PMID- 26666473 OWN - NLM STAT- MEDLINE DCOM- 20161219 LR - 20170916 IS - 1440-1592 (Electronic) IS - 1323-8930 (Linking) VI - 65 IP - 2 DP - 2016 Apr TI - Natural history of immediate-type hen's egg allergy in Japanese children. PG - 153-157 LID - S1323-8930(15)00201-4 [pii] LID - 10.1016/j.alit.2015.10.005 [doi] AB - BACKGROUND: Hen's egg (HE) allergy develops during infancy. We investigated tolerance acquisition in Japanese children allergic to HE aging <6 years. METHODS: In this retrospective study, 226 children born in 2005 with a history of immediate-type HE allergy underwent an oral food challenge (OFC). Tolerance was defined as no reaction to an OFC with half of whole heated HE or accidental HE consumption at home. Participants were divided into three groups based on age at tolerance acquisition: group I (<3 years) (n = 66), group II (3-6 years) (n = 98), and group III (prolonged allergic groups) (n = 62). RESULTS: Tolerance acquisition occurred in 30% (66/226) by 3 years of age, 59% (133/226) by 5 years of age, and 73% (164/226) at 6 years of age. At 3 years, incidences of allergy-related complications (bronchial asthma, p = 0.02; atopic dermatitis, p = 0.04) were higher in the group III than in the group I. Anaphylaxis to any food occurred more frequently in the group III than in the group I (p = 0.03); anaphylaxis to HE was more common in the group III (p = 0.04). Egg white (EW)- and ovomucoid (OM)-specific immunoglobulin E (IgE) levels were higher in the group III than in the group I (p < 0.05). CONCLUSIONS: The group III experienced HE-related anaphylaxis and complications more frequently and exhibited sustained, high EW- and OM-specific IgE levels. CI - Copyright (c) 2015 Japanese Society of Allergology. Production and hosting by Elsevier B.V. All rights reserved. FAU - Ohtani, Kiyotaka AU - Ohtani K AD - Clinical Research Center for Allergy and Rheumatology, Sagamihara National Hospital, Kanagawa, Japan; Department of Pediatrics, Sagamihara Kyodo Hospital, Kanagawa, Japan. FAU - Sato, Sakura AU - Sato S AD - Clinical Research Center for Allergy and Rheumatology, Sagamihara National Hospital, Kanagawa, Japan. FAU - Syukuya, Akinori AU - Syukuya A AD - Futaba Kodomo Clinic, Tokyo, Japan. FAU - Asaumi, Tomoyuki AU - Asaumi T AD - Department of Pediatrics, Sagamihara National Hospital, Kanagawa, Japan. FAU - Ogura, Kiyotake AU - Ogura K AD - Clinical Research Center for Allergy and Rheumatology, Sagamihara National Hospital, Kanagawa, Japan. FAU - Koike, Yumi AU - Koike Y AD - Department of General Medicine, Nagano Children's Hospital, Nagano, Japan. FAU - Iikura, Katsuhito AU - Iikura K AD - Department of Pediatrics, Sagamihara National Hospital, Kanagawa, Japan. FAU - Yanagida, Noriyuki AU - Yanagida N AD - Department of Pediatrics, Sagamihara National Hospital, Kanagawa, Japan. FAU - Imai, Takanori AU - Imai T AD - Clinical Research Center for Allergy and Rheumatology, Sagamihara National Hospital, Kanagawa, Japan; Department of Pediatrics, Showa University, Tokyo, Japan. FAU - Ebisawa, Motohiro AU - Ebisawa M AD - Clinical Research Center for Allergy and Rheumatology, Sagamihara National Hospital, Kanagawa, Japan. Electronic address: m-ebisawa@sagamihara-hosp.gr.jp. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20151128 PL - England TA - Allergol Int JT - Allergology international : official journal of the Japanese Society of Allergology JID - 9616296 RN - 0 (Allergens) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Allergens/immunology MH - Animals MH - *Chickens MH - Child MH - Child, Preschool MH - Egg Hypersensitivity/*epidemiology/immunology MH - Egg White/adverse effects MH - Eggs/*adverse effects MH - Female MH - Humans MH - Immune Tolerance MH - Immunoglobulin E/blood/immunology MH - Incidence MH - Infant MH - Infant, Newborn MH - Japan/epidemiology MH - Male MH - Retrospective Studies MH - Risk Factors OTO - NOTNLM OT - Egg white-specific immunoglobulin E (IgE) antibodies OT - Hen's egg OT - Oral food challenge OT - Ovomucoid-specific IgE OT - Tolerance acquisition EDAT- 2015/12/17 06:00 MHDA- 2016/12/20 06:00 CRDT- 2015/12/16 06:00 PHST- 2015/05/14 00:00 [received] PHST- 2015/10/09 00:00 [revised] PHST- 2015/10/14 00:00 [accepted] PHST- 2015/12/16 06:00 [entrez] PHST- 2015/12/17 06:00 [pubmed] PHST- 2016/12/20 06:00 [medline] AID - S1323-8930(15)00201-4 [pii] AID - 10.1016/j.alit.2015.10.005 [doi] PST - ppublish SO - Allergol Int. 2016 Apr;65(2):153-157. doi: 10.1016/j.alit.2015.10.005. Epub 2015 Nov 28.