Comparison of reverse passive antiglobulin haemagglutination with double antibody radioimmunoassay for estimation of total human serum IgE.

Serum IgE levels can be measured by reverse passive antiglobulin haemagglutination (RPAH) using trypsin-treated human red cells coupled to anti-human IgE by chronic chloride. The results are read after only 90 min incubation. RPAH and double antibody radioimmunoassay have been used to measure IgE levels in 100 sera, with levels ranging from 5 to 43,000 international units (i.u.)/ml. Correlation between the two assays was high over the whole range, provided that affinity-purified anti-IgE was used in the RPAH test. When two non-affinity-purified anti-IgE reagents were used in the RPAH, correlation was poor for sera with levels below 1000 i.u./ml. It is concluded that RPAH tests for IgE are of comparable sensitivity and specificity to radioimmunoassay procedures, and provide a useful simple, yet more rapid alternative.