Yıl: 2023 Cilt: 65 Sayı: 1 Sayfa Aralığı: 3 - 12 Metin Dili: İngilizce DOI: 10.24953/turkjped.2021.5417 İndeks Tarihi: 16-05-2023

Phenotypes of persistent hen`s egg allergy in children and adolescents

Öz:
Background. Optimum management of food allergy (FA) includes consideration of co-allergies and multimorbidities and tolerance assessment. Documentation of FA practices may pave the way for better practice. Methods. Patients aged 3-18 years, with persistent IgE-mediated hen`s egg allergy were reviewed. Results. A total of 102 children with a median age of 59 months (IQR= 40-84) (72.2% males) were included. All were diagnosed during infancy and the initial symptoms were atopic dermatitis (65.6%), urticaria (18.6%), and anaphylaxis (5.9%). Of the total population, 21 (20.6%) experienced anaphylaxis with hen`s eggs, and 79.4%, 89.2%, and 30.4% had multiple FAs (≥2 food categories), ever atopic dermatitis, and asthma, respectively. The most common co-allergies were tree nuts, cow`s milk, and seeds, respectively. From 52 heated egg yolk and 47 baked egg oral food challenges, 48 (92.3%) and 41 (87.2%) were found as tolerant, respectively. The baked egg nontolerant group had a greater egg white skin prick test diameter [9 mm (IQR: 6-11.5) vs. 6 mm (IQR: 4.5-9); (p=0.009)] and specific IgE [12.6 kU/L (IQR: 4.11-45.4) vs. 6.2 kU/L (IQR: 1.9-12.4) (p=0.009)], respectively. In the multivariate analysis, baked egg tolerance was more likely in those with egg yolk-tolerant subgroup (OR: 6.480, 95% CI: 2.524-16.638; p<0.001) and heated egg tolerance in those with baked egg tolerance (OR: 6.943, 95% CI: 1.554-31.017; p=0.011). Conclusions. Persistent hen`s egg allergy is characterized by multiple food allergies and age-related multimorbidities. Baked egg and heated egg yolk tolerance were more likely to be considered in a subgroup with a high expectation for finding a way to eliminate their allergy.
Anahtar Kelime: Hen’s egg allergy atopic dermatitis children adolescents

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Ünsal H, TÜTEN DAL S, Akarsu A, SAHINER U, Uysal Soyer Ö, Şekerel B (2023). Phenotypes of persistent hen`s egg allergy in children and adolescents. , 3 - 12. 10.24953/turkjped.2021.5417
Chicago Ünsal Hilal,TÜTEN DAL SEVDA,Akarsu Aysegul,SAHINER Umit,Uysal Soyer Özge,Şekerel Bülent Phenotypes of persistent hen`s egg allergy in children and adolescents. (2023): 3 - 12. 10.24953/turkjped.2021.5417
MLA Ünsal Hilal,TÜTEN DAL SEVDA,Akarsu Aysegul,SAHINER Umit,Uysal Soyer Özge,Şekerel Bülent Phenotypes of persistent hen`s egg allergy in children and adolescents. , 2023, ss.3 - 12. 10.24953/turkjped.2021.5417
AMA Ünsal H,TÜTEN DAL S,Akarsu A,SAHINER U,Uysal Soyer Ö,Şekerel B Phenotypes of persistent hen`s egg allergy in children and adolescents. . 2023; 3 - 12. 10.24953/turkjped.2021.5417
Vancouver Ünsal H,TÜTEN DAL S,Akarsu A,SAHINER U,Uysal Soyer Ö,Şekerel B Phenotypes of persistent hen`s egg allergy in children and adolescents. . 2023; 3 - 12. 10.24953/turkjped.2021.5417
IEEE Ünsal H,TÜTEN DAL S,Akarsu A,SAHINER U,Uysal Soyer Ö,Şekerel B "Phenotypes of persistent hen`s egg allergy in children and adolescents." , ss.3 - 12, 2023. 10.24953/turkjped.2021.5417
ISNAD Ünsal, Hilal vd. "Phenotypes of persistent hen`s egg allergy in children and adolescents". (2023), 3-12. https://doi.org/10.24953/turkjped.2021.5417
APA Ünsal H, TÜTEN DAL S, Akarsu A, SAHINER U, Uysal Soyer Ö, Şekerel B (2023). Phenotypes of persistent hen`s egg allergy in children and adolescents. Turkish Journal of Pediatrics, 65(1), 3 - 12. 10.24953/turkjped.2021.5417
Chicago Ünsal Hilal,TÜTEN DAL SEVDA,Akarsu Aysegul,SAHINER Umit,Uysal Soyer Özge,Şekerel Bülent Phenotypes of persistent hen`s egg allergy in children and adolescents. Turkish Journal of Pediatrics 65, no.1 (2023): 3 - 12. 10.24953/turkjped.2021.5417
MLA Ünsal Hilal,TÜTEN DAL SEVDA,Akarsu Aysegul,SAHINER Umit,Uysal Soyer Özge,Şekerel Bülent Phenotypes of persistent hen`s egg allergy in children and adolescents. Turkish Journal of Pediatrics, vol.65, no.1, 2023, ss.3 - 12. 10.24953/turkjped.2021.5417
AMA Ünsal H,TÜTEN DAL S,Akarsu A,SAHINER U,Uysal Soyer Ö,Şekerel B Phenotypes of persistent hen`s egg allergy in children and adolescents. Turkish Journal of Pediatrics. 2023; 65(1): 3 - 12. 10.24953/turkjped.2021.5417
Vancouver Ünsal H,TÜTEN DAL S,Akarsu A,SAHINER U,Uysal Soyer Ö,Şekerel B Phenotypes of persistent hen`s egg allergy in children and adolescents. Turkish Journal of Pediatrics. 2023; 65(1): 3 - 12. 10.24953/turkjped.2021.5417
IEEE Ünsal H,TÜTEN DAL S,Akarsu A,SAHINER U,Uysal Soyer Ö,Şekerel B "Phenotypes of persistent hen`s egg allergy in children and adolescents." Turkish Journal of Pediatrics, 65, ss.3 - 12, 2023. 10.24953/turkjped.2021.5417
ISNAD Ünsal, Hilal vd. "Phenotypes of persistent hen`s egg allergy in children and adolescents". Turkish Journal of Pediatrics 65/1 (2023), 3-12. https://doi.org/10.24953/turkjped.2021.5417