PMID- 11737675 OWN - NLM STAT- MEDLINE DCOM- 20020226 LR - 20191105 IS - 0905-6157 (Print) IS - 0905-6157 (Linking) VI - 12 IP - 5 DP - 2001 Oct TI - Positive skin and oral challenge responses to potato and occurrence of immunoglobulin E antibodies to patatin (Sol t 1) in infants with atopic dermatitis. PG - 283-8 AB - The clinical significance and molecular specificity of hypersensitivity reactions to raw and cooked potatoes remain ambiguous. We therefore investigated the clinical hypersensitivity to raw and cooked potato in infants suspected to have potato allergy and compared the findings with the occurrence of immunoglobulin E (IgE) antibodies to patatin (Sol t 1), characterized as the primary allergen of potato. Twelve infants (10 to 24 months of age) suffering from atopic dermatitis (AD) and suspected to have adverse reactions to potato, were examined. As a skin exposure test we used rubbing with both raw and cooked potato, and used open oral challenge with cooked potato for 7 days. A special eczema scoring system (SCORAD) was used to assess the severity of symptoms and signs of AD. Skin-prick tests (SPTs) were performed with raw potato and natural Sol t 1, and serological studies included measurement of total serum IgE and IgE antibodies to Sol t 1, and potato radioallergosorbent testing (RAST). The skin-rubbing test with raw potato was positive in seven (58%) and the oral challenge positive in eight (67%) infants. One infant presented with an immediate reaction and seven with a delayed reaction, i.e. exacerbation of AD, after oral challenge responses to cooked potato. Nine (75%) infants had IgE antibodies to Sol t 1 in enzyme-linked immunosorbent assay (ELISA), and SPT to natural Sol t 1 was positive in six (50%) potato-allergic infants. In conclusion, we observed positive challenge responses to both raw and cooked potato in food-allergic atopic infants. The presence of IgE antibodies and concomitant positive SPTs to the heat-stable potato allergen, Sol t 1, suggest that cooked potato can be an allergenic food for infants suffering from AD. FAU - Majamaa, H AU - Majamaa H AD - Department of Dermatology, Tampere University Hospital and University of Tampere, Finland. heli.majamaa@tays.fi FAU - Seppala, U AU - Seppala U FAU - Palosuo, T AU - Palosuo T FAU - Turjanmaa, K AU - Turjanmaa K FAU - Kalkkinen, N AU - Kalkkinen N FAU - Reunala, T AU - Reunala T LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Pediatr Allergy Immunol JT - Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology JID - 9106718 RN - 0 (Allergens) RN - 0 (Antibodies, Anti-Idiotypic) RN - 0 (Plant Proteins) RN - 0 (anti-IgE antibodies) RN - 0 (patatin protein, Solanum tuberosum) RN - EC 3.1.1.- (Carboxylic Ester Hydrolases) SB - IM MH - Administration, Oral MH - Allergens/*adverse effects/*immunology MH - Antibodies, Anti-Idiotypic/*immunology MH - Carboxylic Ester Hydrolases/*immunology MH - Dermatitis, Atopic/*immunology MH - Double-Blind Method MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Food Hypersensitivity/*immunology MH - Humans MH - Immunoblotting MH - Infant MH - Infant Welfare MH - Male MH - Plant Proteins/*immunology MH - Radioallergosorbent Test MH - Skin/*immunology MH - Skin Tests MH - Solanum tuberosum/*adverse effects EDAT- 2001/12/12 10:00 MHDA- 2002/02/28 10:01 CRDT- 2001/12/12 10:00 PHST- 2001/12/12 10:00 [pubmed] PHST- 2002/02/28 10:01 [medline] PHST- 2001/12/12 10:00 [entrez] AID - 096 [pii] AID - 10.1034/j.1399-3038.2001.00096.x [doi] PST - ppublish SO - Pediatr Allergy Immunol. 2001 Oct;12(5):283-8. doi: 10.1034/j.1399-3038.2001.00096.x.