British Society for Allergy and Clinical Immunology guidelines for the management of egg allergy

Clinical and Experimental Allergy

Volumn 40, Issue 8, 2010, Pages 1116-1129

  Clark, A T ^a   Skypala, I ^b   Leech, S C ^c   Ewan, P W ^a   Dugue P ^d   Brathwaite, N ^c   Huber, P A J ^e   Nasser, S M ^a  

^a CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST   (United Kingdom)

^b ROYAL BROMPTON AND HAREFIELD NHS FOUNDATION TRUST   (United Kingdom)

^c KING'S COLLEGE LONDON   (United Kingdom)

^d GUY S HOSPITAL   (United Kingdom)

^e BSACI   (United Kingdom)

Author keywords

adrenaline; aetiology; allergy; anaphylaxis; BSACI; diagnosis; egg; epinephrine; food; influenza; management; MMR; SOCC; vaccines; yellow fever

Indexed keywords

ANTIHISTAMINIC AGENT; CORTICOSTEROID; IMMUNOGLOBULIN E; INFLUENZA VACCINE; MEASLES MUMPS RUBELLA VACCINE; YELLOW FEVER VACCINE;

ANAPHYLAXIS; ANGIONEUROTIC EDEMA; ASSAY; ASTHMA; COMORBIDITY; COUGHING; DIETITIAN; DISEASE SEVERITY; EGG ALLERGY; EVIDENCE BASED MEDICINE; GASTROINTESTINAL SYMPTOM; HOARSENESS; HOME; HUMAN; IMMUNOTHERAPY; INFANCY; INFANTILE HYPOTONIA; MEDICAL SPECIALIST; PALLOR; PATIENT REFERRAL; PEANUT ALLERGY; PRACTICE GUIDELINE; PREVALENCE; PRICK TEST; PRIORITY JOURNAL; PROGNOSIS; REVIEW; RISK FACTOR; SKIN TEST; STRIDOR; TREATMENT PLANNING; URTICARIA; VACCINATION; VOICE CHANGE; WHEEZING;

ADULT; CHILD; EGG HYPERSENSITIVITY; HUMANS;

EID: 77954356995     PISSN: 09547894     EISSN: 13652222     Source Type: Journal    
DOI: 10.1111/j.1365-2222.2010.03557.x     Document Type: Review

References (66)

1. Eggesbo M, Halvorsen R, Tambs K, Botten G. Prevalence of parentally perceived adverse reactions to food in young children. Pediatr Allergy Immunol 1999 10 : 122 32.
2. Kajosaari M. Atopy prevention in childhood: the role of diet. Prospective 5-year follow-up of high-risk infants with six months exclusive breastfeeding and solid food elimination. Pediatr Allergy Immunol 1994 5 : 26 8.
3. Tariq SM, Matthews SM, Hakim EA, Arshad SH. Egg allergy in infancy predicts respiratory allergic disease by 4 years of age. Pediatr Allergy Immunol 2000 11 : 162 7.
4. Osterballe M, Hansen TK, Mortz CG, Host A, Bindslev-Jensen C. The prevalence of food hypersensitivity in an unselected population of children and adults. Pediatr Allergy Immunol 2005 16 : 567 73.
5. Monti G, Muratore MC, Peltran A et al. High incidence of adverse reactions to egg challenge on first known exposure in young atopic dermatitis children: predictive value of skin prick test and radioallergosorbent test to egg proteins. Clin Exp Allergy 2002 32 : 1515 9.
6. Eggesbo M, Botten G, Halvorsen R, Magnus P. The prevalence of allergy to egg: a population-based study in young children. Allergy 2001 56 : 403 11.
7. Rance F, Grandmottet X, Grandjean H. Prevalence and main characteristics of schoolchildren diagnosed with food allergies in France. Clin Exp Allergy 2005 35 : 167 72.
8. Hourihane JO, Aiken R, Briggs R et al. The impact of government advice to pregnant mothers regarding peanut avoidance on the prevalence of peanut allergy in United Kingdom children at school entry. J Allergy Clin Immunol 2007 119 : 1197 202.
9. Grundy J, Matthews S, Bateman B, Dean T, Arshad SH. Rising prevalence of allergy to peanut in children: data from 2 sequential cohorts. J Allergy Clin Immunol 2002 110 : 784 9.
10. Hide DW, Guyer BM. Cows milk intolerance in Isle of Wight infants. Br J Clin Pract 1983 37 : 285 7.
11. Host A. Frequency of cow's milk allergy in childhood. Ann Allergy Asthma Immunol 2002 89 : 33 7.
12. Jakobsson I, Lindberg T. A prospective study of cow's milk protein intolerance in Swedish infants. Acta Paediatr Scand 1979 68 : 853 9.
13. Schrander JJ, van den Bogart JP, Forget PP, Schrander-Stumpel CT, Kuijten RH, Kester AD. Cow's milk protein intolerance in infants under 1 year of age: a prospective epidemiological study. Eur J Pediatr 1993 152 : 640 4.
14. de Boissieu D, Dupont C. Natural course of sensitization to hen's egg in children not previously exposed to egg ingestion. Eur Ann Allergy Clin Immunol 2006 38 : 113 7.
15. Sporik R, Hill DJ, Hosking CS. Specificity of allergen skin testing in predicting positive open food challenges to milk, egg and peanut in children. Clin Exp Allergy 2000 30 : 1540 6.
16. Boyano-Martinez T, Garcia-Ara C, az-Pena JM, Munoz FM, Garcia SG, Esteban MM. Validity of specific IgE antibodies in children with egg allergy. Clin Exp Allergy 2001 31 : 1464 9.
17. Court J, Ng LM. Danger of egg white treatment for nappy rash. Arch Dis Child 1984 59 : 908.
18. Eigenmann PA. Anaphylactic reactions to raw eggs after negative challenges with cooked eggs. J Allergy Clin Immunol 2000 105 : 587 8.
19. Pumphrey RS, Gowland MH. Further fatal allergic reactions to food in the United Kingdom, 1999-2006. J Allergy Clin Immunol 2007 119 : 1018 9.
20. Verstege A, Mehl A, Rolinck-Werninghaus C et al. The predictive value of the skin prick test weal size for the outcome of oral food challenges. Clin Exp Allergy 2005 35 : 1220 6.
21. Hill DJ, Heine RG, Hosking CS. The diagnostic value of skin prick testing in children with food allergy. Pediatr Allergy Immunol 2004 15 : 435 41.
22. Sampson HA, Ho DG. Relationship between food-specific IgE concentrations and the risk of positive food challenges in children and adolescents. J Allergy Clin Immunol 1997 100 : 444 51.
23. Roehr CC, Reibel S, Ziegert M, Sommerfeld C, Wahn U, Niggemann B. Atopy patch tests, together with determination of specific IgE levels, reduce the need for oral food challenges in children with atopic dermatitis. J Allergy Clin Immunol 2001 107 : 548 53.
24. Eigenmann PA, Sampson HA. Interpreting skin prick tests in the evaluation of food allergy in children. Pediatr Allergy Immunol 1998 9 : 186 91.
25. Komata T, Soderstrom L, Borres MP, Tachimoto H, Ebisawa M. The predictive relationship of food-specific serum IgE concentrations to challenge outcomes for egg and milk varies by patient age. J Allergy Clin Immunol 2007 119 : 1272 4.
26. Ando H, Moverare R, Kondo Y et al. Utility of ovomucoid-specific IgE concentrations in predicting symptomatic egg allergy. J Allergy Clin Immunol 2008 122 : 583 8.
27. Sampson HA. Utility of food-specific IgE concentrations in predicting symptomatic food allergy. J Allergy Clin Immunol 2001 107 : 891 6.
28. Celik-Bilgili S, Mehl A, Verstege A et al. The predictive value of specific immunoglobulin E levels in serum for the outcome of oral food challenges. Clin Exp Allergy 2005 35 : 268 73.
29. Osterballe M, Bindslev-Jensen C. Threshold levels in food challenge and specific IgE in patients with egg allerg: is there a relationship? J Allergy Clin Immunol 2003 112 : 196 201.
30. Benhamou AH, Zamora SA, Eigenmann PA. Correlation between specific immunoglobulin E levels and the severity of reactions in egg allergic patients. Pediatr Allergy Immunol 2008 19 : 173 9.
31. Wright T, Meyer R. Milk and eggs. In : Skypala I, Venter C, eds. Food hypersensitivity.
32. Vance GH, Grimshaw KE, Briggs R et al. Serum ovalbumin-specific immunoglobulin G responses during pregnancy reflect maternal intake of dietary egg and relate to the development of allergy in early infancy. Clin Exp Allergy 2004 34 : 1855 61.
33. Palmer DJ, Gold MS, Makrides M. Effect of maternal egg consumption on breast milk ovalbumin concentration. Clin Exp Allergy 2008 38 : 1186 91.
34. Fukushima Y, Kawata Y, Onda T, Kitagawa M. Consumption of cow milk and egg by lactating women and the presence of beta-lactoglobulin and ovalbumin in breast milk. Am J Clin Nutr 1997 65 : 30 5.
35. Muraro A, Roberts G, Clark A et al. The management of anaphylaxis in childhood: position paper of the European academy of allergology and clinical immunology. Allergy 2007 62 : 857 71.
36. Boyano-Martinez T, Garcia-Ara C, az-Pena JM, Martin-Esteban M. Prediction of tolerance on the basis of quantification of egg white-specific IgE antibodies in children with egg allergy. J Allergy Clin Immunol 2002 110 : 304 9.
37. Ford RP, Taylor B. Natural history of egg hypersensitivity. Arch Dis Child 1982 57 : 649 52.
38. Savage JH, Matsui EC, Skripak JM, Wood RA. The natural history of egg allergy. J Allergy Clin Immunol 2007 120 : 1413 7.
39. Shek LP, Soderstrom L, Ahlstedt S, Beyer K, Sampson HA. Determination of food specific IgE levels over time can predict the development of tolerance in cow's milk and hen's egg allergy. J Allergy Clin Immunol 2004 114 : 387 91.
40. Urisu A, Ando H, Morita Y et al. Allergenic activity of heated and ovomucoid-depleted egg white. J Allergy Clin Immunol 1997 100 : 171 6.
41. Jarvinen KM, Beyer K, Vila L, Bardina L, Mishoe M, Sampson HA. Specificity of IgE antibodies to sequential epitopes of hen's egg ovomucoid as a marker for persistence of egg allergy. Allergy 2007 62 : 758 65.
42. Lemon-Mule H, Sampson HA, Sicherer SH, Shreffler WG, Noone S, Nowak-Wegrzyn A. Immunologic changes in children with egg allergy ingesting extensively heated egg. J Allergy Clin Immunol 2008 122 : 977 83.
43. Escudero C, Quirce S, Fernandez-Nieto M, Miguel J, Cuesta J, Sastre J. Egg white proteins as inhalant allergens associated with baker's asthma. Allergy 2003 58 : 616 20.
44. Anibarro BB, Martin EM, Martinez AF, Pascual MC, Ojeda Casas JA. Egg protein sensitization in patients with bird feather allergy. Allergy 1991 46 : 614 8.
45. Unsel M, Sin AZ, Ardeniz O et al. New onset egg allergy in an adult. J Investig Allergol Clin Immunol 2007 17 : 55 8.
46. *) is a partially heat-labile inhalant and food allergen implicated in the bird-egg syndrome. Allergy 2001 56 : 754 62.
47. Freigang B, Jadavji TP, Freigang DW. Lack of adverse reactions to measles, mumps, and rubella vaccine in egg-allergic children. Ann Allergy 1994 73 : 486 8.
48. Kramarz P, Destefano F, Gargiullo PM et al. Does influenza vaccination prevent asthma exacerbations in children? J Pediatr 2001 138 : 306 10.
49. Cates CJ, Jefferson TO, Bara AI, Rowe BH. Vaccines for preventing influenza in people with asthma. Cochrane Database Syst Rev 2004 CD000364.
50. Bueving HJ, Bernsen RM, de Jongste JC et al. Influenza vaccination in children with asthma: randomized double-blind placebo-controlled trial. Am J Respir Crit Care Med 2004 169 : 488 93.
51. Carroll W, Burkimsher R. Is there any evidence for influenza vaccination in children with asthma? Arch Dis Child 2007 92 : 644 5.
52. Chaloupka I, Schuler A, Marschall M, Meier-Ewert H. Comparative analysis of six European influenza vaccines. Eur J Clin Microbiol Infect Dis 1996 15 : 121 7.
53. Retailliau HF, Curtis AC, Storr G, Caesar G, Eddins DL, Hattwick MA. Illness after influenza vaccination reported through a nationwide surveillance system, 1976-1977. Am J Epidemiol 1980 111 : 270 8.
54. Bierman CW, Shapiro GG, Pierson WE, Taylor JW, Foy HM, Fox JP. Safety of influenza vaccination in allergic children. J Infect Dis 1977 136 (Suppl) : S652 5.
55. Ratner B, Untracht S. Egg allergy in children; incidence and evaluation in relation to chick-embryo-propagated vaccines. AMA Am J Dis Child 1952 83 : 309 16.
56. Anolik R, Spiegel W, Posner M, Jakabovics E. Influenza vaccine testing in egg sensitive patients. Ann Allergy 1992 68 : 69.
57. Miller JR, Orgel HA, Meltzer EO. The safety of egg-containing vaccines for egg-allergic patients. J Allergy Clin Immunol 1983 71 : 568 73.
58. Murphy KR, Strunk RC. Safe administration of influenza vaccine in asthmatic children hypersensitive to egg proteins. J Pediatr 1985 106 : 931 3.
59. James JM, Zeiger RS, Lester MR et al. Safe administration of influenza vaccine to patients with egg allergy. J Pediatr 1998 133 : 624 8.
60. Zeiger RS. Current issues with influenza vaccination in egg allergy. J Allergy Clin Immunol 2002 110 : 834 40.
61. Madaan A, Maddox DE. Vaccine allergy: diagnosis and management. Immunol Allergy Clin North Am 2003 23 : 555 88.
62. Kelso JM, Mootrey GT, Tsai TF. Anaphylaxis from yellow fever vaccine. J Allergy Clin Immunol 1999 103 : 698 701.
63. Mosimann B, Stoll B, Francillon C, Pecoud A. Yellow fever vaccine and egg allergy. J Allergy Clin Immunol 1995 95 : 1064.
64. Kelso JM. Raw egg allergy-a potential issue in vaccine allergy. J Allergy Clin Immunol 2000 106 : 990.
65. Patterson R, DeSwarte RD, Greenberger PA, Grammer LC. Drug allergy and protocols for management of drug allergies. N Engl Reg Allergy Proc 1986 7 : 325 42.
66. Charpin J, Vervloet D, Birnbaum J, Tafforeau M, Sentissi S. Yellow fever: desensitization to an anti-amaril 17 D vaccine performed on a patient with anaphylaxis to eggs. Bull Acad Natl Med 1987 171 : 1001 5.