper back.

The drops are left on your skin for 15 minutes before your doctor or nurse observes your skin for signs of allergic reactions. If you're allergic to cats, for example, you'll develop a red, itchy bump where the cat extract was pricked into your skin. The most common side effects of these skin tests are itching and redness. These side effects usually go away within 30 minutes.

Blood test
In some cases a skin test can't be performed because of the presence of a skin condition or because of interactions with certain medications. As an alternative, your doctor may order a blood test that screens your blood for specific allergy-causing antibodies to various common allergens, including various animals. This test may also indicate how sensitive you are to an allergen.

Lung function
Your doctor will check how well your lungs are working by listening to your breathing and watching you breathe. If there are any signs or symptoms suggesting asthma, your doctor will likely use a device called a spirometer, which indicates how well your lungs function based on a measurement of airflow out of your lungs.

References
  1. Ferguson BJ. Environmental controls of allergies. Otolaryngology Clinics of North America. 2008;41(2):411-417,viii-ix.
  2. German JA, et al. Environmental control of allergic diseases. American Family Physician. 2002;66(3):421-426.
  3. Spitzauer S. Allergy to mammalian proteins: At the borderline between foreign and self? International Archives of Allergy and Immunology. 1999;120(4):259-269.
  4. Airborne Allergens: Something in the Air. U.S. Department of Health and Human Services. Bethesda, Md.: National Institute of Allergy and Infectious Diseases; 2003.
  5. Fletcher R. Patient information: Rhinitis. http://www.uptodate.com/home/index.html. Accessed July 24, 2008.
  6. National Asthma Education and Prevention Program Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma - Summary Report 2007. Bethesda, Md.: National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/guidelines/asthma/asthsumm.htm. Accessed Oct. 8, 2008.
  7. Tips to remember: Allergic skin conditions. American Academy of Allergy, Asthma & Immunology. http://www.aaaai.org/patients/publicedmat/tips/allergicskinconditions.stm. Accessed July 14, 2008.
  8. Platts-Mills T, et al. The role of allergens in asthma. American Family Physician. 2007;76(5):675-680.
  9. Tips to remember: Indoor allergens. American Academy of Allergy, Asthma & Immunology. http://www.aaaai.org/patients/publicedmat/tips/indoorallergens.stm. Accessed Oct. 7, 2008.
  10. deShazo R, et al. Patient information: Trigger avoidance in allergic rhinitis.  http://www.uptodate.com/home/index.html. Accessed July 24, 2008.
  11. Simpson A, et al. Pets and the development of allergic sensitization. Current Allergy and Asthma Reports. 2005;5(3):212-220.
  12. Takkouche B, et al. Exposure to furry pets and the risk of asthma and allergic rhinitis: A meta-analysis. Allergy. 2008;63(7):857-864.
  13. deShazo R, et al. Epidemiology and clinical manifestations of allergic rhinitis (rhinosinusitis). http:/www.uptodate.com/home/index.html. Accessed July 24, 2008.
  14. deShazo R, et al. Diagnosis of allergic rhinitis (rhinosinusitis). http://www.uptodate.com/home/index.html. Accessed July 27, 2008.
  15. Tips to remember: What is allergy testing? American Academy of Allergy, Asthma & Immunology. http://www.aaaai.org/patients/publicedmat/tips/whatisallergytesting.stm. Accessed Sept. 16, 2008.
  16. Tips to remember: What are "allergy shots"? American Academy of Allergy, Asthma & Immunology. http://www.aaaai.org/patients/publicedmat/tips/whatareallergyshots.stm. Accessed Sept. 16, 2008.

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Nov. 22, 2008

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