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Peanut-Specific IgE Antibody to Ara h 1, Serum — Qualitative (Deprecated RAST)

Published: August 9, 2026Updated: August 17, 2026

A blood test that detects IgE antibodies to Ara h 1, a peanut allergen. This older RAST formulation is deprecated in favor of current allergy testing.

Quick summary

["A positive result indicates sensitization to Ara h 1 but must be interpreted with symptoms and other allergy findings."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
81990-4
Short code
Deprecated Peanut (rAra h) 1 IgE RAST Ql
Synonyms
Deprecated Peanut (rAra h) 1 IgE RAST Ql
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
10
Ref high
40
Critical range
— – 500 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84484
SNOMED
302774002
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

This blood test looks for peanut-specific IgE antibodies directed against Ara h 1, a major peanut allergen. IgE is an immune-system antibody associated with allergic reactions, and this older RAST-based test is considered deprecated.

Why might I need this test?

A clinician may order this test when there is concern about a peanut allergy, especially after a possible reaction or before an oral food challenge. It may also be used to help assess the risk of a future reaction to peanut.

How is the test performed?

A blood sample is collected by inserting a needle into a vein. The laboratory measures Ara h 1-specific IgE in the serum, and the result may be reported qualitatively or according to the assay's current reporting scale.

How do I prepare for the test?

Fasting is generally not required, and blood allergy tests are usually not affected by antihistamines. Do not stop prescribed medicines or change your diet without guidance from your clinician. Because this RAST version is deprecated, confirm with the ordering clinician which current peanut allergy test will be used.

Reference range

Adult: 10-40 U/LN/A

Specimen: serum

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Detectable Ara h 1-specific IgE indicates that the immune system has become sensitized to this peanut protein. A positive result does not by itself prove that a person will react to peanut or determine the severity of a possible reaction. Results should be interpreted with symptoms, exposure history, other allergy tests, and sometimes an oral food challenge.

Short name

Peanut Ara h 1-Specific IgE

Frequently asked questions

Does a positive result mean I am allergic to peanuts?
Not necessarily. It shows sensitization to Ara h 1, but some people with positive antibody results can tolerate peanut. Your clinician should interpret the result alongside your history and other allergy evaluations.
Is this the same as a peanut skin-prick test?
No. A skin-prick test evaluates an immediate allergic response in the skin, while this test measures Ara h 1-specific IgE in blood. The two tests provide different information and may be used together.
Why was this RAST test deprecated?
Newer laboratory methods and component-specific allergy tests are generally more precise and standardized. Ask the ordering clinician whether the result was converted to a current test or whether repeat testing is appropriate.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy