Food allergen sensitization in young children with typical signs and symptoms of immediate-type food allergies: a comparison between monosensitized and polysensitized children.
10.3345/kjp.2015.58.9.330
- Author:
Na Yeon KIM
1
;
Ga Ram KIM
;
Joon Hwan KIM
;
Ji Hyeon BAEK
;
Jung Won YOON
;
Hye Mi JEE
;
Hye Sung BAEK
;
Yong Ho JUNG
;
Sun Hee CHOI
;
Ki Eun KIM
;
Youn Ho SHIN
;
Hye Yung YUM
;
Man Yong HAN
;
Kyu Earn KIM
Author Information
1. Department of Pediatrics, CHA Bundang Medical Center, Seongnam, Korea.
- Publication Type:Original Article
- Keywords:
Child;
Food hypersensitivity;
Sensitization
- MeSH:
Allergens;
Breast Feeding;
Child*;
Counseling;
Food Hypersensitivity*;
Humans;
Immunoglobulin E;
Logistic Models;
Odds Ratio;
Parents;
Parturition;
Rhinitis;
Risk Factors;
Seasons
- From:Korean Journal of Pediatrics
2015;58(9):330-335
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The clinical interpretation of children sensitized to allergens is challenging, particularly in children with food allergies. We aimed to examine clinical differences between children with monosensitization and those with polysensitization to common food allergens and to determine risk factors for polysensitization in young children <10 years of age with immediate-type food allergies. METHODS: The study included children <10 years of age with signs and symptoms indicative of immediate-type food allergies. Serum total IgE level was measured, and ImmunoCAP analysis for food allergens was performed. RESULTS: The mean age of the study subjects was 1.6+/-1.6 years (75 boys and 51 girls). Thirty-eight children (30.2%) were monosensitized and 88 children (69.8%) were polysensitized. Multivariate logistic regression analysis showed that the development of polysensitization to common food allergens was positively associated with a parental history of allergic rhinitis (adjusted odds ratio [aOR], 6.28; 95% confidence interval [CI], 1.78-22.13; P=0.004), season of birth (summer/fall) (aOR, 3.10; 95% CI, 1.10-8.79; P=0.033), and exclusive breastfeeding in the first 6 months of age (aOR, 3.51; 95% CI, 1.20-10.25; P=0.022). CONCLUSION: We found significant clinical differences between children with monosensitization and those with polysensitization to common food allergens and identified risk factors for the development of polysensitization in young children with immediate-type food allergies. Clinicians should consider these clinical risk factors when evaluating, counseling, treating, and monitoring young children with food allergies.
