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The natural history of egg allergy in an observational cohort

Open access
Sicherer, Scott H., Wood, Robert A., Vickery, Brian P., Jones, Stacie M., Liu, Andrew H., Fleischer, David M., Dawson, Peter, Mayer, Lloyd, Burks, A. Wesley, Grishin, Alexander, Stablein, Donald, Sampson, Hugh A.·2014·Journal of Allergy and Clinical Immunology

Abstract

Background There are few studies on the natural history of egg allergy and most are single site, not longitudinal, and have not identified early predictors of outcomes. Objective To describe the natural course of egg allergy and to identify early prognostic markers. Methods Children aged 3–15 months were enrolled in a multicenter observational study with either a convincing history of an immediate allergic reaction to egg and/or milk with a positive prick skin test (SPT) to the trigger food; and/or moderate-severe atopic dermatitis and a positive SPT to egg or milk. Children enrolled with a clinical history of egg allergy were followed longitudinally and resolution was established by successful ingestion. Results The egg-allergic cohort consists of 213 children followed to a median age of 74 months. Egg allergy resolved in 105 (49.3%), at a median age of 72 months. Factors that were most predictive of resolution included the following: initial reaction characteristics (isolated urticaria/angioedema vs other presentations), baseline egg-specific IgE level, egg SPT wheal size, atopic dermatitis severity, IgG4 and IL-4 response (all P<0.05). Numerous additional baseline clinical and demographic factors and laboratory assessments were not associated with resolution. Multivariate analysis identified baseline egg-specific IgE and initial reaction characteristics as strongly associated with resolution; a calculator to estimate resolution probabilities using these variables was established. Conclusions In this cohort of infants with egg allergy, about one half had resolved over 74 months of follow-up. Baseline egg-specific IgE and initial reaction characteristics were important predictors of the likelihood of resolution.

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Metadata

Authors
Sicherer, S. H., Wood, R. A., Vickery, B. P., Jones, S. M., Liu, A. H., Fleischer, D. M., Dawson, P., Mayer, L., Burks, A. W., Grishin, A., Stablein, D., & Sampson, H. A.
Venue
Journal of Allergy and Clinical Immunology
Publisher
Elsevier BV
Published
2014-02
Volume
133
Issue
2
Pages
492-499.e8
ISSN
0091-6749 (ISSN-L)
OpenAlex
W4297068551
Cited by
280
References
34
FWCI
19.66
Type
journal article
Language
en
Open access
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CoChat. (2026). Citation check: The natural history of egg allergy in an observational cohort. https://app.cochat.ai/papers/10.1016/j.jaci.2013.12.1041
The paper
Sicherer, S. H., Wood, R. A., Vickery, B. P., Jones, S. M., Liu, A. H., Fleischer, D. M., Dawson, P., Mayer, L., Burks, A. W., Grishin, A., Stablein, D., & Sampson, H. A. (2014). The natural history of egg allergy in an observational cohort. Journal of Allergy and Clinical Immunology. https://doi.org/10.1016/j.jaci.2013.12.1041

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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