Result Enviro Test
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ASTHMAANDALLERGYCENTER THESOUTHEAST RandMalone,M.D. INHALANTSKINTESTS Patient: Date:
Medications:
Molds
Grasses
Erythema
{"}1. Penicillium-2. Helminthosp";: 3. Altenaria--4. Cladosporium--------5. MoniliaSitophilia--6. Mucor----7. Fusarium-B. Epicoccum9. CandidaAlbicans--10. Rhizopu 11. Trichopyton-------12. Phoma13. Aspergillus, Mixed--
37. Olchard 38. June--39. RedTop-------40. Timothy 41. Bahia_42. Johnson 43. Bermuda----------------
E
-f-
rL
F l-
Weeds
j--
44. Pigweed,Rough---45. Lamb'sQuarter----46. Cocklebur---------47. Ragweed,Giant---48. Ragweed, Short------49. DogFenne!!-------50. Sage-51. Mugwort 52. YellowDock------53. Sorrell--
T-
Epidermals 14. Dog,(Gr-eer)------15. Cat
E !
\.
\9"
E
16. Dog,(Holister-Stier)-
Trees
_tv-"
17. Pine,Yellow-_----18. Cypress, Bald----\ 19.Juniper 20. Cedar,Red---_--21. Sycamore, Amer-----22. Gum,Sweet------23. Elm,American-------24. Hickory,Shagbark-25. Pecan26. Walnut,Black----27. Oak,White__________ 28. Oak,Live--------29. Beech-= 30. Bayberry
Perennial Allerqens
-l
+ + --r +
31. Alder,
32. Willow, Black--------33. Poplar,Lombardy--3.1.Maple,Red------35. Box Elder---------36. Ash-
-l-
+
-t-
Erythema (\.--
I
ILI -t-I
E
J--
E tl
-\-f
54. Feathers----------------(Amer)--55. Cockroach, (German)- FrJ} 56. Cockroach, ,^ -{-\ti' 57. D. Farinae----7fr-\Jr 58. D. Pteronyssinus------
g-
59. Saline control---------60. Histaminecontrol----
^ \;/,
ZIK
Locationof Test:
Forearms
TestedWith:
(15 min) Quintip
Tested ay: Xl
(15min)Bifurcated Needle (20min)Muffig[Stamper GradedBy_ll
Back /
ExtractManufacturer:GreerLaboratories/Holister-Stier Radialin mm
Lj'-[. i :r
Medications:
Molds
Grasses
Erythema
{"}1. Penicillium-2. Helminthosp";: 3. Altenaria--4. Cladosporium--------5. MoniliaSitophilia--6. Mucor----7. Fusarium-B. Epicoccum9. CandidaAlbicans--10. Rhizopu 11. Trichopyton-------12. Phoma13. Aspergillus, Mixed--
37. Olchard 38. June--39. RedTop-------40. Timothy 41. Bahia_42. Johnson 43. Bermuda----------------
E
-f-
rL
F l-
Weeds
j--
44. Pigweed,Rough---45. Lamb'sQuarter----46. Cocklebur---------47. Ragweed,Giant---48. Ragweed, Short------49. DogFenne!!-------50. Sage-51. Mugwort 52. YellowDock------53. Sorrell--
T-
Epidermals 14. Dog,(Gr-eer)------15. Cat
E !
\.
\9"
E
16. Dog,(Holister-Stier)-
Trees
_tv-"
17. Pine,Yellow-_----18. Cypress, Bald----\ 19.Juniper 20. Cedar,Red---_--21. Sycamore, Amer-----22. Gum,Sweet------23. Elm,American-------24. Hickory,Shagbark-25. Pecan26. Walnut,Black----27. Oak,White__________ 28. Oak,Live--------29. Beech-= 30. Bayberry
Perennial Allerqens
-l
+ + --r +
31. Alder,
32. Willow, Black--------33. Poplar,Lombardy--3.1.Maple,Red------35. Box Elder---------36. Ash-
-l-
+
-t-
Erythema (\.--
I
ILI -t-I
E
J--
E tl
-\-f
54. Feathers----------------(Amer)--55. Cockroach, (German)- FrJ} 56. Cockroach, ,^ -{-\ti' 57. D. Farinae----7fr-\Jr 58. D. Pteronyssinus------
g-
59. Saline control---------60. Histaminecontrol----
^ \;/,
ZIK
Locationof Test:
Forearms
TestedWith:
(15 min) Quintip
Tested ay: Xl
(15min)Bifurcated Needle (20min)Muffig[Stamper GradedBy_ll
Back /
ExtractManufacturer:GreerLaboratories/Holister-Stier Radialin mm
Lj'-[. i :r
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