Oral immunotherapy for food allergy, ready for prime time? Heated egg and milk topical collection on anaphylaxis and drug allergy

Matthew F. Feldman, J. Andrew Bird

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Cow's milk and hen's egg allergies are two of the most common food allergies that affect children, with an estimated prevalence of 2-3 % each. Persistence of food allergy into late teen years and adulthood is being increasingly recognized, possibly due to strict avoidance practices. Heating has been known to alter food allergenicity, and the majority of milk- and egg-allergic patients tolerate heated forms of those foods. Heated milk and heated egg have been increasingly studied as oral immunotherapy (OIT) for treatment of milk and egg allergy. While heated milk and heated egg have been shown to be safe in selected milk- and egg-allergic cohorts, larger studies are needed to predict which patients are optimal candidates for this strategy and to further clarify whether ingestion of heated milk or heated egg truly accelerates the onset of clinical tolerance to unheated forms of these foods.

Original languageEnglish (US)
Article number436
JournalCurrent Allergy and Asthma Reports
Volume14
Issue number5
DOIs
StatePublished - May 2014

Keywords

  • Baked egg
  • Baked milk
  • Casein
  • Component testing
  • Egg allergy
  • Heated egg
  • Heated milk
  • Milk allergy
  • OFC
  • OIT
  • Oral immunotherapy
  • Ovomucoid
  • Recipe
  • SPT
  • Specific IgE

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology
  • Pulmonary and Respiratory Medicine

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