Predictive factors of egg allergy clinical outcomes in infants and young
children
Abstract
Aim: The aim of the present study was to explore the tolerance
march in children and establish probable factors that affect the
prognosis of an egg allergy (EA). Methods: Two hundred children
6 months to 2.5 years old with atopic dermatitis (AD) were recruited
into our study from 2018 to 2019. EA was diagnosed based on medical
history, the skin prick test (SPT), and the oral food challenge test
(OFC) ,EA was diagnosed in 78,among those, 7 were allergic only to egg
yolk (OnlyEYA), 20 to egg white (OnlyEWA), and 51 to whole egg (WEA).
Logistic regression analysis was used to detect the disease course and
related risk factors of outcomes. The receiver operating characteristic
curve was used to establish a predicting model. Results:The
Scoring Atopic Dermatitis score in the WEA group was more severe and
persistent than that in the other groups. Forty-three cases of EA
developed clinical tolerance (average age, 32.3 ± 8.7 months). The
tolerance rate of EYA was 75.9% and EWA was 56.3%. The SPT wheal
diameter at initial diagnosis (SPT diag) was the risk
factor for persistent EA. The SPT wheal diameter after 6 months (△SPT
6mo) in the tolerant group decreased markedly compared
to that in the persistent EA group. Tolerance was higher when △EW-SPT
6mo ≥ 39.5% or △EY-SPT 6mo ≥ 27%.
Conclusion: The initial SPT diag and SPT
6mo values were significantly correlated with and can
predict outcomes of EA. Key words: Egg allergy, atopic
dermatitis, outcome, related factors.