Assessment of food allergies in patients under two years of age with skin manifestations referred to pediatric immunology and allergy outpatient clinic

Hilal Ünsal; Beyza Akalin Ertürk

Makale detayları

Assessment of food allergies in patients under two years of age with skin manifestations referred to pediatric immunology and allergy outpatient clinic

Yazarlar:

Hilal Ünsal | Beyza Akalin Ertürk

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Pediatric Immunology and Allergic Diseases

Dergi:

The European Research Journal Vol.11 Issue 2, pp.226-233

Belge Tipi:

Makale

Yayın Tarihi:

4/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001341271

pISSN:

2149-3189

Anahtar kelimeler:

Özet:

 Objectives: In the first two years of life, patients with cutaneous manifestations with suspicion of food allergy are frequently referred to clinicians in daily practice. The aim of this study was to investigate the frequency of food allergy FA in infants presenting with cutaneous manifestations. Methods: Patients aged 2 years with suspected food allergy and cutaneous manifestations who were admitted to the pediatric immunology and allergy outpatient clinic at Sincan Training and Research Hospital were included. Demographic, clinical and laboratory features of patients were recorded. The severity of atopic dermatitis AD was classified using the SCORing AD index. Results: The study included 217 children with a median age of 9.7 months IQR 5.8-13.6 55.8 males. AD 77.9 was the most common skin manifestation in all patients. Other cutaneous manifestations were urticariaangioedema 12.4 and flushing 9.7. 23 13.6 patients were classified as moderate-severe AD and 146 86.4 patients as mild AD. The age at diagnosis is lower in the moderate-severe AD group 9 months IQR 4-15 compared to the mild AD group 14 months IQR 9-18 P0.011. In all AD patients, food allergy was detected in 54 32 patients. The percentage of food allergy was higher in the moderate-severe AD group 82.6 than in the mild AD group 24 P0.001. Multiple FA was shown in 13 7.7 patients and the percentage of Multiple FA was higher in the moderate-severe AD group 21.7 than in the mild AD group 5.5 P0.018. When the most common food allergies were compared, hens egg and cows milk allergy were found to be higher in the moderate-severe AD group 56.5 vs. 47.8 than in the mild AD group 18.5 vs. 9 P0.001 and P0.001, respectively. Forty oral food challenges OFC tests were performed on patients who were found to have food sensitivity and all passed. In 58 26.7 patients, food allergy was identified and food elimination was started. In 54 24.8 patients with AD culprit food was eliminated from the diet. No food allergy was found in any patient presenting with flushing. Cows milk allergy was found in two patients and hens egg allergy in two patients who presented with urticaria. Conclusions: We identified food allergy in only one out of every four patients presenting with suspected food allergy and cutaneous manifestations. Correct evaluation of hypersensitivity reactions to foods is important to avoid unnecessary food elimination from infants diet.

 Objectives: In the first two years of life, patients with cutaneous manifestations with suspicion of food allergy are frequently referred to clinicians in daily practice. The aim of this study was to investigate the frequency of food allergy FA in infants presenting with cutaneous manifestations. Methods: Patients aged 2 years with suspected food allergy and cutaneous manifestations who were admitted to the pediatric immunology and allergy outpatient clinic at Sincan Training and Research Hospital were included. Demographic, clinical and laboratory features of patients were recorded. The severity of atopic dermatitis AD was classified using the SCORing AD index. Results: The study included 217 children with a median age of 9.7 months IQR 5.8-13.6 55.8 males. AD 77.9 was the most common skin manifestation in all patients. Other cutaneous manifestations were urticariaangioedema 12.4 and flushing 9.7. 23 13.6 patients were classified as moderate-severe AD and 146 86.4 patients as mild AD. The age at diagnosis is lower in the moderate-severe AD group 9 months IQR 4-15 compared to the mild AD group 14 months IQR 9-18 P0.011. In all AD patients, food allergy was detected in 54 32 patients. The percentage of food allergy was higher in the moderate-severe AD group 82.6 than in the mild AD group 24 P0.001. Multiple FA was shown in 13 7.7 patients and the percentage of Multiple FA was higher in the moderate-severe AD group 21.7 than in the mild AD group 5.5 P0.018. When the most common food allergies were compared, hens egg and cows milk allergy were found to be higher in the moderate-severe AD group 56.5 vs. 47.8 than in the mild AD group 18.5 vs. 9 P0.001 and P0.001, respectively. Forty oral food challenges OFC tests were performed on patients who were found to have food sensitivity and all passed. In 58 26.7 patients, food allergy was identified and food elimination was started. In 54 24.8 patients with AD culprit food was eliminated from the diet. No food allergy was found in any patient presenting with flushing. Cows milk allergy was found in two patients and hens egg allergy in two patients who presented with urticaria. Conclusions: We identified food allergy in only one out of every four patients presenting with suspected food allergy and cutaneous manifestations. Correct evaluation of hypersensitivity reactions to foods is important to avoid unnecessary food elimination from infants diet.

 Objectives: In the first two years of life, patients with cutaneous manifestations with suspicion of food allergy are frequently referred to clinicians in daily practice. The aim of this study was to investigate the frequency of food allergy FA in infants presenting with cutaneous manifestations. Methods: Patients aged 2 years with suspected food allergy and cutaneous manifestations who were admitted to the pediatric immunology and allergy outpatient clinic at Sincan Training and Research Hospital were included. Demographic, clinical and laboratory features of patients were recorded. The severity of atopic dermatitis AD was classified using the SCORing AD index. Results: The study included 217 children with a median age of 9.7 months IQR 5.8-13.6 55.8 males. AD 77.9 was the most common skin manifestation in all patients. Other cutaneous manifestations were urticariaangioedema 12.4 and flushing 9.7. 23 13.6 patients were classified as moderate-severe AD and 146 86.4 patients as mild AD. The age at diagnosis is lower in the moderate-severe AD group 9 months IQR 4-15 compared to the mild AD group 14 months IQR 9-18 P0.011. In all AD patients, food allergy was detected in 54 32 patients. The percentage of food allergy was higher in the moderate-severe AD group 82.6 than in the mild AD group 24 P0.001. Multiple FA was shown in 13 7.7 patients and the percentage of Multiple FA was higher in the moderate-severe AD group 21.7 than in the mild AD group 5.5 P0.018. When the most common food allergies were compared, hens egg and cows milk allergy were found to be higher in the moderate-severe AD group 56.5 vs. 47.8 than in the mild AD group 18.5 vs. 9 P0.001 and P0.001, respectively. Forty oral food challenges OFC tests were performed on patients who were found to have food sensitivity and all passed. In 58 26.7 patients, food allergy was identified and food elimination was started. In 54 24.8 patients with AD culprit food was eliminated from the diet. No food allergy was found in any patient presenting with flushing. Cows milk allergy was found in two patients and hens egg allergy in two patients who presented with urticaria. Conclusions: We identified food allergy in only one out of every four patients presenting with suspected food allergy and cutaneous manifestations. Correct evaluation of hypersensitivity reactions to foods is important to avoid unnecessary food elimination from infants diet.

 Objectives: In the first two years of life, patients with cutaneous manifestations with suspicion of food allergy are frequently referred to clinicians in daily practice. The aim of this study was to investigate the frequency of food allergy FA in infants presenting with cutaneous manifestations. Methods: Patients aged 2 years with suspected food allergy and cutaneous manifestations who were admitted to the pediatric immunology and allergy outpatient clinic at Sincan Training and Research Hospital were included. Demographic, clinical and laboratory features of patients were recorded. The severity of atopic dermatitis AD was classified using the SCORing AD index. Results: The study included 217 children with a median age of 9.7 months IQR 5.8-13.6 55.8 males. AD 77.9 was the most common skin manifestation in all patients. Other cutaneous manifestations were urticariaangioedema 12.4 and flushing 9.7. 23 13.6 patients were classified as moderate-severe AD and 146 86.4 patients as mild AD. The age at diagnosis is lower in the moderate-severe AD group 9 months IQR 4-15 compared to the mild AD group 14 months IQR 9-18 P0.011. In all AD patients, food allergy was detected in 54 32 patients. The percentage of food allergy was higher in the moderate-severe AD group 82.6 than in the mild AD group 24 P0.001. Multiple FA was shown in 13 7.7 patients and the percentage of Multiple FA was higher in the moderate-severe AD group 21.7 than in the mild AD group 5.5 P0.018. When the most common food allergies were compared, hens egg and cows milk allergy were found to be higher in the moderate-severe AD group 56.5 vs. 47.8 than in the mild AD group 18.5 vs. 9 P0.001 and P0.001, respectively. Forty oral food challenges OFC tests were performed on patients who were found to have food sensitivity and all passed. In 58 26.7 patients, food allergy was identified and food elimination was started. In 54 24.8 patients with AD culprit food was eliminated from the diet. No food allergy was found in any patient presenting with flushing. Cows milk allergy was found in two patients and hens egg allergy in two patients who presented with urticaria. Conclusions: We identified food allergy in only one out of every four patients presenting with suspected food allergy and cutaneous manifestations. Correct evaluation of hypersensitivity reactions to foods is important to avoid unnecessary food elimination from infants diet.

Makale detayları

Assessment of food allergies in patients under two years of age with skin manifestations referred to pediatric immunology and allergy outpatient clinic

Yazarlar:

Hilal Ünsal | Beyza Akalin Ertürk

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Pediatric Immunology and Allergic Diseases

Dergi:

The European Research Journal Vol.11 Issue 2, pp.226-233

Belge Tipi:

Makale

Yayın Tarihi:

4/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001341271

pISSN:

2149-3189

Skin manifestations

atopic dermatitis

childhood

food allergy

Sayı

Makale detayları

Assessment of food allergies in patients under two years of age with skin manifestations referred to pediatric immunology and allergy outpatient clinic

Yazarlar: Hilal Ünsal | Beyza Akalin Ertürk

Yayıncı: Prusa Medical Publishing

Ana Başlıklar: Pediatric Immunology and Allergic Diseases

Dergi: The European Research Journal Vol.11 Issue 2, pp.226-233

Belge Tipi: Makale

Yayın Tarihi: 4/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001341271

pISSN: 2149-3189

Skin manifestations

atopic dermatitis

childhood

food allergy

Sayı

Yazarlar:

Hilal Ünsal | Beyza Akalin Ertürk

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Pediatric Immunology and Allergic Diseases

Dergi:

The European Research Journal Vol.11 Issue 2, pp.226-233

Belge Tipi:

Makale

Yayın Tarihi:

4/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001341271

pISSN:

2149-3189