UM  > Faculty of Health Sciences
Residential Collegefalse
Status已發表Published
Component-Resolved Analyses for Diagnosis of Food Allergies in Infants and Young Children in Southern China
An,Nairui1,2; Gan,Hui1,2; Huang,Zhifeng1,2; Zhang,Teng3; Cheng,Zhangkai J.1,2; Zhu,Huiqing1,2; Liu,Tingting1,2; Lin,Xiaomin1,2; Sun,Baoqing1,2
2023-03-30
Source PublicationInternational Archives of Allergy and Immunology
ISSN1018-2438
Volume184Issue:7Pages:668-680
Abstract

Introduction: Chicken eggs and cow's milk are two of the most common foods that cause allergic reactions in infants and young children, and there is a lack of precise diagnostic methods to identify the allergic state of these patients. The recently developed food allergen component-resolved diagnosis (CRD) may be a more accurate diagnosis method for food allergies. Methods: One hundred children sensitized to egg white and milk crude extracts and diagnosed with or suspected allergic disease were included. The specific immunoglobulin E (sIgE) (s) of animal food allergen crude extracts (egg yolk, milk, shrimp, crab, cod, beef) and the main components of egg white and milk were tested. The sensitization characteristics, cross-reactivity, and clinical relevance were analyzed. Results: The results of egg white-sensitized patients showed that ovalbumin (Gal d 2) had the highest positive rate of 100%. Compared with other pairwise combinations of egg allergens, the combination of egg white and Gal d 2 had higher diagnostic accuracy, with an AUC of 0.876 (95% CI: 0.801-0.951), a sensitivity of 88.9%, and a specificity of 75.9%. The positive rates of beta-lactoglobulin (Bos d 5) and alpha-lactoglobulin (Bos d 4) in the milk-sensitized children were comparable, 92% and 91%, respectively. The combination of crude milk extract and Bos d 4 had the highest diagnostic accuracy, with an AUC of 0.969 (95% CI: 0.938-0.999), a sensitivity of 100%, and a specificity of 82.7%. Conclusion: Among these subjects, our study found the main allergenic component of egg white was Gal d 2, and the main allergenic components of milk were Bos d 4 and Bos d 5. CRD may help identify egg/milk allergies and non-allergies.

KeywordEgg White Milk Component-resolved Diagnosis Infants And Young Children Cross-sensitization
DOI10.1159/000529305
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaAllergy ; Immunology
WOS SubjectAllergy ; Immunology
WOS IDWOS:000963377300001
PublisherKARGER, ALLSCHWILERSTRASSE 10, CH-4009 BASEL, SWITZERLAND
Scopus ID2-s2.0-85153363064
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionFaculty of Health Sciences
Corresponding AuthorAn,Nairui; Sun,Baoqing
Affiliation1.Department of Allergy and Clinical Immunology, National Center for Respiratory Medicine, State Key Laboratory of Respiratory Disease, Guangzhou, China
2.National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
3.Faculty of Health Sciences,University of Macau,Taipa,Macao
Recommended Citation
GB/T 7714
An,Nairui,Gan,Hui,Huang,Zhifeng,et al. Component-Resolved Analyses for Diagnosis of Food Allergies in Infants and Young Children in Southern China[J]. International Archives of Allergy and Immunology, 2023, 184(7), 668-680.
APA An,Nairui., Gan,Hui., Huang,Zhifeng., Zhang,Teng., Cheng,Zhangkai J.., Zhu,Huiqing., Liu,Tingting., Lin,Xiaomin., & Sun,Baoqing (2023). Component-Resolved Analyses for Diagnosis of Food Allergies in Infants and Young Children in Southern China. International Archives of Allergy and Immunology, 184(7), 668-680.
MLA An,Nairui,et al."Component-Resolved Analyses for Diagnosis of Food Allergies in Infants and Young Children in Southern China".International Archives of Allergy and Immunology 184.7(2023):668-680.
Files in This Item:
There are no files associated with this item.
Related Services
Recommend this item
Bookmark
Usage statistics
Export to Endnote
Google Scholar
Similar articles in Google Scholar
[An,Nairui]'s Articles
[Gan,Hui]'s Articles
[Huang,Zhifeng]'s Articles
Baidu academic
Similar articles in Baidu academic
[An,Nairui]'s Articles
[Gan,Hui]'s Articles
[Huang,Zhifeng]'s Articles
Bing Scholar
Similar articles in Bing Scholar
[An,Nairui]'s Articles
[Gan,Hui]'s Articles
[Huang,Zhifeng]'s Articles
Terms of Use
No data!
Social Bookmark/Share
All comments (0)
No comment.
 

Items in the repository are protected by copyright, with all rights reserved, unless otherwise indicated.