“…Moreover, ASST is not fully standardized and the results are not really quantitative. The observation that sera from patients with autoimmune CIU induced histamine release in vitro from basophils isolated from either normal or atopic donors (26) led to the development of a histamine release test that has been validated by a number of papers including one in this issue (11, 27). Another paper in this issue reports the validity of a tricolor flow cytometry, based on CD63 expression, to detect functional autoantibodies in the serum of patients with CIU and positive ASST (10).…”