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Discipline

: General

Sub Discipline

: test

Document Title

: Dermatology Skin Prick Test (SPT)

Procedure Ordered

Performing Staff

Category

Working Diagnosis

Asthma

Rhinitis

Eczema

AIDS

Occupational Allergy

Urticaria

Drug Allergy

Food Allergy

Anaphylaxis

Immunodeficiency

Auto immune disease

Others, specify

List Of Allergens

Control

Positive Control (Histamine)

Negative Control

Others

Fungal

Aspergillus fumigatus

Candida albicans

Altenaria alternate

Cladosporium mix

Cladosporum herbarium

Artemisia niger

Penicillium notatum

Epithelial

Cat

Dog

Horse

Hamster

Guinea pig

Rabbit

Mouse

Zeamays to Maize

Chicken

Mutton

Beef

Zeamays

Cow'milk

Goat's milk

Egg yolk

Egg White

Fruits

Banana

Papaya

Mango

Honeydew

Apple

Orange

Watermelon

Vegetables

Celery

Tomato

Carrot

Green Bean

Red Bean

Others

Garlic

Anisakis simplex

Soya

Cocoa

Oat

Rice

Wheat

Barley

Dhal

Corn flour

Maize

Zeamay

Black Sesame

Almond

Walnut

Peanut

Hazelnut

Roya Jelly

Wild flower Honey

Seafood

Shrimp

White prawn (Udang putih)

Yellow prawn (Udang kuning)

Tiger prawn (Udang harimau)

King Prawn (Udang merah)

Sharp-Rostum prawn (Udang minyak)

Lobster (Udang galah)

Cockel

Squid

Lala

Blue Crab

Fish Bilis

Fish Cencaru

Fish Kembong

Fish Selar Kuning

Fish Selayan/Sardin

Fish Tenggiri

Fish Tongkol

House dust mites/Insects

House dust mix

D. farinae

D. pteronyssinus

B. tropicalis

American cockroach

Oriental cockroach

Grass/Weed/Tree Pollen

Pollen miX

Grass Mix

Grass Mix IV

Bermuda grass

Cynodon dactylon

Hordeum vulgare

Dactylis glomerata

Lolium perenne

Latex

Hevea brasiliensis

Others, specify

SIGNATURES

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