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Allergol Immunopathol (Madr) ; 38(5): 233-40, 2010.
Artículo en Inglés | MEDLINE | ID: mdl-20619526

RESUMEN

INTRODUCTION: Egg allergy is an adverse immune-system reaction of an IgE-mediated type, which can happen in children after egg intake and several times after their first egg intake. OBJECTIVES: Compare the results of the oral egg-challenge test in two groups of egg-sensitised children, with and without prior intake. PATIENTS AND METHODS: Retrospective study of two egg-sensitised groups (72 subjects). Group 1: 22 children without prior egg-intake. Group 2: 50 children with a clinical history of adverse reactions after egg intake. Skin prick tests, egg-white specific IgE (sIgE) and yolk specific IgE, were performed on all children. The oral egg-challenge tests were performed after a period of egg-avoidance diet and when egg-white specific IgE levels were lower than 1.5K U/L. RESULTS: 31.8% of the children in Group 1 did not tolerate egg-intake whereas 38% of the children in Group 2 did not tolerate egg-intake. Egg-avoidance periods lasted 19.5 and 18 months, respectively. Egg-white specific IgE levels went down in both groups after an egg-avoidance diet. No statistically significant differences were found between the groups and the positivity of oral egg-challenge test. CONCLUSIONS: No statistically significant differences were found in the behaviour of the two groups studied. Given the high risk of adverse reactions, it was recommended that any egg-introduction tests were to be performed in a hospital environment on the children who were sensitised to hen's egg (including children without prior egg intake).


Asunto(s)
Ingestión de Alimentos , Hipersensibilidad al Huevo/diagnóstico , Muramidasa/inmunología , Administración Oral , Alérgenos/efectos adversos , Niño , Preescolar , Hipersensibilidad al Huevo/sangre , Hipersensibilidad al Huevo/inmunología , Hipersensibilidad al Huevo/fisiopatología , Huevos/efectos adversos , Femenino , Humanos , Inmunización , Inmunoglobulina E/sangre , Lactante , Masculino , Pruebas Cutáneas
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