In vitro diagnosis in asthma: the state-of-the-art

"In vitro assays in asthmatic patients have been exploring the "allergic" component of asthma. Solid-phase IgE tests can supplement or replace skin tests. Histamine release and determination are performed with automated, or RIA/ELISA; however, these assays are still research oriented. More recently, tryptase has been investigated, and the serum levels of this enzyme correlate well with mast-cell activation. But asthma is a multifactorial/facetted syndrome, and these assays provide minimal and specific informations which may just focus on limited etiological aspects of an elusive malady".