PMID- 23610604 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20130508 LR - 20211021 IS - 1976-1457 (Print) IS - 2005-6168 (Electronic) IS - 1976-1457 (Linking) VI - 7 IP - 2 DP - 2013 Apr TI - Characterization of food allergies in patients with atopic dermatitis. PG - 115-21 LID - 10.4162/nrp.2013.7.2.115 [doi] AB - We examined the characteristics of food allergy prevalence and suggested the basis of dietary guidelines for patients with food allergies and atopic dermatitis. A total of 2,417 patients were enrolled in this study. Each subject underwent a skin prick test as well as serum immunoglobulin E (IgE) measurement. A double-blind, placebo-controlled food challenge was conducted using milk, eggs, wheat, and soybeans, and an oral food challenge was performed using beef, pork, and chicken. Food allergy prevalence was found among 50.7% in patients with atopic dermatitis. Among patients with food allergies (n = 1,225), the prevalence of non-IgE-mediated food allergies, IgE-mediated food allergies, and mixed allergies was discovered in 94.9%, 2.2%, and 2.9% of the patients, respectively. Food allergy prevalence, according to food item, was as follows: eggs = 21.6%, milk = 20.9%, wheat = 11.8%, soybeans = 11.7%, chicken = 11.7%, pork = 8.9% and beef = 9.2%. The total number of reactions to different food items in each patient was also variable at 45.1%, 30.6%, 15.3%, 5.8%, 2.2%, and 1.0% for 1 to 6 reactions, respectively. The most commonly seen combination in patients with two food allergies was eggs and milk. The clinical severity of the reactions observed in the challenge test, in the order of most to least severe, were wheat, beef, soybeans, milk, pork, eggs, and chicken. The minimum and maximum onset times of food allergy reactions were 0.2-24 hrs for wheat, 0.5-48 hrs for beef, 1.0-24 hrs for soybeans, 0.7-24 hrs for milk, 3.0-24 hrs for pork, 0.01-72 hrs for eggs, and 3.0-72 hrs for chicken. In our study, we examined the characteristics of seven popular foods. It will be necessary, however, to study a broader range of foods for the establishment of a dietary guideline. Our results suggest that it may be helpful to identify food allergies in order to improve symptoms in patients with atopic dermatitis. FAU - Kwon, Jaryoung AU - Kwon J AD - Department of Food and Nutrition, Hanyang University, 17 Haengdang-dong, Seongdong-gu, Seoul 133-791, Korea. FAU - Kim, Jungyun AU - Kim J FAU - Cho, Sunheui AU - Cho S FAU - Noh, Geunwoong AU - Noh G FAU - Lee, Sang Sun AU - Lee SS LA - eng PT - Journal Article DEP - 20130401 PL - Korea (South) TA - Nutr Res Pract JT - Nutrition research and practice JID - 101311052 PMC - PMC3627928 OTO - NOTNLM OT - Food allergy OT - IgE-mediated allergy OT - atopic dermatitis OT - non-IgE-mediated allergy EDAT- 2013/04/24 06:00 MHDA- 2013/04/24 06:01 PMCR- 2013/04/01 CRDT- 2013/04/24 06:00 PHST- 2012/08/28 00:00 [received] PHST- 2012/11/30 00:00 [revised] PHST- 2012/12/12 00:00 [accepted] PHST- 2013/04/24 06:00 [entrez] PHST- 2013/04/24 06:00 [pubmed] PHST- 2013/04/24 06:01 [medline] PHST- 2013/04/01 00:00 [pmc-release] AID - 10.4162/nrp.2013.7.2.115 [doi] PST - ppublish SO - Nutr Res Pract. 2013 Apr;7(2):115-21. doi: 10.4162/nrp.2013.7.2.115. Epub 2013 Apr 1.