How is cat allergy diagnosed?

How is cat allergy diagnosed? - briefly

Cat allergy diagnosis typically involves a combination of medical history review and skin prick tests or blood tests to identify specific allergens present in cat dander. These methods help determine the presence and severity of the allergy, guiding appropriate treatment plans.

How is cat allergy diagnosed? - in detail

Cat allergy diagnosis typically involves a combination of medical history, physical examination, and laboratory tests. The process begins with a thorough evaluation by an allergist or immunologist, who will gather information about the patient's symptoms, their severity, and their onset in relation to cat exposure. This initial assessment helps to establish whether cat allergy is a likely cause of the symptoms.

During the physical examination, the healthcare provider may look for signs such as redness or swelling around the eyes, nasal congestion, or skin rashes that could indicate an allergic reaction. However, these signs are not always present, and their absence does not rule out a cat allergy.

The primary laboratory test used to diagnose cat allergy is the skin prick test. This involves placing a small amount of cat allergen on the skin and gently pricking it with a sterile needle. If the patient is allergic to cats, they will develop a raised, red, itchy bump at the test site within about 15-20 minutes. The size of the reaction can indicate the severity of the allergy.

Another common method for diagnosing cat allergy is the blood test, specifically the ImmunoCAP or radioallergosorbent test (RAST). These tests measure the amount of immunoglobulin E (IgE) antibodies in the blood that are specific to cat allergens. A higher level of IgE antibodies indicates a stronger allergy.

In some cases, the doctor may recommend an elimination test where the patient avoids contact with cats for a period and then reintroduces exposure under medical supervision to observe any reactions. This approach can be useful when other tests are inconclusive or do not correlate with symptoms.

It is important to note that while these diagnostic methods are generally effective, they are not infallible. False positives and negatives can occur, and results should always be interpreted in the context of the patient's medical history and clinical presentation.

Once a diagnosis of cat allergy is confirmed, the allergist will work with the patient to develop an appropriate management plan, which may include avoidance strategies, medication, or immunotherapy (allergy shots) depending on the severity of the allergy and individual needs.