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Table 5 Laboratory examination

From: Urticaria: recommendations from the Italian Society of Allergology, Asthma and Clinical Immunology and the Italian Society of Allergological, Occupational and Environmental Dermatology

First level

Blood count; Kidney function

Liver function

Indices of inflammation

Total serum IgE

Screening thyroid hormones and autoantibodies to thyroid

Second level (only if history is indicative)

Parasitological examination of stools (3 samples)

Autoimmunity

Autologous serum skin test

Anti-Helicobacter pylori antibodies

Skin prick test or specific IgE to Anisakis simplex

Third level

D-Dimer dosage and assessment of coagulation

Assessment of complement

Measurement of antibodies to viral agents (EBV, HBV, HCV, CMV…)