PMID- 31018894 OWN - NLM STAT- MEDLINE DCOM- 20200420 LR - 20200420 IS - 1539-6304 (Electronic) IS - 1088-5412 (Linking) VI - 40 IP - 3 DP - 2019 May 1 TI - A new score to predict allergic march in patients with IgE-mediated cow milk allergy. PG - 187-192 LID - 10.2500/aap.2019.40.4208 [doi] AB - Background: Cow milk allergy (CMA) is the most common food allergy in infants. Some patients will express, in the future, other allergic diseases (allergic march). Objective: To evaluate if a new scoring system could determine the risk of developing allergic march. Methods: A retrospective observational cohort study of subjects who were immunoglobulin E (IgE) mediated was conducted. We defined a risk score for atopy (RSA), including clinical and laboratory variables. Three risk groups were defined according to the RSA. We defined as dependent variables atopy (one or more allergic diseases) and atopy+ (two or more allergic diseases). A multivariate logistic regression model was created, which included RSA and the type of formula (high-grade extended hydrolyzed formula [EHF] with Lactobacillus rhamnosus GG (LGG), high-grade EHF without LGG, and other formulas). Results: A total of 211 patients were recruited. When we analyzed the risk of atopy+, we found an increased risk for RSA intermediate-risk (odds ratio [OR 2.08] [95% confidence interval CI, 0.95-4.56) and high-risk (OR 24.74 [95% CI, 6.26-97.73]) groups, and a decreased risk for the subjects fed with high-grade EHF (OR 0.42 [95% CI, 0.20-0.87]) and also in those subjects fed with high-grade EHF plus LGG (OR 0.30 [95% CI, 0.09-0.98]). Conclusion: RSA is a simple and useful tool to predict the risk of developing other allergic diseases in patients with IgE-mediated CMA. FAU - Gil, Francisco AU - Gil F FAU - Mendizabal, Mikel AU - Mendizabal M FAU - Amezqueta, Ana AU - Amezqueta A FAU - Aznal, Elena AU - Aznal E FAU - Dura, Teodoro AU - Dura T FAU - Sanchez-Valverde, Felix AU - Sanchez-Valverde F LA - eng PT - Journal Article PL - United States TA - Allergy Asthma Proc JT - Allergy and asthma proceedings JID - 9603640 RN - 0 (Allergens) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adolescent MH - Allergens/*immunology MH - Animals MH - Cattle MH - Child MH - Female MH - Humans MH - Hydrolysis MH - Immunoglobulin E/blood/*immunology MH - Male MH - Milk/*adverse effects MH - Milk Hypersensitivity/diagnosis/*immunology MH - Probiotics MH - Retrospective Studies MH - Sensitivity and Specificity MH - Severity of Illness Index MH - Young Adult EDAT- 2019/04/26 06:00 MHDA- 2020/04/21 06:00 CRDT- 2019/04/26 06:00 PHST- 2019/04/26 06:00 [entrez] PHST- 2019/04/26 06:00 [pubmed] PHST- 2020/04/21 06:00 [medline] AID - 10.2500/aap.2019.40.4208 [doi] PST - ppublish SO - Allergy Asthma Proc. 2019 May 1;40(3):187-192. doi: 10.2500/aap.2019.40.4208.