Analysis of IGG4-elisa for egg white, cow's milk, soy bean, wheat, and rice in the petients with atopic dermatitis

1990 ◽  
Vol 1 (3) ◽  
pp. 232
Author(s):  
C. Suga ◽  
Z. Ikezawa ◽  
H. Komatsu ◽  
A. Sugiyama ◽  
K. Miyakawa ◽  
...  
Keyword(s):  
Atopic Dermatitis ◽  
Egg White ◽  
Cow’S Milk ◽  
Cow's Milk

scholarly journals Food and inhalation sensitization in atopic dermatitis

2021 ◽  
Vol 5 (1) ◽  
pp. 17-20
Author(s):  
E.A. Vasilyeva ◽  
◽  
Yu.E. Rusak ◽  
E.N. Efanova ◽  
L.N. Lebedeva ◽  
...  
Keyword(s):  
Atopic Dermatitis ◽  
Blood Serum ◽  
Egg Yolk ◽  
Egg White ◽  
Laboratory Research ◽  
Cow’S Milk ◽  
Food Allergens ◽  
Cow's Milk ◽  
Detection Frequency

Aim: to study the association of food and inhalation sensitization with the severity of atopic dermatitis (AtD) in order to improve its treatment and prevention methods. Patients and Methods: the study included 50 patients with AtD from 2 to 44 years old. The study included clinical and laboratory research methods. The survey analyzed the history and anamnesis vitae, estimated the age at the AtD onset, determined the nature of concomitant pathology, the possible causes of cutaneous exacerbation, the allergic severity in the family history, the severity score on the SCORAD (Scoring of Atopic Dermatitis) scale and the efficacy of previous therapy. The immunological examination consisted of the quantitative determination of specific IgE and IgG antibodies in the blood serum to inhaled and food allergens by immunochemiluminescence assay on an IMMULITE 2000 XPi analyzer. Results: according to the detection frequency of IgE to food allergens in patients with AtD: the leading positions were taken by the chicken egg (egg white in 26% of cases, egg yolk in 20%); IgE to banana was detected in 17% of cases; in 12% — to cow’s milk, more common — to the β-lactoglobulin fraction. When studying the activity of inhaled allergens, respiratory sensitization to the cat epithelium was detected in 26% of cases, and to black birch — in 24%. Hypersensitivity to herbs (wormwood, herbal mixture) and house dust allergens (8%, respectively) was found much less common. In severe AtD, IgE to respiratory allergens prevailed: at n=38, the IgE concentration to cat epithelium and black birch was 12.4±1.4 IU/mL each. Besides, there was a significant sensitization to food allergens, namely, the IgE concentration to egg white — 5.4±0.9 IU/mL. Conclusion: the study revealed the sensitization of patients with AtD to food (mainly egg white, egg yolk, banana and cow’s milk) and respiratory (mainly cat epithelium, black birch) allergens. Determination of the IgE concentration in the blood serum of patients showed that there was a significant concentration increase to egg white, cat and black birch in severe AtD. Therefore, it is advisable to test for specific allergens in all patients with moderate to severe AtD. KEYWORDS: food sensitization, inhalation sensitization, atopic dermatitis, allergy, allergens, antibodies, immunochemiluminescence assay, IgE, triggers. FOR CITATION: Vasilyeva E.A., Rusak Yu.E., Efanova E.N., Lebedeva L.N. Food and inhalation sensitization in atopic dermatitis. Russian Medical Inquiry. 2021;5(1):17–20. DOI: 10.32364/2587-6821-2021-5-1-17-20.

scholarly journals Agreement between the Skin Prick Test and Specific Serum IgE for Egg White and Cow's Milk Allergens in Young Infant with Atopic Dermatitis

2014 ◽  
Vol 63 (2) ◽  
pp. 235-242 ◽  
Author(s):  
Hyeon-Jong Yang ◽  
Min-ju Park ◽  
Seo Young Youn ◽  
Sangsoo Yoo ◽  
Taek Ki Min ◽  
...  
Keyword(s):  
Atopic Dermatitis ◽  
Skin Prick Test ◽  
Young Infant ◽  
Egg White ◽  
Cow’S Milk ◽  
Serum Ige ◽  
Prick Test ◽  
Cow's Milk ◽  
Specific Serum

scholarly journals Cow’s milk exposure and atopic dermatitis after six months of age

2017 ◽  
Vol 56 (6) ◽  
pp. 325
Author(s):  
Surya Jayanti Kadek ◽  
Dewi Kumara Wati Ketut ◽  
Karyana Putu Gede
Keyword(s):  
Atopic Dermatitis ◽  
Maternal Diet ◽  
Multiple Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Cow’S Milk ◽  
Milk Formula ◽  
Sectional Study ◽  
Cross Sectional ◽  
Cow's Milk ◽  
Study Population

Background About 60% of individuals with atopic dermatitis (AD) develop their first manifestation during infancy. Cow’s milk (CM) exposure is considered to be a risk factor for AD.Objective To evaluate for an association between cow’s milk exposure and atopic dermatitis in infants > 6 months of age.  Methods This cross-sectional study consisted of subjects from a previous study and new subjects recruited in order to meet the minimum required number of subjects. Our study population comprised 120 infants, born between 1 February and 30 November, 2012 in Sanglah Hospital, Denpasar. Subjects were divided into CM and non-CM groups and analyzed for their risk of AD. Subjects were included to CM group if they were fed with cow’s milk/formula  and included to non-CM group if they were breastfeed exclusively in the first six months of life. Other possible risk factors were assessed by multivariate analysis. Results One hundred twenty subjects were enrolled and analyzed (59 in the CM and 61 in the non-CM groups). The prevalence of AD was 30%. Multiple logistic regression analysis revealed a significant association between CM exposure and AD, with odds ratio (OR) 2.37 (95%CI 1.036 to 5.420; P=0.04). In addition, maternal diet including eggs and/or cow’s milk during the breastfeeding period was significantly associated with AD in infants (OR 3.18; 95%CI 1.073 to 9.427; P=0.04).Conclusion Cow’s milk exposure is significantly associated with atopic dermatitis in infants  > six months of age. 

scholarly journals The Effectiveness of Probiotic Lactobacillus rhamnosus and Lactobacillus casei Strains in Children with Atopic Dermatitis and Cow’s Milk Protein Allergy: A Multicenter, Randomized, Double Blind, Placebo Controlled Study

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1169
Author(s):  
Bożena Cukrowska ◽  
Aldona Ceregra ◽  
Elżbieta Maciorkowska ◽  
Barbara Surowska ◽  
Maria Agnieszka Zegadło-Mylik ◽  
...  
Keyword(s):  
Atopic Dermatitis ◽  
Lactobacillus Casei ◽  
Milk Protein ◽  
Lactobacillus Rhamnosus ◽  
Cow’S Milk ◽  
Controlled Study ◽  
Symptom Improvement ◽  
Cow's Milk ◽  
Probiotic Preparation ◽  
Cow’S Milk Protein

Probiotics seem to have promising effects in the prevention and treatment of allergic conditions including atopic dermatitis (AD) and food allergy. The purpose of this multicenter randomized placebo-controlled trial was to evaluate the effectiveness of a probiotic preparation comprising Lactobacillus rhamnosus ŁOCK 0900, Lactobacillus rhamnosus ŁOCK 0908, and Lactobacillus casei ŁOCK 0918 in children under 2 years of age with AD and a cow’s milk protein (CMP) allergy. The study enrolled 151 children, who—apart from being treated with a CMP elimination diet—were randomized to receive the probiotic preparation at a daily dose of 109 bacteria or a placebo for three months, with a subsequent nine-month follow-up. The primary outcomes included changes in AD symptom severity assessed with the scoring AD (SCORAD) index and in the proportion of children with symptom improvement (a SCORAD score decreased by at least 30% in comparison with that at baseline). After the three-month intervention, both the probiotic and placebo groups showed a significant (p < 0.0001) decrease in SCORAD scores, which was maintained nine months later. The percentage of children who showed improvement was significantly higher in the probiotic than in the placebo group (odds ratio (OR) 2.56; 95% confidence interval (CI) 1.13–5.8; p = 0.012) after three months. Probiotics induced SCORAD improvement mainly in allergen sensitized patients (OR 6.03; 95% CI 1.85–19.67, p = 0.001), but this positive effect was not observed after nine months. The results showed that the mixture of probiotic ŁOCK strains offers benefits for children with AD and CMP allergy. Further research is necessary to assess the effect of probiotic supplementation on the development of immune tolerance. (ClinicalTrials.gov NCT04738565)

scholarly journals The Role of Radioallergosorbent Testing (RAST) Early in the Management of Atopic Dermatitis in Children and Adults Referred to Secondary Care in the United Kingdom

2019 ◽  
Vol 4 (2) ◽  
Keyword(s):  
Atopic Dermatitis ◽  
House Dust ◽  
House Dust Mite ◽  
Secondary Care ◽  
High Serum ◽  
Cow’S Milk ◽  
Clinical Test ◽  
Cow's Milk ◽  
The United Kingdom ◽  
Dust Mite

Aim: To evaluate the importance and relevance of doing radioallegrosorbent testing (RAST) for patients referred with atopic dermatitis (AD) to secondary care for specialist dermatological advice and investigation. Background: Atopic dermatitis is usually diagnosed by Primary Care General Practitioners and treated using a stepped approach. Referral to secondary care is considered when it is not controlled with optimal treatment or if an allergy is suspected. Radioallegrosorbent testing is useful for identifying trigger factors however current literature lacks evidence for the extent to which RAST testing can improve patient symptoms. Method: Standard RAST testing was requested for all patients referred to secondary care with atopic dermatitis. Allergens tested included: dairy products, house dust mite, grass, nuts, seafood, cereals, dog dander and cat epithelium. Results: RAST results showed that 92.3% of children and 60.7% of adults had high total lgE levels. The proportion of children with high serum specific lgE for the allergens tested were as follows: house dust mite (60.4%), grass (50%), dairy/cow’s milk (39.5%), nuts (29.1%), dog dander (16.6%), cat epithelium (12.5%), egg (10.4%), fish/seafood (6.2%), wheat (6.2%), and soya (2.0%). The results for the adults tested were as follows: house dust mite (64.7%), grass (58.8%), cat epithelium (29%), dog dander (23%), nuts (11.7%), egg (11.7%), cow’s milk/dairy (5.8%), wheat/ soya (0%). On follow-up, all patients reported an improvement in their AD after implementing allergen avoidance strategies. Conclusions: RAST testing is a valuable clinical test that should be considered early to investigate patients with AD for relevant allergens that may be exacerbating their symptoms and causing resistance to first line treatment.

scholarly journals Influence of Atopic Dermatitis on Cow’s Milk Allergy in Children

Medicina ◽  
2019 ◽  
Vol 55 (8) ◽  
pp. 460 ◽  
Author(s):  
Arianna Giannetti ◽  
Francesca Cipriani ◽  
Valentina Indio ◽  
Marcella Gallucci ◽  
Carlo Caffarelli ◽  
...  
Keyword(s):  
Atopic Dermatitis ◽  
Complex Disease ◽  
Allergic Sensitization ◽  
Skin Barrier ◽  
Specific Ige ◽  
Point Of View ◽  
Cow’S Milk ◽  
Skin Barrier Function ◽  
Cow's Milk ◽  
Significant Difference

Background and Objectives: Cow’s milk protein allergy (CMA) is the most common allergy in children. The natural history of CMA is generally favorable and the majority of children reach tolerance during childhood, even if studies show variable results. Atopic dermatitis (AD) is a complex disease from an immunological point of view. It is characterized by an impaired skin barrier function and is often the first clinical manifestation of the so-called “atopic march”. The aim of our study is to evaluate, in a cohort of children with CMA, if the presence of AD in the first months of life can influence the atopic status of patients, the tolerance acquisition to cow’s milk, the level of specific IgE (sIgE), and the sensitization towards food and/or inhalant allergens. Materials and Methods: We enrolled 100 children with a diagnosis of CMA referred to our Pediatric Allergology Unit, aged 1–24 months at the time of the first visit. Results: 71 children had AD and 29 did not. The mean follow-up was 5.28 years. The CMA manifestations were mainly cutaneous, especially in children with AD (91.6% vs. 51.7%; P < 0.001). Patients with AD showed higher rates of polysensitization to foods and higher levels of both total IgE and sIgE for milk, casein, wheat, peanuts, and cat dander at different ages when compared to patients without AD. We analyzed the presence of IgE sensitization for the main foods and inhalants at various ages in the two groups of patients: a statistically significant difference emerged in the two groups of patients for milk, yolk and egg white, hazelnut, peanuts, soybean, grass pollen and cat dander. Meanwhile, we did not find significant differences in terms of tolerance acquisition toward cow’s milk, which was nonetheless reached around 5 years of age in 61% of patients. The level of cow’s milk sIgE at the age of 5 years was significantly higher in the group of patients who did not acquire tolerance (38.38 vs. 5.22 kU/L; P < 0.0001). Conclusions: An early barrier deficiency appears to promote the development of allergic sensitization, but does not seem to influence the acquisition of tolerance.

Sign in / Sign up

Export Citation Format

Share Document