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Food Sensitization in Infants and Young Children with Atopic Dermatitis

 Dong Ki Han  ;  Myung Kwan Kim  ;  Soo Young Lee  ;  Kyu Earn Kim  ;  Myung Hyun Sohn  ;  Byoung Chul Kwon  ;  Sung Yon Choi  ;  Jae Eun Yoo 
 YONSEI MEDICAL JOURNAL, Vol.45(5) : 803-809, 2004 
Journal Title
Issue Date
Child, Preschool ; Dermatitis, Atopic/immunology* ; Egg Hypersensitivity/epidemiology ; Female ; Food Hypersensitivity/diagnosis ; Food Hypersensitivity/epidemiology* ; Humans ; Immunoglobulin E/blood ; Infant ; Male ; Milk Hypersensitivity/epidemiology ; Peanut Hypersensitivity/epidemiology ; Soybeans/immunology
Atopic dermatitis ; food sensitization ; clinically relevant food sensitization
Atopic dermatitis (AD) is a chronic, relapsing, inflammatory skin disease. Children with AD tend to have a higher prevalence of food allergies. This study investigated the clinical significance of food sensitization in AD patients. A total of 266 AD patients participated in this study. The prevalence of food sensitization and clinically relevant sensitization were compared in the subjects according to their age and AD severity. Sera from all patients were analyzed for food-specific IgE levels using the Pharmacia CAP System FEIA. The serum specific IgE levels for egg, milk, peanut and soybean were measured. Patients were regarded as sensitized to the food if their food-specific IgE levels were above 0.35 kUA/L. Also the food-specific IgE levels, the so-called diagnostic decision point, which is recommended as the clinically relevant level, for clinical food allergy, as suggested by Sampson et al, was used as an alternative method. From the measurement of food-specific IgE antibodies of the four foods, egg was the most highly sensitized and the main causative allergenic food in children with AD. The positive rates of specific IgE to the four major food allergens, and the prevalences of clinically relevant food sensitization, were higher for all foods tested in the group less than 1 year of age, and were significantly higher in moderate to severe AD compared to mild AD in infants and young children. In summary, presence of food specific IgE is prevalent in infants and young children with AD, and clinically relevant food sensitization is important in Korean infants and children with moderate to severe AD.
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1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyu Earn(김규언)
Sohn, Myung Hyun(손명현) ORCID logo https://orcid.org/0000-0002-2478-487X
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