PMID- 29393170 OWN - NLM STAT- MEDLINE DCOM- 20180503 LR - 20180503 IS - 1423-0097 (Electronic) IS - 1018-2438 (Linking) VI - 175 IP - 3 DP - 2018 TI - Predictors of Persistent Milk Allergy in Children: A Retrospective Cohort Study. PG - 177-180 LID - 10.1159/000486311 [doi] AB - BACKGROUND: Cow's milk (CM) allergy is the second most common food allergy developed during infancy in Japan. To identify predictors of persistent CM allergy, we investigated the tolerance acquisition rate based on an oral food challenge in children under 6 years of age, diagnosed with immediate-type CM allergy. METHODS: This retrospective cohort study included 131 children born in 2005 with a history of immediate allergic reaction to CM, of whom 39 were excluded because of ongoing oral immunotherapy (n = 18) or a lack of follow-up data (n = 21). The 92 remaining participants were followed for 6 years. Tolerance was defined as no adverse reaction to 200 mL of CM and regular intake of milk at home. Subjects were divided into 3 groups based on age at tolerance acquisition: group I (<3 years; n = 31), group II (3-6 years; n = 42), and group III (persistent allergic group; n = 19). RESULTS: Tolerance acquisition rates by 3, 5, and 6 years of age were 32.6% (30/92), 64.1% (59/92), and 84.8% (70/92), respectively. Age at first hospital visit was significantly higher in groups II and III than in group I (p < 0.001). The incidence of anaphylaxis to other foods was also higher in group III than in group I (p = 0.04), as was CM-induced anaphylaxis (p = 0.03). Furthermore, milk and casein-specific immunoglobulin E (IgE) levels were significantly higher in group III than in group II after birth and remained high thereafter (p < 0.05). CONCLUSIONS: The history of anaphylaxis and high milk-specific IgE levels were associated with persistent CM allergy. CI - (c) 2018 S. Karger AG, Basel. FAU - Koike, Yumi AU - Koike Y AD - Clinical Research Center for Allergy and Rheumatology, Sagamihara National Hospital, Kanagawa, Japan. AD - Department of General Pediatrics, Nagano Children's Hospital, Nagano, Japan. FAU - Sato, Sakura AU - Sato S AD - Clinical Research Center for Allergy and Rheumatology, Sagamihara National Hospital, Kanagawa, Japan. FAU - Yanagida, Noriyuki AU - Yanagida N AD - Department of Pediatrics, Sagamihara National Hospital, Kanagawa, Japan. FAU - Asaumi, Tomoyuki AU - Asaumi T AD - Department of Pediatrics, Sagamihara National Hospital, Kanagawa, Japan. FAU - Ogura, Kiyotake AU - Ogura K AD - Department of Pediatrics, Sagamihara National Hospital, Kanagawa, Japan. FAU - Ohtani, Kiyotaka AU - Ohtani K AD - Clinical Research Center for Allergy and Rheumatology, Sagamihara National Hospital, Kanagawa, Japan. AD - Department of Pediatrics, Sagamihara Kyodo Hospital, Kanagawa, Japan. FAU - Imai, Takanori AU - Imai T AD - Department of Pediatrics, Showa University School of Medicine, Tokyo, Japan. FAU - Ebisawa, Motohiro AU - Ebisawa M AD - Clinical Research Center for Allergy and Rheumatology, Sagamihara National Hospital, Kanagawa, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180123 PL - Switzerland TA - Int Arch Allergy Immunol JT - International archives of allergy and immunology JID - 9211652 RN - 0 (Biomarkers) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Anaphylaxis/etiology MH - Biomarkers/blood MH - Child MH - Child, Preschool MH - Disease Progression MH - Female MH - Follow-Up Studies MH - Humans MH - Immune Tolerance MH - Immunoglobulin E/blood MH - Infant MH - Infant, Newborn MH - Male MH - Milk Hypersensitivity/blood/diagnosis/*immunology MH - Remission, Spontaneous MH - Retrospective Studies MH - Risk Factors OTO - NOTNLM OT - Cow's milk OT - Food hypersensitivity OT - Immunoglobulin E OT - Oral food challenge OT - Tolerance acquisition EDAT- 2018/02/03 06:00 MHDA- 2018/05/04 06:00 CRDT- 2018/02/03 06:00 PHST- 2017/05/31 00:00 [received] PHST- 2017/12/13 00:00 [accepted] PHST- 2018/02/03 06:00 [pubmed] PHST- 2018/05/04 06:00 [medline] PHST- 2018/02/03 06:00 [entrez] AID - 000486311 [pii] AID - 10.1159/000486311 [doi] PST - ppublish SO - Int Arch Allergy Immunol. 2018;175(3):177-180. doi: 10.1159/000486311. Epub 2018 Jan 23.