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The natural history of milk allergy in an observational cohort

Wood, Robert A., MD ; Sicherer, Scott H., MD ; Vickery, Brian P., MD ; Jones, Stacie M., MD ; Liu, Andrew H., MD ; Fleischer, David M., MD ; Henning, Alice K., MS ; Mayer, Lloyd, MD ; Burks, A. Wesley, MD ; Grishin, Alexander, PhD ; Stablein, Donald, PhD ; Sampson, Hugh A., MD

Journal of allergy and clinical immunology, 2013-03, Vol.131 (3), p.805-812.e4 [Periódico revisado por pares]

New York, NY: Mosby, Inc

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Título:
The natural history of milk allergy in an observational cohort
Autor: Wood, Robert A., MD ; Sicherer, Scott H., MD ; Vickery, Brian P., MD ; Jones, Stacie M., MD ; Liu, Andrew H., MD ; Fleischer, David M., MD ; Henning, Alice K., MS ; Mayer, Lloyd, MD ; Burks, A. Wesley, MD ; Grishin, Alexander, PhD ; Stablein, Donald, PhD ; Sampson, Hugh A., MD
Assuntos: Age ; Allergic diseases ; Allergies ; Allergy and Immunology ; Animals ; Atopic dermatitis ; Biological and medical sciences ; CD25 antigen ; Child, Preschool ; Children ; Dermatitis, Atopic - diagnosis ; Dermatitis, Atopic - epidemiology ; Dermatitis, Atopic - immunology ; Digestive allergic diseases ; Female ; Food allergies ; food allergy ; Food hypersensitivity ; Forkhead protein ; Fundamental and applied biological sciences. Psychology ; Fundamental immunology ; GATA-3 protein ; Humans ; Hypersensitivity ; IgE ; Immune Tolerance ; Immunoglobulin E ; Immunoglobulin E - blood ; Immunoglobulin G ; Immunoglobulin G - blood ; Immunopathology ; Infant ; Infants ; Interleukin 10 ; Interleukin 4 ; Leukocytes (mononuclear) ; Leukocytes, Mononuclear - immunology ; Longitudinal Studies ; Male ; Medical sciences ; Milk ; Milk - adverse effects ; Milk - immunology ; Milk allergy ; Milk Hypersensitivity - diagnosis ; Milk Hypersensitivity - epidemiology ; Milk Hypersensitivity - immunology ; natural history ; Polymerase chain reaction ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis ; Skin Tests ; Studies
É parte de: Journal of allergy and clinical immunology, 2013-03, Vol.131 (3), p.805-812.e4
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
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These authors contributed equally to this manuscript.
Descrição: Objective There are few studies on the natural history of milk allergy. Most are single-site and not longitudinal, and these have not identified a means for early prediction of outcomes. Methods Children aged 3 to 15 months were enrolled in an observational study with either (1) a convincing history of egg allergy, milk allergy, or both with a positive skin prick test (SPT) response to the trigger food and/or (2) moderate-to-severe atopic dermatitis (AD) and a positive SPT response to milk or egg. Children enrolled with a clinical history of milk allergy were followed longitudinally, and resolution was established by means of successful ingestion. Results The cohort consists of 293 children, of whom 244 were given a diagnosis of milk allergy at baseline. Milk allergy has resolved in 154 (52.6%) subjects at a median age of 63 months and a median age at last follow-up of 66 months. Baseline characteristics that were most predictive of resolution included milk-specific IgE level, milk SPT wheal size, and AD severity (all P < .001). Baseline milk-specific IgG4 level and milk IgE/IgG4 ratio were not predictive of resolution and neither was expression of cytokine-inducible SH2-containing protein, forkhead box protein 3, GATA3, IL-10, IL-4, IFN-γ, or T-bet by using real-time PCR in CD25-selected, casein-stimulated mononuclear cells. A calculator to estimate resolution probabilities using baseline milk IgE level, SPT response, and AD severity was devised for use in the clinical setting. Conclusions In this cohort of infants with milk allergy, approximately one half had resolved over 66 months of follow-up. Baseline milk-specific IgE level, SPT wheal size, and AD severity were all important predictors of the likelihood of resolution.
Editor: New York, NY: Mosby, Inc
Idioma: Inglês

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The natural history of milk allergy in an observational cohort

Wood, Robert A., MD ; Sicherer, Scott H., MD ; Vickery, Brian P., MD ; Jones, Stacie M., MD ; Liu, Andrew H., MD ; Fleischer, David M., MD ; Henning, Alice K., MS ; Mayer, Lloyd, MD ; Burks, A. Wesley, MD ; Grishin, Alexander, PhD ; Stablein, Donald, PhD ; Sampson, Hugh A., MD

New York, NY: Mosby, Inc

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