Alergia na jajka
Epidemiologia

Alergia na jajka jest drugim najczęstszym alergenem pokarmowym u niemowląt i małych dzieci, z częstością występowania potwierdzoną próbą prowokacji pokarmowej wynoszącą średnio 1,23% u dzieci poniżej 2 roku życia, choć wartości te różnią się geograficznie (np. 0,07% w Grecji, 2,18% w Wielkiej Brytanii, 8,9% w Australii u dzieci 12-miesięcznych). W USA alergia na jajka dotyczy około 2,7 miliona osób, a w populacji powyżej 6 lat częstość uczulenia wynosi 3,4%. Występuje znaczna rozbieżność między samodzielnie zgłaszaną alergią (10-15%) a potwierdzoną obiektywnymi metodami (1-3%). Uczulenie na jajka (IgE specyficzne) jest częstsze niż klinicznie objawowa alergia, a czynniki ryzyka obejmują atopowe zapalenie skóry, wczesne stosowanie antybiotyków i nieżyt nosa. Wzrost częstości alergii pokarmowych, w tym na jajka, obserwuje się globalnie, co potwierdzają dane epidemiologiczne i wzrost hospitalizacji z powodu anafilaksji wywołanej pokarmami.

Epidemiologia alergii na jajka

Alergia na jajka stanowi drugi najczęstszy rodzaj alergii pokarmowej u niemowląt i małych dzieci, zaraz po alergii na mleko krowie. 123 Zgodnie z dostępnymi danymi, alergia ta dotyka około 0,5-2,5% małych dzieci według metaanaliz, chociaż występują znaczne różnice w zależności od badanej populacji, regionu geograficznego i zastosowanych metod diagnostycznych. 45

Częstotliwość występowania na świecie

W skali globalnej, częstość występowania alergii na jajka potwierdzonej próbą prowokacji pokarmowej wynosi średnio 1,23% u dzieci poniżej 2 roku życia, z wyraźnymi różnicami między poszczególnymi krajami. 6 Najniższy wskaźnik odnotowano w Grecji (0,07%), podczas gdy najwyższy w Wielkiej Brytanii (2,18%). 78 W Australii w ramach badania HealthNuts wykazano wyjątkowo wysoki wskaźnik alergii na jajka wynoszący 8,9% u dzieci w wieku 12 miesięcy, który jednak spadał do 1,2% w wieku 4 lat. 910 W Republice Południowej Afryki częstość alergii na jajka surowe u dzieci w wieku 12-36 miesięcy wynosiła 1,9%, a na jajka gotowane 0,8%. 11

W Stanach Zjednoczonych szacuje się, że alergia na jajka dotyka około 2,7 miliona osób. 12 Badanie National Health and Nutrition Examination Survey (NHANES) z lat 2005-2006 wykazało, że częstość występowania uczulenia na jajka w populacji amerykańskiej w wieku powyżej 6 lat wynosi 3,4%. 13 Natomiast w Korei Południowej częstość alergii na jajka u niemowląt oszacowano na 2,8%. 1415

W Europie, dane z wieloośrodkowego badania kohortowego EuroPrevall wskazują, że średnia skorygowana częstość występowania alergii na jajka wynosi 1,23% (95% CI 0,98-1,51) u dzieci do 2 roku życia. 16 Przegląd systematyczny obejmujący 42 badania opublikowane w Europie między 2000 a 2012 rokiem wskazał, że częstość występowania alergii na jajka potwierdzona próbą prowokacji pokarmowej wynosi 0,2%. 17

Różnice w rozpoznawaniu i raportowaniu alergii

Warto zauważyć, że istnieje znaczna różnica między częstością alergii na jajka zgłaszaną przez pacjentów (self-reported) a potwierdzoną w próbach prowokacji pokarmowej. 18 W przypadku raportowania przez pacjentów częstość wynosi nawet 10-15%, podczas gdy w badaniach wykorzystujących obiektywne metody diagnostyczne (próba prowokacji) jest to 1-3%. 1920 Według przeglądu badań europejskich, samodzielnie zgłaszana alergia na jajka wynosi około 2,5%, podczas gdy potwierdzona próbą prowokacji tylko 0,2%. 21

Uczulenie na jajka (obecność swoistych przeciwciał IgE) jest znacznie częstsze niż klinicznie objawowa alergia. Badanie przeprowadzone w Finlandii wykazało, że wśród 185 dzieci uczulonych na jajka (1-18 lat) z podejrzeniem alergii, 78% miało przeciwciała skierowane przeciwko ovomukoidowi (Gal d 1). 22

Dynamika zmian częstości alergii na jajka

Dane epidemiologiczne wskazują na wzrost częstości występowania alergii pokarmowych, w tym alergii na jajka, w ciągu ostatnich dekad. 2324 W Stanach Zjednoczonych częstość alergii pokarmowych u dzieci wzrosła o 50% między 1997 a 2011 rokiem, a następnie ponownie o 50% między 2007 a 2021 rokiem. 25 W Korei Południowej wskaźnik alergii pokarmowych wzrósł z 0,6% do 3,15% u dzieci w wieku 6-7 lat oraz z 1,6% do 4,01% u dzieci w wieku 12-13 lat między 2010 a 2015 rokiem. 26

Wzrost częstości przyjęć do szpitala z powodu anafilaksja-wywolana-pokarmem/” title=”anafilaksja wywołana pokarmem” class=”to-tag” data-termid=”34663″>anafilaksji wywołanej pokarmami jest również wskaźnikiem rosnącego problemu alergii pokarmowych. W Wielkiej Brytanii wskaźnik hospitalizacji z powodu anafilaksji wywołanej pokarmami wzrósł z 1,2 do 2,4 na 100 000 między 1998 a 2012 rokiem. 27 W Australii przyjęcia do szpitala z powodu anafilaksji wywołanej pokarmami wykazywały średni roczny wzrost o 13,2% między 1994 a 2005 rokiem, przy czym najwyższy wskaźnik wzrostu zanotowano u dzieci w wieku 0-4 lat (5,5-krotny wzrost w ciągu 12 lat). 28

Różnice etniczne i demograficzne

Istnieją istotne różnice w częstości występowania alergii na jajka w zależności od pochodzenia etnicznego. W Stanach Zjednoczonych dzieci pochodzenia afroamerykańskiego są nadreprezentowane wśród dzieci z alergią na jajka, stanowiąc 23,4% (95% CI: 13,1-38,4) chorych, mimo że stanowią tylko 13,2% (12,3-14,2) populacji pediatrycznej. 29 Badania wykazały, że częstość alergii pokarmowych u dzieci w USA rosła szybciej wśród Afroamerykanów (2,1% na dekadę) i Latynosów (1,2% na dekadę) niż wśród białych Amerykanów (1% na dekadę). 30

W porównaniu do dzieci rasy białej niebędących pochodzenia latynoskiego, dzieci afroamerykańskie są narażone na znacznie wyższe ryzyko rozwoju alergii pokarmowej. 31 Wśród dzieci objętych programem Medicaid, afroamerykańskie dzieci mają o 7% większe prawdopodobieństwo rozwoju alergii pokarmowej niż dzieci białe. 32 W kohorcie składającej się głównie z dzieci czarnoskórych (69%) i latynoskich (21%) urodzonych w centrach miejskich, 10% dzieci z rodzinnym wywiadem dotyczącym kataru siennego, egzemy lub astmy było uczulonych na jajka, mleko lub orzeszki ziemne. 33

Różnice regionalne i kulturowe

Wzorce alergii pokarmowych, w tym alergii na jajka, różnią się w zależności od regionu geograficznego, co jest częściowo determinowane przez lokalne nawyki żywieniowe. 34 Podczas gdy mleko krowie i jajka są dwoma najczęstszymi alergenami pokarmowymi w większości krajów, w poszczególnych regionach geograficznych można zaobserwować różnorodne wzorce alergii pokarmowych. 35

W Ameryce Łacińskiej dane dotyczące alergii na jajka są ograniczone, ale dostępne badania sugerują, że uczulenie na jajka i orzeszki ziemne jest mniejsze niż w Stanach Zjednoczonych i Europie, gdzie te źródła odpowiadają za prawie 80% alergii pokarmowych. 3637 Z kolei inne źródła, rzadko opisywane w populacjach europejskich i amerykańskich, takie jak kukurydza, fasola i chili, mają proporcjonalnie wysoką częstość występowania w populacji meksykańskiej, prawdopodobnie ze względu na ich obecność w diecie. 3839

Alergia na jajka u dorosłych

Nowo rozpoznana alergia na jajka u dorosłych jest rzadka i ogranicza się do opisów przypadków. 404142 Częstość występowania alergii na jajka u dorosłych jest szacowana na około 0,1%. 4344 Chociaż większość alergii pokarmowych rozwija się w dzieciństwie, dane z dokumentacji medycznej sugerują, że co najmniej 15% pacjentów z alergiami pokarmowymi jest po raz pierwszy diagnozowanych w wieku dorosłym. 45

Alergia na białko jaja kurzego u dorosłych stanowi rzadki stan, którego częstość występowania rośnie. 46 Różne badania epidemiologiczne oceniały częstość występowania w wieku dorosłym, ale bardzo rzadka alergia na białko jaja o późnym początku została opisana tylko w raportach przypadków i była zgłaszana w związku z wywiadem atopowym. 47

Współwystępowanie z innymi chorobami alergicznymi

U dzieci z alergią na jajka często współwystępują inne schorzenia alergiczne. Badania wykazały, że 60,2% dzieci z alergią na jajka ma alergie na inne pokarmy, przy czym 29,3% ma alergię na orzeszki ziemne. 48 Astma występuje częściej u dzieci z alergią na jajka niż u dzieci z innymi alergiami pokarmowymi z grupy 8 najczęstszych alergenów (46,5% [35,8-57,4] vs 33,2% [29,6-37,0], P .05). 49

Wykazano, że wyższe ryzyko rozwoju innych alergii skórnych, takich jak atopowe zapalenie skóry, oraz innych alergii pokarmowych zwiększa utrzymywanie się alergii na jajka. Pacjenci z bardziej uporczywą alergią na jajka wykazywali wyższy poziom IgE specyficznego dla jajka we wszystkich grupach wiekowych. 50

Nabywanie tolerancji

W przeciwieństwie do innych alergii pokarmowych, takich jak alergia na orzechy, orzeszki ziemne czy ryby, alergia na jajka zazwyczaj ustępuje lub poprawia się stosunkowo wcześniej w życiu. 51 Znacząca większość pacjentów z alergią na jaja kurze rozwija tolerancję na alergeny jaja kurzego do czasu osiągnięcia wieku szkolnego, choć niektórzy budują tolerancję dopiero w okresie dojrzewania. 52

Wskaźniki nabywania tolerancji są różnie raportowane: 30-50% do 3 roku życia, 59-66% do 5 roku życia i 50-70% w wieku 6 lat. 53 Mediana czasu do rozwoju tolerancji wynosi od 3 do 9 lat, a 5-10% dzieci zgłasza, że ich alergia na jajka utrzymuje się do 18 roku życia. 54 Według badania EuroPrevall, połowa dzieci z udokumentowaną alergią na jajka nabyła tolerancję w ciągu 1 roku od diagnozy. 55

Silnymi predyktorami alergii utrzymującej się w dorosłości są objawy anafilaktyczne w dzieciństwie, wysokie stężenie swoistej IgE dla jajka, wyraźna odpowiedź w teście skórnym i brak tolerancji na pokarmy zawierające jajka po obróbce termicznej. 56 Badania sugerują, że dzieci wolniej nabywają tolerancję na alergię na jajka niż wcześniej. 57

Tolerancja na jajka poddane obróbce termicznej

Wśród dzieci z alergią na jajka, 64,2% zgłasza tolerancję na jajka pieczone. 58 Dzieci z alergią na jajka, które tolerują jajka pieczone, zgłaszają, że ich alergia pokarmowa powoduje znacznie zmniejszone obciążenie psychospołeczne w porównaniu z ich rówieśnikami uczulonymi na jajka pieczone (M = 3,1 [2,9-3,3] vs M = 3,7 [3,5-3,9]). 59

Ustalenie tolerancji na jajka pieczone może poprawić jakość życia, dlatego potrzebne są zwiększone wysiłki, aby zapewnić odpowiednią ocenę dzieci z alergią na jajka, gdyż wiele z nich ma współistniejące choroby alergiczne. 60

Częstość występowania alergii na jajka w różnych regionach świata
Region/Kraj Grupa wiekowa Częstość występowania (%) Metoda oceny
Wielka Brytania Dzieci <2 lat 2,18 Próba prowokacji
Grecja Dzieci <2 lat 0,07 Próba prowokacji
Australia Dzieci 12 miesięcy 8,9 Próba prowokacji
Australia Dzieci 4 lata 1,2 Próba prowokacji
RPA Dzieci 12-36 miesięcy 1,9 (surowe jajko)
0,8 (gotowane jajko)
Próba prowokacji
Korea Południowa Niemowlęta 2,8 Kliniczna ocena
Europa (średnia) Dzieci <2 lat 1,23 Próba prowokacji
Europa (średnia) Wszystkie grupy wiekowe 0,2 Próba prowokacji
Europa (samodzielnie zgłaszana) Wszystkie grupy wiekowe 2,5 Kwestionariusze
USA >6 lat 3,4 Badanie IgE w surowicy
Dorośli (globalna) 18+ lat 0,1 Różne metody

61626364656667

Nadzór nad alergią na jajka

Szacowanie częstości występowania alergii pokarmowych, w tym alergii na jajka, jest trudne z kilku powodów. 68 Istnieje brak wysokiej jakości dowodów opartych na złotym standardzie, jakim są doustne próby prowokacji pokarmowej, w celu określenia częstości występowania alergii pokarmowej. 6970

Wyzwania w nadzorze epidemiologicznym

Badania wykorzystujące zastępcze miary alergii pokarmowej, takie jak korzystanie z usług zdrowotnych i historia kliniczna, wraz ze swoistymi immunoglobulinami E (sIgE), dostarczają przekonujących danych, że częstość występowania alergii pokarmowej zwiększa się zarówno w krajach zachodnich, jak i rozwijających się. 7172

Znaczna zmienność w projektowaniu badań utrudnia bezpośrednie porównania. Większość badań uwzględnionych w metaanalizach opiera się na samoocenie alergii pokarmowej, co zwykle zawyża częstość występowania. 73 Niektóre badania wykorzystują testy skórne i poziomy swoistych IgE w celu potwierdzenia uczulenia na alergen, ale nie wszystkie diagnozy są potwierdzone próbami prowokacji. 74

Rodzaj jajka używanego w próbach prowokacji również przyczynia się do zmienności w częstości występowania alergii na jajka. 75 Na przykład w badaniu australijskim przeprowadzonym na dzieciach, w którym zastosowano surowe białko jajka, odnotowano częstość alergii na jajka wynoszącą 9,5% w wieku 1 roku i 1,2% w wieku 4 lat. 76

Systemy nadzoru i raportowania

W Stanach Zjednoczonych, według danych z National Center for Health Statistics (NCHS), oddziału Centers for Disease Control and Prevention (CDC), 5,8% dzieci w wieku 0-17 lat jest zdiagnozowanych z alergią pokarmową. 77 Procent dzieci z alergią pokarmową wzrasta wraz z wiekiem, od 4,4% u dzieci w wieku 0-5 lat do 5,8% u dzieci w wieku 6-11 lat i 7,1% u dzieci w wieku 12-17 lat. 78

Dane z National Health Interview Survey (NHIS) przeprowadzonego przez NCHS w 2007 roku wskazują, że około 3 miliony dzieci poniżej 18 roku życia (3,9%) zgłosiło alergię pokarmową lub trawienną w ciągu poprzednich 12 miesięcy. 79 Od 1997 do 2007 roku częstość występowania zgłaszanych alergii pokarmowych wzrosła o 18% wśród dzieci poniżej 18 roku życia. 80

W latach 2004-2006 odnotowano około 9 500 wypisów ze szpitala rocznie z diagnozą związaną z alergią pokarmową wśród dzieci poniżej 18 roku życia. 81 Najnowsze dane pokazują, że hospitalizacje z diagnozami związanymi z alergiami pokarmowymi wzrosły wśród dzieci, a liczba hospitalizacji mających co najmniej jedną diagnozę związaną z alergią pokarmową również wzrosła między 1998-2000 a 2004-2006. 82

Wpływ alergii na jajka na zdrowie publiczne

Alergia na jajka stanowi istotny problem zdrowia publicznego ze względu na potencjalne poważne reakcje, w tym anafilaksję. 83 Wśród przypadków anafilaksji wywołanej pokarmem, jajko jest drugą najczęstszą przyczyną, po mleku krowim, u małych dzieci koreańskich. 8485

Badanie przeprowadzone w wielu instytucjach w USA wykazało, że jaja kurze, owoce, orzeszki ziemne i orzechy drzewne są częstymi przyczynami przypadków anafilaksji u dzieci poniżej 5 roku życia. 8687 W badaniu europejskim jaja kurze i mleko krowie są najczęstszymi przyczynami anafilaksji wśród dzieci poniżej 3 roku życia. 8889

W Wielkiej Brytanii w okresie od marca 2013 do lutego 2014 roku odnotowano łącznie 20 318 skończonych epizodów przyjęć do szpitala z pierwotną diagnozą alergii. Stanowi to wzrost o 7,7% w porównaniu z 18 862 przypadkami w poprzednich 12 miesiącach. 90 W tym samym roku 19,2% przyjęć nagłych dotyczyło reakcji anafilaktycznych i 19,2% „innych” reakcji alergicznych. 91

W Wielkiej Brytanii choroby alergiczne we wszystkich grupach wiekowych kosztują NHS szacunkowo 900 milionów funtów rocznie, głównie przez przepisane leczenie w podstawowej opiece zdrowotnej, co stanowi 10% budżetu na recepty lekarzy rodzinnych. 92

Szczepienia przeciwko grypie u osób z alergią na jajka

Szczepienie osób uczulonych na jajka było historycznym problemem, szczególnie w przypadku szczepionek przeciw grypie i odrze-śwince-różyczce-ospie wietrznej, które są wytwarzane w zarodkach kurzych jaj lub fibroblastach kurzych. 93

Większość szczepionek przeciw grypie jest obecnie produkowana przy użyciu procesu produkcyjnego opartego na jajkach i zawiera małą ilość białka jaja zwanego owalbuminą. 94 Jednak począwszy od sezonu 2023-2024, nie zaleca się już dodatkowych środków bezpieczeństwa przy szczepieniu przeciw grypie osób uczulonych na jajka, poza tymi zalecanymi przy podawaniu jakiejkolwiek szczepionki, niezależnie od ciężkości wcześniejszej reakcji na jajko. 95

Każdy w wieku 6 miesięcy i starszy z alergią na jajka powinien otrzymać coroczną szczepionkę przeciw grypie. Można zastosować dowolną szczepionkę przeciw grypie (na bazie jaj lub nie), która jest odpowiednia dla wieku i stanu zdrowia pacjenta. 96 Alergia na jajka nie wymaga dodatkowych środków bezpieczeństwa przy szczepieniu przeciwko grypie, poza tymi zalecanymi dla każdego biorcy jakiejkolwiek szczepionki, niezależnie od stopnia ciężkości wcześniejszej reakcji na jajko. 97

Niedawno opublikowane międzynarodowe wytyczne zaktualizowały swoje zalecenia dotyczące podawania szczepionek osobom uczulonym na jajka. 98 Znaczna liczba pacjentów z podejrzeniem alergii na jajka może być błędnie zdiagnozowana, więc można rozważyć skierowanie do alergologa w celu oceny. 99

Czynniki ryzyka i prognostyczne

Niezależnymi czynnikami związanymi z alergią na jajka są przebyta/obecna egzema (skorygowany iloraz szans, 9,21; 95% CI, 2,65-32,04), wskaźnik Scoring Atopic Dermatitis (1,54 na 5 jednostek; 1,28-1,86), antybiotyki w pierwszym tygodniu życia (6,17; 1,42-26,89) i obecny nieżyt nosa (3,02; 1,04-8,78). 100 Wzrost nasilenia egzemy wiązał się ze wzrostem prawdopodobieństwa alergii na jajka. 101

Potencjalna rola antybiotyków we wczesnym okresie życia jako czynnika ryzyka alergii na jajka wymaga dalszego zbadania. 102

Czynniki prognostyczne związane z nabyciem tolerancji na alergię na jajka obejmują charakterystykę początkowej reakcji w momencie spożycia jajka, wyjściową wielkość bąbla w teście skórnym z jajkiem i wyjściowy poziom swoistych IgE dla jajka w momencie diagnozy. 103

Dzieci z alergią na jajka mają mniejsze prawdopodobieństwo uzyskania tolerancji na jajka, gdy wykazują jednoczesne alergie na inne pokarmy, atopowe zapalenie skóry lub poziom swoistych IgE dla białka jaja wynoszący 16 kU/L w momencie diagnozy. 104

Aspekty społeczno-ekonomiczne

Badania wskazują, że dysproporcje rasowe i społeczno-ekonomiczne odgrywają kluczową rolę w kształtowaniu krajobrazu częstości występowania alergii pokarmowej, dostępu do opieki i wyników zdrowotnych. 105

Według badania z 2023 roku, w Stanach Zjednoczonych osoby pochodzenia latynoskiego, czarnoskórzy i Azjaci doświadczają wyższych wskaźników alergii we wszystkich grupach wiekowych. Wskaźnik rozpowszechnienia wynosił 10,6% u osób pochodzenia latynoskiego i czarnoskórych, 10,5% u osób pochodzenia azjatyckiego i 9,5% u osób białych. 106

Badanie wykazało również, że częstość występowania alergii pokarmowych była najniższa wśród gospodarstw domowych o najwyższych dochodach (150 000 dolarów rocznie). 107 Inne badanie wykazało, że osoby kolorowe rzadziej mają diagnozę alergii, ale mają wyższe wskaźniki anafilaksji wywołanej pokarmem. 108

Wśród dzieci z obecną alergią na jajka, te z tolerancją na jajka pieczone zgłaszały, że ich alergia pokarmowa powodowała znacznie zmniejszone obciążenie psychospołeczne w porównaniu z ich rówieśnikami uczulonymi na jajka pieczone (M = 3,1 [2,9-3,3] vs M = 3,7 [3,5-3,9]). 109 Zwiększone wysiłki są potrzebne, aby zapewnić, że dzieci z alergią na jajka są odpowiednio oceniane, ponieważ wiele z nich ma współistniejące choroby alergiczne, a określenie tolerancji na jajka pieczone może poprawić jakość życia. 110

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Egg Allergy – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK538192/
    Egg allergy is IgE-mediated and healthy individuals are capable of generating antigen-specific IgE upon exposure to egg allergens. […] The consensus is that IgE responses are genetically controlled by MHC-linked genes that are found on chromosome six. […] The term egg allergy refers to an adverse immunological response to exposure to allergens found in egg white or egg yolk. It is the second most common food allergy in the United States after milk allergy. […] Estimating the prevalence of food allergies is challenging for several reasons. […] Hen egg allergies often present within a year of age with no distinction between either gender. […] As opposed to other food allergies such as tree nut, peanut, or fish, egg allergy typically resolves or improves relatively earlier in life. […] A significant majority of patients with hen egg allergy will develop tolerance to hen egg allergens by the time they reach school age. Some, however, build tolerance only in adolescence.
  • #2 Egg allergy: Clinical features and diagnosis – UpToDate
    https://www.uptodate.com/contents/egg-allergy-clinical-features-and-diagnosis/print
    Hen’s egg allergy is the second most common food allergy in infants and young children (cow’s milk is the most common). […] The epidemiology, pathogenesis, clinical features, and diagnosis of egg allergy are presented in this topic review. […] The prevalence of hen’s egg allergy confirmed by oral challenge was 1.6 percent of children three years of age in an unselected population in Denmark. […] A subsequent meta-analysis of the prevalence of food allergy estimated that egg allergy affects 0.5 to 2.5 percent of young children. […] An Australian population-based cohort study challenged children using raw egg white and reported an egg allergy prevalence of 9.5 percent at one year and 1.2 percent at four years. […] Challenge-proven egg allergy in South African toddlers (12 to 36 months) was 1.9 percent for raw egg white and 0.8 percent for cooked egg. […] New-onset egg allergy in adults is rare and is limited to case reports.
  • #3 Egg allergy: Clinical features and diagnosis – UpToDate
    https://www.uptodate.com/contents/egg-allergy-clinical-features-and-diagnosis
    Hen’s egg allergy is the second most common food allergy in infants and young children (cow’s milk is the most common). The epidemiology, pathogenesis, clinical features, and diagnosis of egg allergy are presented in this topic review. The prevalence of hen’s egg allergy confirmed by oral challenge was 1.6 percent of children three years of age in an unselected population in Denmark. A subsequent meta-analysis of the prevalence of food allergy estimated that egg allergy affects 0.5 to 2.5 percent of young children. There were several limitations to the meta-analysis. There was significant variability in study design that made direct comparisons difficult. The majority of studies included in the meta-analysis were based upon self-reports of food allergy, which tend to overestimate the prevalence. Some studies used skin prick test and food-specific IgE levels to confirm sensitization to the allergen, but not all diagnoses were challenge proven. The form of egg used in challenges also contributes to the variability in egg allergy prevalence. An Australian population-based cohort study challenged children using raw egg white and reported an egg allergy prevalence of 9.5 percent at one year and 1.2 percent at four years. Challenge-proven egg allergy in South African toddlers (12 to 36 months) was 1.9 percent for raw egg white and 0.8 percent for cooked egg. New-onset egg allergy in adults is rare and is limited to case reports.
  • #4 Egg allergy: Clinical features and diagnosis – UpToDate
    https://www.uptodate.com/contents/egg-allergy-clinical-features-and-diagnosis/print
    Hen’s egg allergy is the second most common food allergy in infants and young children (cow’s milk is the most common). […] The epidemiology, pathogenesis, clinical features, and diagnosis of egg allergy are presented in this topic review. […] The prevalence of hen’s egg allergy confirmed by oral challenge was 1.6 percent of children three years of age in an unselected population in Denmark. […] A subsequent meta-analysis of the prevalence of food allergy estimated that egg allergy affects 0.5 to 2.5 percent of young children. […] An Australian population-based cohort study challenged children using raw egg white and reported an egg allergy prevalence of 9.5 percent at one year and 1.2 percent at four years. […] Challenge-proven egg allergy in South African toddlers (12 to 36 months) was 1.9 percent for raw egg white and 0.8 percent for cooked egg. […] New-onset egg allergy in adults is rare and is limited to case reports.
  • #5 Egg allergy: Clinical features and diagnosis – UpToDate
    https://www.uptodate.com/contents/egg-allergy-clinical-features-and-diagnosis
    Hen’s egg allergy is the second most common food allergy in infants and young children (cow’s milk is the most common). The epidemiology, pathogenesis, clinical features, and diagnosis of egg allergy are presented in this topic review. The prevalence of hen’s egg allergy confirmed by oral challenge was 1.6 percent of children three years of age in an unselected population in Denmark. A subsequent meta-analysis of the prevalence of food allergy estimated that egg allergy affects 0.5 to 2.5 percent of young children. There were several limitations to the meta-analysis. There was significant variability in study design that made direct comparisons difficult. The majority of studies included in the meta-analysis were based upon self-reports of food allergy, which tend to overestimate the prevalence. Some studies used skin prick test and food-specific IgE levels to confirm sensitization to the allergen, but not all diagnoses were challenge proven. The form of egg used in challenges also contributes to the variability in egg allergy prevalence. An Australian population-based cohort study challenged children using raw egg white and reported an egg allergy prevalence of 9.5 percent at one year and 1.2 percent at four years. Challenge-proven egg allergy in South African toddlers (12 to 36 months) was 1.9 percent for raw egg white and 0.8 percent for cooked egg. New-onset egg allergy in adults is rare and is limited to case reports.
  • #6 Incidence and natural history of hen’s egg allergy in the first 2 years of life-the EuroPrevall birth cohort study – ePrints Soton
    https://eprints.soton.ac.uk/388717
    Incidence and natural history of hen’s egg allergy in the first 2 years of life-the EuroPrevall birth cohort study BACKGROUND: Parents and health staff perceive hen’s egg allergy (HEA) as a common food allergy in early childhood, but the true incidence is unclear because population-based studies with gold-standard diagnostic criteria are lacking. […] OBJECTIVE: To establish the incidence and course of challenge-confirmed HEA in children, from birth until the age of 24 months, in different European regions. […] RESULTS: Across Europe, 12 049 newborns were enrolled, and 9336 (77.5%) were followed up to 2 years of age. In 298 children, HEA was suspected and DBPCFC was offered. HEA by age two was confirmed in 86 of 172 challenged children (mean raw incidence 0.84%, 95% confidence interval (95% CI) 0.67-1.03). Adjusted mean incidence of HEA was 1.23% (95% CI 0.98-1.51) considering possible cases among eligible children who were not challenged. Centre-specific incidence ranged from United Kingdom (2.18%, 95% CI 1.27-3.47) to Greece (0.07%).
  • #7
    https://www.healio.com/clinical-guidance/food-allergies/epidemiology-of-food-allergies-overview
    Food allergies represent a significant global health concern, with increasing prevalence and diverse epidemiological patterns observed worldwide. […] The estimated global prevalence of food allergies is approximately 8% in children and 10% in adults. […] In the United States, large-scale population-based surveys have provided insights into the prevalence of food allergies, revealing rates of 7.6% among children and 10.8% among adults. […] Studies in Europe, involving birth cohorts of over 12,000 participants, have revealed country-specific differences in food allergy incidence. For example, among children 2 years of age, egg allergy had a mean incidence of 1.23%, with rates ranging from 0.07% in Greece to 2.18% in the United Kingdom. […] Regional variations were present as well, following an expected pattern fish and shrimp allergies were more commonly reported in the Mediterranean area and Iceland, while nut, fruit, and vegetable allergies were more commonly reported in Central Europe. […] Conversely, food allergies are considered relatively uncommon in many Asian and African countries. […] The development of food allergies is influenced by various risk factors, contributing to the variability in prevalence observed worldwide.
  • #8 Incidence and natural history of hen’s egg allergy in the first 2 years of life-the EuroPrevall birth cohort study – ePrints Soton
    https://eprints.soton.ac.uk/388717
    Incidence and natural history of hen’s egg allergy in the first 2 years of life-the EuroPrevall birth cohort study BACKGROUND: Parents and health staff perceive hen’s egg allergy (HEA) as a common food allergy in early childhood, but the true incidence is unclear because population-based studies with gold-standard diagnostic criteria are lacking. […] OBJECTIVE: To establish the incidence and course of challenge-confirmed HEA in children, from birth until the age of 24 months, in different European regions. […] RESULTS: Across Europe, 12 049 newborns were enrolled, and 9336 (77.5%) were followed up to 2 years of age. In 298 children, HEA was suspected and DBPCFC was offered. HEA by age two was confirmed in 86 of 172 challenged children (mean raw incidence 0.84%, 95% confidence interval (95% CI) 0.67-1.03). Adjusted mean incidence of HEA was 1.23% (95% CI 0.98-1.51) considering possible cases among eligible children who were not challenged. Centre-specific incidence ranged from United Kingdom (2.18%, 95% CI 1.27-3.47) to Greece (0.07%).
  • #9 The Epidemiology of Food Allergy in the Global Context
    https://www.mdpi.com/1660-4601/15/9/2043
    In children less than 5 years of age, prevalence of challenge-proven food allergy has been reported to be 4% in the UK, 3.6% in Denmark, 6.8% in Norway and more than 10% at age 12 months and around 4% at age 4 years in Australia. […] In the Melbourne-based HealthNuts study, prevalence of peanut allergy at 12 months was 3.0%, egg allergy was 8.9% and sesame allergy was 0.8%. […] A systematic review that included 42 studies published in Europe between 2000 and 2012 reported the point prevalence of challenge-confirmed food allergy to cow’s milk, egg, wheat, soy, peanut, tree nuts, fish and shellfish to be 0.2%, 0.2%, 0.1%, 0.3%, 0.2%, 0.5%, 0.1%, and 0.1%, respectively. […] In Australia, a country with one of the highest rates of food allergy, a recent study evaluating 5016 adolescents aged 10 to 14 years reported an OFC-confirmed food allergy prevalence of 4.5%.
  • #10 Egg allergy: Clinical features and diagnosis – UpToDate
    https://www.uptodate.com/contents/egg-allergy-clinical-features-and-diagnosis
    Hen’s egg allergy is the second most common food allergy in infants and young children (cow’s milk is the most common). The epidemiology, pathogenesis, clinical features, and diagnosis of egg allergy are presented in this topic review. The prevalence of hen’s egg allergy confirmed by oral challenge was 1.6 percent of children three years of age in an unselected population in Denmark. A subsequent meta-analysis of the prevalence of food allergy estimated that egg allergy affects 0.5 to 2.5 percent of young children. There were several limitations to the meta-analysis. There was significant variability in study design that made direct comparisons difficult. The majority of studies included in the meta-analysis were based upon self-reports of food allergy, which tend to overestimate the prevalence. Some studies used skin prick test and food-specific IgE levels to confirm sensitization to the allergen, but not all diagnoses were challenge proven. The form of egg used in challenges also contributes to the variability in egg allergy prevalence. An Australian population-based cohort study challenged children using raw egg white and reported an egg allergy prevalence of 9.5 percent at one year and 1.2 percent at four years. Challenge-proven egg allergy in South African toddlers (12 to 36 months) was 1.9 percent for raw egg white and 0.8 percent for cooked egg. New-onset egg allergy in adults is rare and is limited to case reports.
  • #11 Egg allergy: Clinical features and diagnosis – UpToDate
    https://www.uptodate.com/contents/egg-allergy-clinical-features-and-diagnosis
    Hen’s egg allergy is the second most common food allergy in infants and young children (cow’s milk is the most common). The epidemiology, pathogenesis, clinical features, and diagnosis of egg allergy are presented in this topic review. The prevalence of hen’s egg allergy confirmed by oral challenge was 1.6 percent of children three years of age in an unselected population in Denmark. A subsequent meta-analysis of the prevalence of food allergy estimated that egg allergy affects 0.5 to 2.5 percent of young children. There were several limitations to the meta-analysis. There was significant variability in study design that made direct comparisons difficult. The majority of studies included in the meta-analysis were based upon self-reports of food allergy, which tend to overestimate the prevalence. Some studies used skin prick test and food-specific IgE levels to confirm sensitization to the allergen, but not all diagnoses were challenge proven. The form of egg used in challenges also contributes to the variability in egg allergy prevalence. An Australian population-based cohort study challenged children using raw egg white and reported an egg allergy prevalence of 9.5 percent at one year and 1.2 percent at four years. Challenge-proven egg allergy in South African toddlers (12 to 36 months) was 1.9 percent for raw egg white and 0.8 percent for cooked egg. New-onset egg allergy in adults is rare and is limited to case reports.
  • #12 Facts and Statistics – FoodAllergy.org
    https://www.foodallergy.org/resources/facts-and-statistics
    More than 170 foods have been reported to cause food allergy reactions in the U.S. […] In 2004, eight major food allergens—milk, egg, peanut, tree nuts, wheat, soy, fish and crustacean shellfish—were identified as responsible for at least 90 percent of the serious food allergy reactions in the U.S. […] In 2021, the U.S. added sesame as the ninth major food allergen. […] Studies published in 2018 and 2019 can be used to estimate the current number of U.S. children and adults who are allergic to specific foods. […] egg: 2.7 million. […] According to a 2021 National Health Interview Survey (NHIS) conducted by the National Center for Health Statistics (NCHS), a division of the Centers for Disease Control and Prevention (CDC), 5.8% of children aged 0-17 are diagnosed with a food allergy.
  • #13 Egg Allergy Market Analysis and Forecast | DelveInsight
    https://www.delveinsight.com/blog/egg-allergy-market
    Hens egg allergy is the second most common type of allergy after cows milk. In infants and young children, Egg poses as one of the most vital allergens degrading the quality of life. […] As per one US-based study, Prevalence of allergic sensitisation in the United States: results from the National Health and Nutrition Examination Survey (NHANES) 2005-2006 Egg allergy prevalence estimates for sensitisation was 3.4% to the egg in the overall population aged six and above. […] Moreover, Allergy UK states that 1 in 20 people develop Egg allergy in the United Kingdom. […] According to a study conducted by Gisle Kanny et al., reported food allergy prevalence is 3.52%, out of which nearly four per cent of the population is suffering from an egg allergy. […] It is shocking to note that a higher risk of developing other skin allergies such as atopic dermatitis, and other food allergies increase the persistence of egg allergy. And patients with higher egg allergy persistence showed higher levels of egg IgE at all the ages.
  • #14 AAIR :: Allergy, Asthma & Immunology Research
    https://e-aair.org/DOIx.php?id=10.4168/aair.2019.11.4.446
    The prevalence of immunoglobulin E (IgE)-mediated egg allergy is one of the most common food allergies in infants and young children; the estimating rate is about 0.1% to 8.9%, with the lowest rate in Greece (0.07%) and the highest rate in the population-based Health Nuts study (8.9%).1, 2, 3, 4 The prevalence of egg allergy in infants is 2.8% in Korea.5 […] According to a study of meta-analysis, egg allergy is the second most common food allergy (FA) in children and adults.1 Egg allergy is the second most common immediate-type FA (cow’s milk, 37%; egg, 34%) in Korean children less than 2 years of age.6 Egg allergy can cause life-threatening anaphylactic reactions that lead to significant morbidity and impaired quality of life, and also can develop other allergic diseases, such as atopic dermatitis and/or asthma, simultaneously or later in life.
  • #15 KoreaMed Synapse
    https://synapse.koreamed.org/articles/1125499
    The prevalence of immunoglobulin E (IgE)-mediated egg allergy is one of the most common food allergies in infants and young children; the estimating rate is about 0.1% to 8.9%, with the lowest rate in Greece (0.07%) and the highest rate in the population-based Health Nuts study (8.9%).1234 The prevalence of egg allergy in infants is 2.8% in Korea.5 According to a study of meta-analysis, egg allergy is the second most common food allergy (FA) in children and adults.1 Egg allergy is the second most common immediate-type FA (cow’s milk, 37%; egg, 34%) in Korean children less than 2 years of age.6 Egg allergy can cause life-threatening anaphylactic reactions that lead to significant morbidity and impaired quality of life, and also can develop other allergic diseases, such as atopic dermatitis and/or asthma, simultaneously or later in life.
  • #16 Incidence and natural history of hen’s egg allergy in the first 2 years of life-the EuroPrevall birth cohort study – ePrints Soton
    https://eprints.soton.ac.uk/388717
    Incidence and natural history of hen’s egg allergy in the first 2 years of life-the EuroPrevall birth cohort study BACKGROUND: Parents and health staff perceive hen’s egg allergy (HEA) as a common food allergy in early childhood, but the true incidence is unclear because population-based studies with gold-standard diagnostic criteria are lacking. […] OBJECTIVE: To establish the incidence and course of challenge-confirmed HEA in children, from birth until the age of 24 months, in different European regions. […] RESULTS: Across Europe, 12 049 newborns were enrolled, and 9336 (77.5%) were followed up to 2 years of age. In 298 children, HEA was suspected and DBPCFC was offered. HEA by age two was confirmed in 86 of 172 challenged children (mean raw incidence 0.84%, 95% confidence interval (95% CI) 0.67-1.03). Adjusted mean incidence of HEA was 1.23% (95% CI 0.98-1.51) considering possible cases among eligible children who were not challenged. Centre-specific incidence ranged from United Kingdom (2.18%, 95% CI 1.27-3.47) to Greece (0.07%).
  • #17 The Epidemiology of Food Allergy in the Global Context
    https://www.mdpi.com/1660-4601/15/9/2043
    In children less than 5 years of age, prevalence of challenge-proven food allergy has been reported to be 4% in the UK, 3.6% in Denmark, 6.8% in Norway and more than 10% at age 12 months and around 4% at age 4 years in Australia. […] In the Melbourne-based HealthNuts study, prevalence of peanut allergy at 12 months was 3.0%, egg allergy was 8.9% and sesame allergy was 0.8%. […] A systematic review that included 42 studies published in Europe between 2000 and 2012 reported the point prevalence of challenge-confirmed food allergy to cow’s milk, egg, wheat, soy, peanut, tree nuts, fish and shellfish to be 0.2%, 0.2%, 0.1%, 0.3%, 0.2%, 0.5%, 0.1%, and 0.1%, respectively. […] In Australia, a country with one of the highest rates of food allergy, a recent study evaluating 5016 adolescents aged 10 to 14 years reported an OFC-confirmed food allergy prevalence of 4.5%.
  • #18 The Epidemiology of Food Allergy in the Global Context
    https://www.mdpi.com/1660-4601/15/9/2043
    There is a lack of high-quality evidence based on the gold standard of oral food challenges to determine food allergy prevalence. […] Studies using surrogate measures of food allergy, such as health service utilization and clinical history, together with allergen-specific immunoglobulin E (sIgE), provide compelling data that the prevalence of food allergy is increasing in both Western and developing countries. […] While cow’s milk and egg allergy are two of the most common food allergies in most countries, diverse patterns of food allergy can be observed in individual geographic regions determined by each country’s feeding patterns. […] More robust studies investigating food allergy prevalence, particularly in Asia and the developing world, are necessary to understand the extent of the food allergy problem and identify preventive strategies to cope with the potential increase in these regions.
  • #19 Epidemiology of food allergy in Latin America | Allergologia et Immunopathologia
    https://www.elsevier.es/en-revista-allergologia-et-immunopathologia-105-articulo-epidemiology-food-allergy-in-latin-S0301054613002280
    Food allergy is growing worldwide at an alarming rate. […] The objective of this review was to analyse the epidemiological studies in Latin America about food allergy and to compare them with the studies in the United States and Europe. […] Currently, the prevalence of food allergies varies widely between studies: in self-report studies higher frequencies are found (10-15%) than when objective methods such as oral provocation are used (1-3%). […] Most studies on food allergy have been conducted in Europe and United States and little is known about food allergy in Latin America, where there is a high cultural diversity which makes dietary habits and food preparation different to European countries and the United States. […] Although several Latin American groups are describing allergenic proteins and trying to produce hypoallergenic foods, little is known about the frequency of sensitization to foods and possible risk factors in Latin America, so the aim of this article is to review the available information on the epidemiology of sensitization and food allergy in Latin America and see if there are important differences with the frequency reported in Europe and the United States.
  • #20 Epidemiology of food allergy in Latin America | Allergologia et Immunopathologia
    https://www.elsevier.es/es-revista-allergologia-et-immunopathologia-105-articulo-epidemiology-food-allergy-in-latin-S0301054613002280
    Food allergy is growing worldwide at an alarming rate. […] The objective of this review was to analyse the epidemiological studies in Latin America about food allergy and to compare them with the studies in the United States and Europe. […] Currently, the prevalence of food allergies varies widely between studies: in self-report studies higher frequencies are found (10-15%) than when objective methods such as oral provocation are used (1-3%). […] Most studies on food allergy have been conducted in Europe and United States and little is known about food allergy in Latin America, where there is a high cultural diversity which makes dietary habits and food preparation different to European countries and the United States. […] Although several Latin American groups are describing allergenic proteins and trying to produce hypoallergenic foods, little is known about the frequency of sensitization to foods and possible risk factors in Latin America, so the aim of this article is to review the available information on the epidemiology of sensitization and food allergy in Latin America and see if there are important differences with the frequency reported in Europe and the United States.
  • #21 Egg allergy – Wikipedia
    https://en.wikipedia.org/wiki/Egg_allergy
    Self-reported allergy prevalence is always higher than food-challenge confirmed allergy. […] For all age groups, a review of fifty studies conducted in Europe estimated 2.5% for self-reported egg allergy and 0.2% for confirmed. […] National survey data in the United States collected in 2005 and 2006 showed that from age six and older, the prevalence of serum IgE confirmed egg allergy was under 0.2%. […] Adult-onset of egg allergy is rare, but there is confirmation of cases.
  • #22 f233 Gal d 1 | Thermo Fisher Scientific
    https://www.thermofisher.com/phadia/us/en/resources/allergen-encyclopedia/f245/f233.html
    Egg sensitization is more prevalent than egg allergy, and IgE antibodies have been detected already in very young age groups. […] A Finland-based study on 185 egg-sensitized children (1-18 years; suspected egg allergy) reported Gal d 1 sensitization prevalence rate among 78% of the study population. […] An Australia-based study also studied Gal d 1 sensitization prevalence rate and including 297 egg-allergic and 97 egg sensitized but egg tolerant infants (11-20-months old). They reported Gal d 1 sensitization among 67.9% of the egg allergic infants and 32.1% of the egg sensitized but egg tolerant infants. […] An elevated level of ovomucoid specific IgE (sIgE) has been reported to be correlated with persistent egg allergy. […] Another study also found Gal d 1 sensitization among infants to be associated with an increased risk (2.5 times) of developing persistent egg allergy.
  • #23 The Epidemiology of Food Allergy in the Global Context
    https://www.mdpi.com/1660-4601/15/9/2043
    Most countries have reported an increase in food allergy prevalence over the last decade. […] In the UK, admission rates for anaphylaxis due to a food trigger rose from 1.2 to 2.4 per 100,000 between 1998 and 2012. […] In Australia, admissions for anaphylaxis caused by food showed an average annual increase of 13.2% between 1994 and 2005. […] The highest rate of increase was reported among those aged 0 to 4 years with a 5.5-fold increase demonstrated over the 12-year study period. […] In other parts of the world, reported prevalence of challenge-proven food allergy has varied widely, and until recently it was perceived that food allergy was uncommon in the developing world. […] However, prevalence of challenge-proven food allergy is reported to range from 1% among children aged three to seven years in Thailand to 3.8% and 7.7% of one- and two-year-old children in China respectively.
  • #24 Facts and Statistics – FoodAllergy.org
    https://www.foodallergy.org/resources/facts-and-statistics
    Food allergy prevalence among children has been increasing for decades, up by 50 percent between 1997 and 2011, and again up by 50 percent between 2007 and 2021. […] In the U.S., childhood food allergy prevalence has increased at faster rates among Black Americans (2.1 percent per decade) and Hispanic Americans (1.2 percent per decade) than among White Americans (1 percent per decade), according to a study of self-reported allergy. […] Compared to non-Hispanic White children, African American children are at significantly elevated risk of developing food allergy. […] Among children on Medicaid, Black children are 7 percent more likely to develop food allergies than White children. […] In a cohort of predominantly Black (69 percent) and Hispanic (21 percent) children born in urban centers, 10 percent of the children who had a family history of hay fever, eczema or asthma were allergic to eggs, milk, or peanuts. […] While most food allergies develop during childhood, medical records data suggest that at least 15 percent of patients with food allergies are first diagnosed in adulthood.
  • #25 Facts and Statistics – FoodAllergy.org
    https://www.foodallergy.org/resources/facts-and-statistics
    Food allergy prevalence among children has been increasing for decades, up by 50 percent between 1997 and 2011, and again up by 50 percent between 2007 and 2021. […] In the U.S., childhood food allergy prevalence has increased at faster rates among Black Americans (2.1 percent per decade) and Hispanic Americans (1.2 percent per decade) than among White Americans (1 percent per decade), according to a study of self-reported allergy. […] Compared to non-Hispanic White children, African American children are at significantly elevated risk of developing food allergy. […] Among children on Medicaid, Black children are 7 percent more likely to develop food allergies than White children. […] In a cohort of predominantly Black (69 percent) and Hispanic (21 percent) children born in urban centers, 10 percent of the children who had a family history of hay fever, eczema or asthma were allergic to eggs, milk, or peanuts. […] While most food allergies develop during childhood, medical records data suggest that at least 15 percent of patients with food allergies are first diagnosed in adulthood.
  • #26 AAIR :: Allergy, Asthma & Immunology Research
    https://e-aair.org/DOIx.php?id=10.4168/aair.2019.11.4.498
    Egg is the most common food allergen in infants. […] The prevalence of food allergies in children tends to increase gradually, and based on the data released by the American Centers for Disease Control in 2013, the prevalence rate of food allergy in children aged 0-17 years was 3.4% from 1997 to 1999, which increased to 5.1% from 2009 to 2011. […] In Korea, the prevalence rate of food allergy increased from 0.6% to 3.15% in children aged 6-7 years and from 1.6% to 4.01% in children aged 12-13 years between 2010 and 2015. […] An Australian study reported that the prevalence of IgE-mediated egg allergy in infants aged 12 months is 9%. […] Egg is also the most important cause of food allergy among single foods in Korea. […] Most egg allergy develops in the first year of life and the overall prognosis for tolerance has been considered good.
  • #27 The Epidemiology of Food Allergy in the Global Context
    https://www.mdpi.com/1660-4601/15/9/2043
    Most countries have reported an increase in food allergy prevalence over the last decade. […] In the UK, admission rates for anaphylaxis due to a food trigger rose from 1.2 to 2.4 per 100,000 between 1998 and 2012. […] In Australia, admissions for anaphylaxis caused by food showed an average annual increase of 13.2% between 1994 and 2005. […] The highest rate of increase was reported among those aged 0 to 4 years with a 5.5-fold increase demonstrated over the 12-year study period. […] In other parts of the world, reported prevalence of challenge-proven food allergy has varied widely, and until recently it was perceived that food allergy was uncommon in the developing world. […] However, prevalence of challenge-proven food allergy is reported to range from 1% among children aged three to seven years in Thailand to 3.8% and 7.7% of one- and two-year-old children in China respectively.
  • #28 The Epidemiology of Food Allergy in the Global Context
    https://www.mdpi.com/1660-4601/15/9/2043
    Most countries have reported an increase in food allergy prevalence over the last decade. […] In the UK, admission rates for anaphylaxis due to a food trigger rose from 1.2 to 2.4 per 100,000 between 1998 and 2012. […] In Australia, admissions for anaphylaxis caused by food showed an average annual increase of 13.2% between 1994 and 2005. […] The highest rate of increase was reported among those aged 0 to 4 years with a 5.5-fold increase demonstrated over the 12-year study period. […] In other parts of the world, reported prevalence of challenge-proven food allergy has varied widely, and until recently it was perceived that food allergy was uncommon in the developing world. […] However, prevalence of challenge-proven food allergy is reported to range from 1% among children aged three to seven years in Thailand to 3.8% and 7.7% of one- and two-year-old children in China respectively.
  • #29 Egg Allergy in US Children – PubMed
    https://pubmed.ncbi.nlm.nih.gov/32376485/
    Egg allergy is common in young children (5 years) and has significant negative impacts on quality of life. […] The objective of this study was to characterize egg allergy prevalence, severity, baked egg tolerance, and other associated factors in a large US cohort. […] The overall prevalence of current, convincingly egg allergy was 0.9% among all children and 1.3% among children 5 years. […] Black children were over-represented among children with egg allergy, accounting for 23.4% (95% confidence interval: 13.1-38.4) of egg-allergic children despite comprising 13.2% (12.3-14.2) of the US pediatric population. […] Among children with egg allergy, 64.2% reported baked egg tolerance and 60.2% had allergy to other foods, with 29.3% having peanut allergy. […] Asthma was more prevalent in children with an egg allergy than children with other top 8 food allergies (46.5% [35.8-57.4] vs 33.2% [29.6-37.0], P .05).
  • #30 Facts and Statistics – FoodAllergy.org
    https://www.foodallergy.org/resources/facts-and-statistics
    Food allergy prevalence among children has been increasing for decades, up by 50 percent between 1997 and 2011, and again up by 50 percent between 2007 and 2021. […] In the U.S., childhood food allergy prevalence has increased at faster rates among Black Americans (2.1 percent per decade) and Hispanic Americans (1.2 percent per decade) than among White Americans (1 percent per decade), according to a study of self-reported allergy. […] Compared to non-Hispanic White children, African American children are at significantly elevated risk of developing food allergy. […] Among children on Medicaid, Black children are 7 percent more likely to develop food allergies than White children. […] In a cohort of predominantly Black (69 percent) and Hispanic (21 percent) children born in urban centers, 10 percent of the children who had a family history of hay fever, eczema or asthma were allergic to eggs, milk, or peanuts. […] While most food allergies develop during childhood, medical records data suggest that at least 15 percent of patients with food allergies are first diagnosed in adulthood.
  • #31 Facts and Statistics – FoodAllergy.org
    https://www.foodallergy.org/resources/facts-and-statistics
    Food allergy prevalence among children has been increasing for decades, up by 50 percent between 1997 and 2011, and again up by 50 percent between 2007 and 2021. […] In the U.S., childhood food allergy prevalence has increased at faster rates among Black Americans (2.1 percent per decade) and Hispanic Americans (1.2 percent per decade) than among White Americans (1 percent per decade), according to a study of self-reported allergy. […] Compared to non-Hispanic White children, African American children are at significantly elevated risk of developing food allergy. […] Among children on Medicaid, Black children are 7 percent more likely to develop food allergies than White children. […] In a cohort of predominantly Black (69 percent) and Hispanic (21 percent) children born in urban centers, 10 percent of the children who had a family history of hay fever, eczema or asthma were allergic to eggs, milk, or peanuts. […] While most food allergies develop during childhood, medical records data suggest that at least 15 percent of patients with food allergies are first diagnosed in adulthood.
  • #32 Facts and Statistics – FoodAllergy.org
    https://www.foodallergy.org/resources/facts-and-statistics
    Food allergy prevalence among children has been increasing for decades, up by 50 percent between 1997 and 2011, and again up by 50 percent between 2007 and 2021. […] In the U.S., childhood food allergy prevalence has increased at faster rates among Black Americans (2.1 percent per decade) and Hispanic Americans (1.2 percent per decade) than among White Americans (1 percent per decade), according to a study of self-reported allergy. […] Compared to non-Hispanic White children, African American children are at significantly elevated risk of developing food allergy. […] Among children on Medicaid, Black children are 7 percent more likely to develop food allergies than White children. […] In a cohort of predominantly Black (69 percent) and Hispanic (21 percent) children born in urban centers, 10 percent of the children who had a family history of hay fever, eczema or asthma were allergic to eggs, milk, or peanuts. […] While most food allergies develop during childhood, medical records data suggest that at least 15 percent of patients with food allergies are first diagnosed in adulthood.
  • #33 Facts and Statistics – FoodAllergy.org
    https://www.foodallergy.org/resources/facts-and-statistics
    Food allergy prevalence among children has been increasing for decades, up by 50 percent between 1997 and 2011, and again up by 50 percent between 2007 and 2021. […] In the U.S., childhood food allergy prevalence has increased at faster rates among Black Americans (2.1 percent per decade) and Hispanic Americans (1.2 percent per decade) than among White Americans (1 percent per decade), according to a study of self-reported allergy. […] Compared to non-Hispanic White children, African American children are at significantly elevated risk of developing food allergy. […] Among children on Medicaid, Black children are 7 percent more likely to develop food allergies than White children. […] In a cohort of predominantly Black (69 percent) and Hispanic (21 percent) children born in urban centers, 10 percent of the children who had a family history of hay fever, eczema or asthma were allergic to eggs, milk, or peanuts. […] While most food allergies develop during childhood, medical records data suggest that at least 15 percent of patients with food allergies are first diagnosed in adulthood.
  • #34 The Epidemiology of Food Allergy in the Global Context
    https://www.mdpi.com/1660-4601/15/9/2043
    There is a lack of high-quality evidence based on the gold standard of oral food challenges to determine food allergy prevalence. […] Studies using surrogate measures of food allergy, such as health service utilization and clinical history, together with allergen-specific immunoglobulin E (sIgE), provide compelling data that the prevalence of food allergy is increasing in both Western and developing countries. […] While cow’s milk and egg allergy are two of the most common food allergies in most countries, diverse patterns of food allergy can be observed in individual geographic regions determined by each country’s feeding patterns. […] More robust studies investigating food allergy prevalence, particularly in Asia and the developing world, are necessary to understand the extent of the food allergy problem and identify preventive strategies to cope with the potential increase in these regions.
  • #35 The Epidemiology of Food Allergy in the Global Context
    https://www.mdpi.com/1660-4601/15/9/2043
    There is a lack of high-quality evidence based on the gold standard of oral food challenges to determine food allergy prevalence. […] Studies using surrogate measures of food allergy, such as health service utilization and clinical history, together with allergen-specific immunoglobulin E (sIgE), provide compelling data that the prevalence of food allergy is increasing in both Western and developing countries. […] While cow’s milk and egg allergy are two of the most common food allergies in most countries, diverse patterns of food allergy can be observed in individual geographic regions determined by each country’s feeding patterns. […] More robust studies investigating food allergy prevalence, particularly in Asia and the developing world, are necessary to understand the extent of the food allergy problem and identify preventive strategies to cope with the potential increase in these regions.
  • #36 Epidemiology of food allergy in Latin America | Allergologia et Immunopathologia
    https://www.elsevier.es/en-revista-allergologia-et-immunopathologia-105-articulo-epidemiology-food-allergy-in-latin-S0301054613002280
    The results found in Mexico show that in general, sensitization to egg and peanuts is less than that reported in the United States and Europe, where these sources account for almost 80% of FA. […] It is also important to note that other sources infrequently described in European and U.S. populations, such as corn, beans and chilli have a proportionally high prevalence in the Mexican population, perhaps because they are highly present in their diet. […] In conclusion, this review shows a need for further studies on food allergy in Latin America as their regional characteristics provide a different behaviour and different food sensitization pattern to that observed in Europe and the United States.
  • #37 Epidemiology of food allergy in Latin America | Allergologia et Immunopathologia
    https://www.elsevier.es/es-revista-allergologia-et-immunopathologia-105-articulo-epidemiology-food-allergy-in-latin-S0301054613002280
    In Colombia, two articles have been published exploring the epidemiology of AFR and FA in the general population. […] The high frequency of sensitization reported in this study indicates the importance of testing native foods of each region. […] The results found in Mexico show that in general, sensitization to egg and peanuts is less than that reported in the United States and Europe, where these sources account for almost 80% of FA. […] In conclusion, this review shows a need for further studies on food allergy in Latin America as their regional characteristics provide a different behaviour and different food sensitization pattern to that observed in Europe and the United States.
  • #38 Epidemiology of food allergy in Latin America | Allergologia et Immunopathologia
    https://www.elsevier.es/en-revista-allergologia-et-immunopathologia-105-articulo-epidemiology-food-allergy-in-latin-S0301054613002280
    The results found in Mexico show that in general, sensitization to egg and peanuts is less than that reported in the United States and Europe, where these sources account for almost 80% of FA. […] It is also important to note that other sources infrequently described in European and U.S. populations, such as corn, beans and chilli have a proportionally high prevalence in the Mexican population, perhaps because they are highly present in their diet. […] In conclusion, this review shows a need for further studies on food allergy in Latin America as their regional characteristics provide a different behaviour and different food sensitization pattern to that observed in Europe and the United States.
  • #39 Epidemiology of food allergy in Latin America | Allergologia et Immunopathologia
    https://www.elsevier.es/es-revista-allergologia-et-immunopathologia-105-articulo-epidemiology-food-allergy-in-latin-S0301054613002280
    In Colombia, two articles have been published exploring the epidemiology of AFR and FA in the general population. […] The high frequency of sensitization reported in this study indicates the importance of testing native foods of each region. […] The results found in Mexico show that in general, sensitization to egg and peanuts is less than that reported in the United States and Europe, where these sources account for almost 80% of FA. […] In conclusion, this review shows a need for further studies on food allergy in Latin America as their regional characteristics provide a different behaviour and different food sensitization pattern to that observed in Europe and the United States.
  • #40 Egg allergy: Clinical features and diagnosis – UpToDate
    https://www.uptodate.com/contents/egg-allergy-clinical-features-and-diagnosis/print
    Hen’s egg allergy is the second most common food allergy in infants and young children (cow’s milk is the most common). […] The epidemiology, pathogenesis, clinical features, and diagnosis of egg allergy are presented in this topic review. […] The prevalence of hen’s egg allergy confirmed by oral challenge was 1.6 percent of children three years of age in an unselected population in Denmark. […] A subsequent meta-analysis of the prevalence of food allergy estimated that egg allergy affects 0.5 to 2.5 percent of young children. […] An Australian population-based cohort study challenged children using raw egg white and reported an egg allergy prevalence of 9.5 percent at one year and 1.2 percent at four years. […] Challenge-proven egg allergy in South African toddlers (12 to 36 months) was 1.9 percent for raw egg white and 0.8 percent for cooked egg. […] New-onset egg allergy in adults is rare and is limited to case reports.
  • #41 Egg allergy: Clinical features and diagnosis – UpToDate
    https://www.uptodate.com/contents/egg-allergy-clinical-features-and-diagnosis
    Hen’s egg allergy is the second most common food allergy in infants and young children (cow’s milk is the most common). The epidemiology, pathogenesis, clinical features, and diagnosis of egg allergy are presented in this topic review. The prevalence of hen’s egg allergy confirmed by oral challenge was 1.6 percent of children three years of age in an unselected population in Denmark. A subsequent meta-analysis of the prevalence of food allergy estimated that egg allergy affects 0.5 to 2.5 percent of young children. There were several limitations to the meta-analysis. There was significant variability in study design that made direct comparisons difficult. The majority of studies included in the meta-analysis were based upon self-reports of food allergy, which tend to overestimate the prevalence. Some studies used skin prick test and food-specific IgE levels to confirm sensitization to the allergen, but not all diagnoses were challenge proven. The form of egg used in challenges also contributes to the variability in egg allergy prevalence. An Australian population-based cohort study challenged children using raw egg white and reported an egg allergy prevalence of 9.5 percent at one year and 1.2 percent at four years. Challenge-proven egg allergy in South African toddlers (12 to 36 months) was 1.9 percent for raw egg white and 0.8 percent for cooked egg. New-onset egg allergy in adults is rare and is limited to case reports.
  • #42 Hen’s egg white allergy in adults leading to strong impairment of quality of life | Scientific Reports
    https://www.nature.com/articles/s41598-024-80710-w
    In adulthood, hens egg white allergy (EWA) is a rare condition and rising in prevalence. […] Various epidemiologic studies have assessed the prevalence in adulthood, but the very rare adult-onset EWA alone has only been described in case reports and has been reported in association with atopic history. […] Food allergies, including EWA, are on the rise worldwide. […] Through self-reported FA surveys and national surveys, it is suggested that the prevalence of food allergies in adults is higher than estimated. […] Data on cases with EWA in adults is rare, and so is assessment of HRQoL in those individuals. […] This study provides insight into impaired HRQoL, specifically in adults with EWA. […] We identified an urgent need for correct food labeling in stores and restaurants to improve patients safety, lessen fear, and reduce the incidence of allergic symptoms.
  • #43 Egg Allergy 2021 – BSACISearch iconSearch icon
    https://www.bsaci.org/guidelines-and-standards/bsaci-guidelines/egg-allergy-2021/
    This guideline advises on the management of patients with egg allergy. Most commonly egg allergy presents in infancy, with a prevalence of approximately 2% in children and 0.1% in adults. […] The document encompasses epidemiology, risk factors, diagnosis, treatment, prognosis, and co-morbid associations.
  • #44 Egg Allergy – BSACISearch iconSearch icon
    https://www.bsaci.org/guidelines-and-standards/bsaci-guidelines/guidelines-archive/egg-allergy/
    Most commonly, egg allergy presents in infancy, with a prevalence of approximately 2% in children and 0.1% in adults. […] The document encompasses epidemiology, risk factors, diagnosis, treatment, prognosis and co-morbid associations.
  • #45 Facts and Statistics – FoodAllergy.org
    https://www.foodallergy.org/resources/facts-and-statistics
    Food allergy prevalence among children has been increasing for decades, up by 50 percent between 1997 and 2011, and again up by 50 percent between 2007 and 2021. […] In the U.S., childhood food allergy prevalence has increased at faster rates among Black Americans (2.1 percent per decade) and Hispanic Americans (1.2 percent per decade) than among White Americans (1 percent per decade), according to a study of self-reported allergy. […] Compared to non-Hispanic White children, African American children are at significantly elevated risk of developing food allergy. […] Among children on Medicaid, Black children are 7 percent more likely to develop food allergies than White children. […] In a cohort of predominantly Black (69 percent) and Hispanic (21 percent) children born in urban centers, 10 percent of the children who had a family history of hay fever, eczema or asthma were allergic to eggs, milk, or peanuts. […] While most food allergies develop during childhood, medical records data suggest that at least 15 percent of patients with food allergies are first diagnosed in adulthood.
  • #46 Hen’s egg white allergy in adults leading to strong impairment of quality of life | Scientific Reports
    https://www.nature.com/articles/s41598-024-80710-w
    In adulthood, hens egg white allergy (EWA) is a rare condition and rising in prevalence. […] Various epidemiologic studies have assessed the prevalence in adulthood, but the very rare adult-onset EWA alone has only been described in case reports and has been reported in association with atopic history. […] Food allergies, including EWA, are on the rise worldwide. […] Through self-reported FA surveys and national surveys, it is suggested that the prevalence of food allergies in adults is higher than estimated. […] Data on cases with EWA in adults is rare, and so is assessment of HRQoL in those individuals. […] This study provides insight into impaired HRQoL, specifically in adults with EWA. […] We identified an urgent need for correct food labeling in stores and restaurants to improve patients safety, lessen fear, and reduce the incidence of allergic symptoms.
  • #47 Hen’s egg white allergy in adults leading to strong impairment of quality of life | Scientific Reports
    https://www.nature.com/articles/s41598-024-80710-w
    In adulthood, hens egg white allergy (EWA) is a rare condition and rising in prevalence. […] Various epidemiologic studies have assessed the prevalence in adulthood, but the very rare adult-onset EWA alone has only been described in case reports and has been reported in association with atopic history. […] Food allergies, including EWA, are on the rise worldwide. […] Through self-reported FA surveys and national surveys, it is suggested that the prevalence of food allergies in adults is higher than estimated. […] Data on cases with EWA in adults is rare, and so is assessment of HRQoL in those individuals. […] This study provides insight into impaired HRQoL, specifically in adults with EWA. […] We identified an urgent need for correct food labeling in stores and restaurants to improve patients safety, lessen fear, and reduce the incidence of allergic symptoms.
  • #48 Egg Allergy in US Children – PubMed
    https://pubmed.ncbi.nlm.nih.gov/32376485/
    Egg allergy is common in young children (5 years) and has significant negative impacts on quality of life. […] The objective of this study was to characterize egg allergy prevalence, severity, baked egg tolerance, and other associated factors in a large US cohort. […] The overall prevalence of current, convincingly egg allergy was 0.9% among all children and 1.3% among children 5 years. […] Black children were over-represented among children with egg allergy, accounting for 23.4% (95% confidence interval: 13.1-38.4) of egg-allergic children despite comprising 13.2% (12.3-14.2) of the US pediatric population. […] Among children with egg allergy, 64.2% reported baked egg tolerance and 60.2% had allergy to other foods, with 29.3% having peanut allergy. […] Asthma was more prevalent in children with an egg allergy than children with other top 8 food allergies (46.5% [35.8-57.4] vs 33.2% [29.6-37.0], P .05).
  • #49 Egg Allergy in US Children – PubMed
    https://pubmed.ncbi.nlm.nih.gov/32376485/
    Egg allergy is common in young children (5 years) and has significant negative impacts on quality of life. […] The objective of this study was to characterize egg allergy prevalence, severity, baked egg tolerance, and other associated factors in a large US cohort. […] The overall prevalence of current, convincingly egg allergy was 0.9% among all children and 1.3% among children 5 years. […] Black children were over-represented among children with egg allergy, accounting for 23.4% (95% confidence interval: 13.1-38.4) of egg-allergic children despite comprising 13.2% (12.3-14.2) of the US pediatric population. […] Among children with egg allergy, 64.2% reported baked egg tolerance and 60.2% had allergy to other foods, with 29.3% having peanut allergy. […] Asthma was more prevalent in children with an egg allergy than children with other top 8 food allergies (46.5% [35.8-57.4] vs 33.2% [29.6-37.0], P .05).
  • #50 Egg Allergy Market Analysis and Forecast | DelveInsight
    https://www.delveinsight.com/blog/egg-allergy-market
    Hens egg allergy is the second most common type of allergy after cows milk. In infants and young children, Egg poses as one of the most vital allergens degrading the quality of life. […] As per one US-based study, Prevalence of allergic sensitisation in the United States: results from the National Health and Nutrition Examination Survey (NHANES) 2005-2006 Egg allergy prevalence estimates for sensitisation was 3.4% to the egg in the overall population aged six and above. […] Moreover, Allergy UK states that 1 in 20 people develop Egg allergy in the United Kingdom. […] According to a study conducted by Gisle Kanny et al., reported food allergy prevalence is 3.52%, out of which nearly four per cent of the population is suffering from an egg allergy. […] It is shocking to note that a higher risk of developing other skin allergies such as atopic dermatitis, and other food allergies increase the persistence of egg allergy. And patients with higher egg allergy persistence showed higher levels of egg IgE at all the ages.
  • #51 Egg Allergy – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK538192/
    Egg allergy is IgE-mediated and healthy individuals are capable of generating antigen-specific IgE upon exposure to egg allergens. […] The consensus is that IgE responses are genetically controlled by MHC-linked genes that are found on chromosome six. […] The term egg allergy refers to an adverse immunological response to exposure to allergens found in egg white or egg yolk. It is the second most common food allergy in the United States after milk allergy. […] Estimating the prevalence of food allergies is challenging for several reasons. […] Hen egg allergies often present within a year of age with no distinction between either gender. […] As opposed to other food allergies such as tree nut, peanut, or fish, egg allergy typically resolves or improves relatively earlier in life. […] A significant majority of patients with hen egg allergy will develop tolerance to hen egg allergens by the time they reach school age. Some, however, build tolerance only in adolescence.
  • #52 Egg Allergy – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK538192/
    Egg allergy is IgE-mediated and healthy individuals are capable of generating antigen-specific IgE upon exposure to egg allergens. […] The consensus is that IgE responses are genetically controlled by MHC-linked genes that are found on chromosome six. […] The term egg allergy refers to an adverse immunological response to exposure to allergens found in egg white or egg yolk. It is the second most common food allergy in the United States after milk allergy. […] Estimating the prevalence of food allergies is challenging for several reasons. […] Hen egg allergies often present within a year of age with no distinction between either gender. […] As opposed to other food allergies such as tree nut, peanut, or fish, egg allergy typically resolves or improves relatively earlier in life. […] A significant majority of patients with hen egg allergy will develop tolerance to hen egg allergens by the time they reach school age. Some, however, build tolerance only in adolescence.
  • #53 AAIR :: Allergy, Asthma & Immunology Research
    https://e-aair.org/DOIx.php?id=10.4168/aair.2019.11.4.498
    However, tolerance acquisition rates have been varyingly reported as 30%-50% by age of 3 years, 59%-66% by age of 5 years and 50%-70% at age of 6 years. […] The median time to develop tolerance has been reported to be from 3 to 9 years of age, and 5%-10% of children reported that their egg allergy persisted until 18 years of age. […] The prognostic factors associated with the egg allergy tolerance acquisition have been reported to include the following: characteristics of the initial reaction at the time of egg consumption, baseline egg skin prick test wheal size, and baseline egg-specific IgE level at diagnosis. […] We propose EWsIgE12mo as an early predictor for future tolerance. […] It is important to predict which children with egg allergy are likely to have persistent allergy because it is necessary to identify the candidates for emerging food allergy therapies including oral immunotherapy, which can carry risks and be costly. […] In conclusion, children with egg allergy are less likely to have tolerance to egg when they show concomitant allergies to other food, atopic dermatitis, or EWsIgE level of 16 kU/L at diagnosis.
  • #54 AAIR :: Allergy, Asthma & Immunology Research
    https://e-aair.org/DOIx.php?id=10.4168/aair.2019.11.4.498
    However, tolerance acquisition rates have been varyingly reported as 30%-50% by age of 3 years, 59%-66% by age of 5 years and 50%-70% at age of 6 years. […] The median time to develop tolerance has been reported to be from 3 to 9 years of age, and 5%-10% of children reported that their egg allergy persisted until 18 years of age. […] The prognostic factors associated with the egg allergy tolerance acquisition have been reported to include the following: characteristics of the initial reaction at the time of egg consumption, baseline egg skin prick test wheal size, and baseline egg-specific IgE level at diagnosis. […] We propose EWsIgE12mo as an early predictor for future tolerance. […] It is important to predict which children with egg allergy are likely to have persistent allergy because it is necessary to identify the candidates for emerging food allergy therapies including oral immunotherapy, which can carry risks and be costly. […] In conclusion, children with egg allergy are less likely to have tolerance to egg when they show concomitant allergies to other food, atopic dermatitis, or EWsIgE level of 16 kU/L at diagnosis.
  • #55 Incidence and natural history of hen’s egg allergy in the first 2 years of life-the EuroPrevall birth cohort study – ePrints Soton
    https://eprints.soton.ac.uk/388717
    CONCLUSIONS: The largest multinational European birth cohort study on food allergy with gold-standard diagnostic methods showed that the mean adjusted incidence of HEA was considerably lower than previously documented, although differences in incidence rates among countries were noted. […] Half of the children with documented HEA gained tolerance within 1 year postdiagnosis.
  • #56 Egg allergy – Wikipedia
    https://en.wikipedia.org/wiki/Egg_allergy
    In countries in North America and western Europe, where use of cow’s milk based infant formula is common, chicken egg allergy is the second most common food allergy in infants and young children after cow’s milk. […] One review estimates that in North American and western European populations the prevalence of egg allergy in children under the age of five years is 1.8-2.0%. […] A second described the range in young children as 0.5-2.5%. […] Although the majority of children develop tolerance as they age into school age years, for roughly one-third the allergy persists into adulthood. […] Strong predictors for adult-persistent allergy are anaphylactic symptoms as a child, high egg-specific serum IgE, robust response to the skin prick test and absence of tolerance to egg-containing baked foods.
  • #57 How to optimize cow’s milk and egg allergy diagnosis in primary care | Thermo Fisher Scientific
    https://www.thermofisher.com/phadia/wo/en/resources/clinical-education/how-to-optimize-cows-milk-and-egg-allergy-diagnosis-in-primary-care.html
    Cows milk allergy, CMA, stands as the most common childhood allergy, affecting 2-3% of children under the age of three.1-3 […] Egg allergy is the second most common food allergy in infants and young children, second only to cows milk in prevalence, affecting 0,5-2,5% of them.9-11 […] Resolution of egg allergy is highly associated with lower IgE levels and the absence of systemic reactions beyond skin presentation. Although approximately 50% of pediatric patients are likely to outgrow their egg allergy by age six, research suggests that children are outgrowing their egg allergy more slowly than before.11
  • #58 Egg Allergy in US Children – PubMed
    https://pubmed.ncbi.nlm.nih.gov/32376485/
    Egg allergy is common in young children (5 years) and has significant negative impacts on quality of life. […] The objective of this study was to characterize egg allergy prevalence, severity, baked egg tolerance, and other associated factors in a large US cohort. […] The overall prevalence of current, convincingly egg allergy was 0.9% among all children and 1.3% among children 5 years. […] Black children were over-represented among children with egg allergy, accounting for 23.4% (95% confidence interval: 13.1-38.4) of egg-allergic children despite comprising 13.2% (12.3-14.2) of the US pediatric population. […] Among children with egg allergy, 64.2% reported baked egg tolerance and 60.2% had allergy to other foods, with 29.3% having peanut allergy. […] Asthma was more prevalent in children with an egg allergy than children with other top 8 food allergies (46.5% [35.8-57.4] vs 33.2% [29.6-37.0], P .05).
  • #59 Egg Allergy in US Children – PubMed
    https://pubmed.ncbi.nlm.nih.gov/32376485/
    Among children with current egg allergy, those with baked egg tolerance reported that their food allergy resulted in significantly reduced psychosocial burden, relative to their baked egg-allergic counterparts (M = 3.1 [2.9-3.3] vs M = 3.7 [3.5-3.9]). […] Egg allergy is common amongst young children. Nearly two-thirds of children with egg allergy reported baked egg tolerance. Increased efforts are needed to ensure that children with egg allergy are appropriately evaluated as many have comorbid allergic disease and determination of baked egg tolerance may improve quality of life.
  • #60 Egg Allergy in US Children – PubMed
    https://pubmed.ncbi.nlm.nih.gov/32376485/
    Among children with current egg allergy, those with baked egg tolerance reported that their food allergy resulted in significantly reduced psychosocial burden, relative to their baked egg-allergic counterparts (M = 3.1 [2.9-3.3] vs M = 3.7 [3.5-3.9]). […] Egg allergy is common amongst young children. Nearly two-thirds of children with egg allergy reported baked egg tolerance. Increased efforts are needed to ensure that children with egg allergy are appropriately evaluated as many have comorbid allergic disease and determination of baked egg tolerance may improve quality of life.
  • #61 Incidence and natural history of hen’s egg allergy in the first 2 years of life-the EuroPrevall birth cohort study – ePrints Soton
    https://eprints.soton.ac.uk/388717
    Incidence and natural history of hen’s egg allergy in the first 2 years of life-the EuroPrevall birth cohort study BACKGROUND: Parents and health staff perceive hen’s egg allergy (HEA) as a common food allergy in early childhood, but the true incidence is unclear because population-based studies with gold-standard diagnostic criteria are lacking. […] OBJECTIVE: To establish the incidence and course of challenge-confirmed HEA in children, from birth until the age of 24 months, in different European regions. […] RESULTS: Across Europe, 12 049 newborns were enrolled, and 9336 (77.5%) were followed up to 2 years of age. In 298 children, HEA was suspected and DBPCFC was offered. HEA by age two was confirmed in 86 of 172 challenged children (mean raw incidence 0.84%, 95% confidence interval (95% CI) 0.67-1.03). Adjusted mean incidence of HEA was 1.23% (95% CI 0.98-1.51) considering possible cases among eligible children who were not challenged. Centre-specific incidence ranged from United Kingdom (2.18%, 95% CI 1.27-3.47) to Greece (0.07%).
  • #62
    https://www.healio.com/clinical-guidance/food-allergies/epidemiology-of-food-allergies-overview
    Food allergies represent a significant global health concern, with increasing prevalence and diverse epidemiological patterns observed worldwide. […] The estimated global prevalence of food allergies is approximately 8% in children and 10% in adults. […] In the United States, large-scale population-based surveys have provided insights into the prevalence of food allergies, revealing rates of 7.6% among children and 10.8% among adults. […] Studies in Europe, involving birth cohorts of over 12,000 participants, have revealed country-specific differences in food allergy incidence. For example, among children 2 years of age, egg allergy had a mean incidence of 1.23%, with rates ranging from 0.07% in Greece to 2.18% in the United Kingdom. […] Regional variations were present as well, following an expected pattern fish and shrimp allergies were more commonly reported in the Mediterranean area and Iceland, while nut, fruit, and vegetable allergies were more commonly reported in Central Europe. […] Conversely, food allergies are considered relatively uncommon in many Asian and African countries. […] The development of food allergies is influenced by various risk factors, contributing to the variability in prevalence observed worldwide.
  • #63 Egg allergy: Clinical features and diagnosis – UpToDate
    https://www.uptodate.com/contents/egg-allergy-clinical-features-and-diagnosis
    Hen’s egg allergy is the second most common food allergy in infants and young children (cow’s milk is the most common). The epidemiology, pathogenesis, clinical features, and diagnosis of egg allergy are presented in this topic review. The prevalence of hen’s egg allergy confirmed by oral challenge was 1.6 percent of children three years of age in an unselected population in Denmark. A subsequent meta-analysis of the prevalence of food allergy estimated that egg allergy affects 0.5 to 2.5 percent of young children. There were several limitations to the meta-analysis. There was significant variability in study design that made direct comparisons difficult. The majority of studies included in the meta-analysis were based upon self-reports of food allergy, which tend to overestimate the prevalence. Some studies used skin prick test and food-specific IgE levels to confirm sensitization to the allergen, but not all diagnoses were challenge proven. The form of egg used in challenges also contributes to the variability in egg allergy prevalence. An Australian population-based cohort study challenged children using raw egg white and reported an egg allergy prevalence of 9.5 percent at one year and 1.2 percent at four years. Challenge-proven egg allergy in South African toddlers (12 to 36 months) was 1.9 percent for raw egg white and 0.8 percent for cooked egg. New-onset egg allergy in adults is rare and is limited to case reports.
  • #64 The Epidemiology of Food Allergy in the Global Context
    https://www.mdpi.com/1660-4601/15/9/2043
    In children less than 5 years of age, prevalence of challenge-proven food allergy has been reported to be 4% in the UK, 3.6% in Denmark, 6.8% in Norway and more than 10% at age 12 months and around 4% at age 4 years in Australia. […] In the Melbourne-based HealthNuts study, prevalence of peanut allergy at 12 months was 3.0%, egg allergy was 8.9% and sesame allergy was 0.8%. […] A systematic review that included 42 studies published in Europe between 2000 and 2012 reported the point prevalence of challenge-confirmed food allergy to cow’s milk, egg, wheat, soy, peanut, tree nuts, fish and shellfish to be 0.2%, 0.2%, 0.1%, 0.3%, 0.2%, 0.5%, 0.1%, and 0.1%, respectively. […] In Australia, a country with one of the highest rates of food allergy, a recent study evaluating 5016 adolescents aged 10 to 14 years reported an OFC-confirmed food allergy prevalence of 4.5%.
  • #65 Egg Allergy Market Analysis and Forecast | DelveInsight
    https://www.delveinsight.com/blog/egg-allergy-market
    Hens egg allergy is the second most common type of allergy after cows milk. In infants and young children, Egg poses as one of the most vital allergens degrading the quality of life. […] As per one US-based study, Prevalence of allergic sensitisation in the United States: results from the National Health and Nutrition Examination Survey (NHANES) 2005-2006 Egg allergy prevalence estimates for sensitisation was 3.4% to the egg in the overall population aged six and above. […] Moreover, Allergy UK states that 1 in 20 people develop Egg allergy in the United Kingdom. […] According to a study conducted by Gisle Kanny et al., reported food allergy prevalence is 3.52%, out of which nearly four per cent of the population is suffering from an egg allergy. […] It is shocking to note that a higher risk of developing other skin allergies such as atopic dermatitis, and other food allergies increase the persistence of egg allergy. And patients with higher egg allergy persistence showed higher levels of egg IgE at all the ages.
  • #66 AAIR :: Allergy, Asthma & Immunology Research
    https://e-aair.org/DOIx.php?id=10.4168/aair.2019.11.4.446
    The prevalence of immunoglobulin E (IgE)-mediated egg allergy is one of the most common food allergies in infants and young children; the estimating rate is about 0.1% to 8.9%, with the lowest rate in Greece (0.07%) and the highest rate in the population-based Health Nuts study (8.9%).1, 2, 3, 4 The prevalence of egg allergy in infants is 2.8% in Korea.5 […] According to a study of meta-analysis, egg allergy is the second most common food allergy (FA) in children and adults.1 Egg allergy is the second most common immediate-type FA (cow’s milk, 37%; egg, 34%) in Korean children less than 2 years of age.6 Egg allergy can cause life-threatening anaphylactic reactions that lead to significant morbidity and impaired quality of life, and also can develop other allergic diseases, such as atopic dermatitis and/or asthma, simultaneously or later in life.
  • #67 Egg allergy – Wikipedia
    https://en.wikipedia.org/wiki/Egg_allergy
    Self-reported allergy prevalence is always higher than food-challenge confirmed allergy. […] For all age groups, a review of fifty studies conducted in Europe estimated 2.5% for self-reported egg allergy and 0.2% for confirmed. […] National survey data in the United States collected in 2005 and 2006 showed that from age six and older, the prevalence of serum IgE confirmed egg allergy was under 0.2%. […] Adult-onset of egg allergy is rare, but there is confirmation of cases.
  • #68 Egg Allergy – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK538192/
    Egg allergy is IgE-mediated and healthy individuals are capable of generating antigen-specific IgE upon exposure to egg allergens. […] The consensus is that IgE responses are genetically controlled by MHC-linked genes that are found on chromosome six. […] The term egg allergy refers to an adverse immunological response to exposure to allergens found in egg white or egg yolk. It is the second most common food allergy in the United States after milk allergy. […] Estimating the prevalence of food allergies is challenging for several reasons. […] Hen egg allergies often present within a year of age with no distinction between either gender. […] As opposed to other food allergies such as tree nut, peanut, or fish, egg allergy typically resolves or improves relatively earlier in life. […] A significant majority of patients with hen egg allergy will develop tolerance to hen egg allergens by the time they reach school age. Some, however, build tolerance only in adolescence.
  • #69 The Epidemiology of Food Allergy in the Global Context
    https://www.mdpi.com/1660-4601/15/9/2043
    There is a lack of high-quality evidence based on the gold standard of oral food challenges to determine food allergy prevalence. […] Studies using surrogate measures of food allergy, such as health service utilization and clinical history, together with allergen-specific immunoglobulin E (sIgE), provide compelling data that the prevalence of food allergy is increasing in both Western and developing countries. […] While cow’s milk and egg allergy are two of the most common food allergies in most countries, diverse patterns of food allergy can be observed in individual geographic regions determined by each country’s feeding patterns. […] More robust studies investigating food allergy prevalence, particularly in Asia and the developing world, are necessary to understand the extent of the food allergy problem and identify preventive strategies to cope with the potential increase in these regions.
  • #70 The Epidemiology of Food Allergy in the Global Context
    https://ideas.repec.org/a/gam/jijerp/v15y2018i9p2043-d170603.html
    There is a lack of high-quality evidence based on the gold standard of oral food challenges to determine food allergy prevalence. […] Nevertheless, studies using surrogate measures of food allergy, such as health service utilization and clinical history, together with allergen-specific immunoglobulin E (sIgE), provide compelling data that the prevalence of food allergy is increasing in both Western and developing countries. […] In Western countries, challenge-diagnosed food allergy has been reported to be as high as 10%, with the greatest prevalence noted among younger children. […] There is also growing evidence of increasing prevalence in developing countries, with rates of challenge-diagnosed food allergy in China and Africa reported to be similar to that in Western countries. […] While cows milk and egg allergy are two of the most common food allergies in most countries, diverse patterns of food allergy can be observed in individual geographic regions determined by each countrys feeding patterns. […] More robust studies investigating food allergy prevalence, particularly in Asia and the developing world, are necessary to understand the extent of the food allergy problem and identify preventive strategies to cope with the potential increase in these regions.
  • #71 The Epidemiology of Food Allergy in the Global Context
    https://www.mdpi.com/1660-4601/15/9/2043
    There is a lack of high-quality evidence based on the gold standard of oral food challenges to determine food allergy prevalence. […] Studies using surrogate measures of food allergy, such as health service utilization and clinical history, together with allergen-specific immunoglobulin E (sIgE), provide compelling data that the prevalence of food allergy is increasing in both Western and developing countries. […] While cow’s milk and egg allergy are two of the most common food allergies in most countries, diverse patterns of food allergy can be observed in individual geographic regions determined by each country’s feeding patterns. […] More robust studies investigating food allergy prevalence, particularly in Asia and the developing world, are necessary to understand the extent of the food allergy problem and identify preventive strategies to cope with the potential increase in these regions.
  • #72 The Epidemiology of Food Allergy in the Global Context
    https://ideas.repec.org/a/gam/jijerp/v15y2018i9p2043-d170603.html
    There is a lack of high-quality evidence based on the gold standard of oral food challenges to determine food allergy prevalence. […] Nevertheless, studies using surrogate measures of food allergy, such as health service utilization and clinical history, together with allergen-specific immunoglobulin E (sIgE), provide compelling data that the prevalence of food allergy is increasing in both Western and developing countries. […] In Western countries, challenge-diagnosed food allergy has been reported to be as high as 10%, with the greatest prevalence noted among younger children. […] There is also growing evidence of increasing prevalence in developing countries, with rates of challenge-diagnosed food allergy in China and Africa reported to be similar to that in Western countries. […] While cows milk and egg allergy are two of the most common food allergies in most countries, diverse patterns of food allergy can be observed in individual geographic regions determined by each countrys feeding patterns. […] More robust studies investigating food allergy prevalence, particularly in Asia and the developing world, are necessary to understand the extent of the food allergy problem and identify preventive strategies to cope with the potential increase in these regions.
  • #73 Egg allergy: Clinical features and diagnosis – UpToDate
    https://www.uptodate.com/contents/egg-allergy-clinical-features-and-diagnosis
    Hen’s egg allergy is the second most common food allergy in infants and young children (cow’s milk is the most common). The epidemiology, pathogenesis, clinical features, and diagnosis of egg allergy are presented in this topic review. The prevalence of hen’s egg allergy confirmed by oral challenge was 1.6 percent of children three years of age in an unselected population in Denmark. A subsequent meta-analysis of the prevalence of food allergy estimated that egg allergy affects 0.5 to 2.5 percent of young children. There were several limitations to the meta-analysis. There was significant variability in study design that made direct comparisons difficult. The majority of studies included in the meta-analysis were based upon self-reports of food allergy, which tend to overestimate the prevalence. Some studies used skin prick test and food-specific IgE levels to confirm sensitization to the allergen, but not all diagnoses were challenge proven. The form of egg used in challenges also contributes to the variability in egg allergy prevalence. An Australian population-based cohort study challenged children using raw egg white and reported an egg allergy prevalence of 9.5 percent at one year and 1.2 percent at four years. Challenge-proven egg allergy in South African toddlers (12 to 36 months) was 1.9 percent for raw egg white and 0.8 percent for cooked egg. New-onset egg allergy in adults is rare and is limited to case reports.
  • #74 Egg allergy: Clinical features and diagnosis – UpToDate
    https://www.uptodate.com/contents/egg-allergy-clinical-features-and-diagnosis
    Hen’s egg allergy is the second most common food allergy in infants and young children (cow’s milk is the most common). The epidemiology, pathogenesis, clinical features, and diagnosis of egg allergy are presented in this topic review. The prevalence of hen’s egg allergy confirmed by oral challenge was 1.6 percent of children three years of age in an unselected population in Denmark. A subsequent meta-analysis of the prevalence of food allergy estimated that egg allergy affects 0.5 to 2.5 percent of young children. There were several limitations to the meta-analysis. There was significant variability in study design that made direct comparisons difficult. The majority of studies included in the meta-analysis were based upon self-reports of food allergy, which tend to overestimate the prevalence. Some studies used skin prick test and food-specific IgE levels to confirm sensitization to the allergen, but not all diagnoses were challenge proven. The form of egg used in challenges also contributes to the variability in egg allergy prevalence. An Australian population-based cohort study challenged children using raw egg white and reported an egg allergy prevalence of 9.5 percent at one year and 1.2 percent at four years. Challenge-proven egg allergy in South African toddlers (12 to 36 months) was 1.9 percent for raw egg white and 0.8 percent for cooked egg. New-onset egg allergy in adults is rare and is limited to case reports.
  • #75 Egg allergy: Clinical features and diagnosis – UpToDate
    https://www.uptodate.com/contents/egg-allergy-clinical-features-and-diagnosis
    Hen’s egg allergy is the second most common food allergy in infants and young children (cow’s milk is the most common). The epidemiology, pathogenesis, clinical features, and diagnosis of egg allergy are presented in this topic review. The prevalence of hen’s egg allergy confirmed by oral challenge was 1.6 percent of children three years of age in an unselected population in Denmark. A subsequent meta-analysis of the prevalence of food allergy estimated that egg allergy affects 0.5 to 2.5 percent of young children. There were several limitations to the meta-analysis. There was significant variability in study design that made direct comparisons difficult. The majority of studies included in the meta-analysis were based upon self-reports of food allergy, which tend to overestimate the prevalence. Some studies used skin prick test and food-specific IgE levels to confirm sensitization to the allergen, but not all diagnoses were challenge proven. The form of egg used in challenges also contributes to the variability in egg allergy prevalence. An Australian population-based cohort study challenged children using raw egg white and reported an egg allergy prevalence of 9.5 percent at one year and 1.2 percent at four years. Challenge-proven egg allergy in South African toddlers (12 to 36 months) was 1.9 percent for raw egg white and 0.8 percent for cooked egg. New-onset egg allergy in adults is rare and is limited to case reports.
  • #76 Egg allergy: Clinical features and diagnosis – UpToDate
    https://www.uptodate.com/contents/egg-allergy-clinical-features-and-diagnosis
    Hen’s egg allergy is the second most common food allergy in infants and young children (cow’s milk is the most common). The epidemiology, pathogenesis, clinical features, and diagnosis of egg allergy are presented in this topic review. The prevalence of hen’s egg allergy confirmed by oral challenge was 1.6 percent of children three years of age in an unselected population in Denmark. A subsequent meta-analysis of the prevalence of food allergy estimated that egg allergy affects 0.5 to 2.5 percent of young children. There were several limitations to the meta-analysis. There was significant variability in study design that made direct comparisons difficult. The majority of studies included in the meta-analysis were based upon self-reports of food allergy, which tend to overestimate the prevalence. Some studies used skin prick test and food-specific IgE levels to confirm sensitization to the allergen, but not all diagnoses were challenge proven. The form of egg used in challenges also contributes to the variability in egg allergy prevalence. An Australian population-based cohort study challenged children using raw egg white and reported an egg allergy prevalence of 9.5 percent at one year and 1.2 percent at four years. Challenge-proven egg allergy in South African toddlers (12 to 36 months) was 1.9 percent for raw egg white and 0.8 percent for cooked egg. New-onset egg allergy in adults is rare and is limited to case reports.
  • #77 Facts and Statistics – FoodAllergy.org
    https://www.foodallergy.org/resources/facts-and-statistics
    More than 170 foods have been reported to cause food allergy reactions in the U.S. […] In 2004, eight major food allergens—milk, egg, peanut, tree nuts, wheat, soy, fish and crustacean shellfish—were identified as responsible for at least 90 percent of the serious food allergy reactions in the U.S. […] In 2021, the U.S. added sesame as the ninth major food allergen. […] Studies published in 2018 and 2019 can be used to estimate the current number of U.S. children and adults who are allergic to specific foods. […] egg: 2.7 million. […] According to a 2021 National Health Interview Survey (NHIS) conducted by the National Center for Health Statistics (NCHS), a division of the Centers for Disease Control and Prevention (CDC), 5.8% of children aged 0-17 are diagnosed with a food allergy.
  • #78 Food Allergies: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/135959-overview
    Epidemiology […] General surveys report that as many as 25-30% of households consider at least 1 family member to have a food allergy. However, this high rate is not supported by controlled studies in which oral food challenges are used to confirm patient histories. […] Comprehensive studies that include oral food challenges are few in number. Considering allergy to milk, egg, peanut, and seafood in a meta-analysis of 6 international studies using oral food challenges, estimated rates of 1-10.8% were obtained. […] In a meta-analysis including allergy to fruits and vegetables (excluding peanut), only 6 international studies included oral food challenges, and estimates of allergy varied widely from 0.1-4.3% for fruits and tree nuts to 0.1-1.4% for vegetables to under 1% for wheat, soy, and sesame. […] Among children, males appear to be more affected; among adults, females are more frequently affected. The prevalence of food allergies has been estimated to be up to 8% in infants and children and 3.7% in adults. […] However, variations in prevalence have been reported according to method used (self-report, testing, physician evaluation), geographic region, and foods included in the assessment. […] In a population-based survey study of 40,443 US adults, an estimated 10.8% were food allergic at the time of the survey, whereas nearly 19% of adults believed that they were food allergic. Nearly half of food-allergic adults had at least 1 adult-onset food allergy, and 38% reported at least 1 food allergy-related ED visit in their lifetime. […] Studies in the United States and the United Kingdom indicate a rise in peanut allergy among young children in the past decade. One study showed an increase of peanut allergy in children from 0.4% in 1997 to 0.8% in 2002. […] A report from the US Centers for Disease Control and Prevention (CDC) indicated that 5.8% of children nationwide had a food allergy in 2021. The percentage of children with a food allergy increased with age, from 4.4% in children 0-5 years old to 5.8% in children 6-11 years old, and 7.1% in children 12-17 years old. […] Based on available studies, estimations of the rate of food allergies in children have been summarized as follows for common food allergens: Cow milk – 2.5%, Eggs – 1.3%, Peanuts – 0.8%, Wheat – 0.4%, Soy – 0.4%. […] Research indicates that racial and socioeconomic disparities play a crucial role in shaping the landscape of food allergy prevalence, access to care, and health outcomes. […] According to a 2023 study, in the United States, Hispanic, Black, and Asian individuals experience higher rates of allergies across all age groups. Prevalence rate was 10.6% in Hispanic and Black individuals, 10.5% in Asian individuals, and 9.5% in White individuals. The study also found that prevalence of food allergies was lowest among households in the highest income bracket ($150,000 annually). […] Another study found that people of color are less likely to have an allergy diagnosis but have higher rates of food-induced anaphylaxis.
  • #79 Products – Data Briefs – Number 10 – October 2008
    https://www.cdc.gov/nchs/products/databriefs/db10.htm
    In 2007, approximately 3 million children under age 18 years (3.9%) were reported to have a food or digestive allergy in the previous 12 months. […] From 1997 to 2007, the prevalence of reported food allergy increased 18% among children under age 18 years. […] From 2004 to 2006, there were approximately 9,500 hospital discharges per year with a diagnosis related to food allergy among children under age 18 years. […] Recent data show hospitalizations with diagnoses related to food allergies have increased among children. […] Hospitalizations having at least one diagnosis related to food allergy also increased from 1998-2000 through 2004-2006.
  • #80 Products – Data Briefs – Number 10 – October 2008
    https://www.cdc.gov/nchs/products/databriefs/db10.htm
    In 2007, approximately 3 million children under age 18 years (3.9%) were reported to have a food or digestive allergy in the previous 12 months. […] From 1997 to 2007, the prevalence of reported food allergy increased 18% among children under age 18 years. […] From 2004 to 2006, there were approximately 9,500 hospital discharges per year with a diagnosis related to food allergy among children under age 18 years. […] Recent data show hospitalizations with diagnoses related to food allergies have increased among children. […] Hospitalizations having at least one diagnosis related to food allergy also increased from 1998-2000 through 2004-2006.
  • #81 Products – Data Briefs – Number 10 – October 2008
    https://www.cdc.gov/nchs/products/databriefs/db10.htm
    In 2007, approximately 3 million children under age 18 years (3.9%) were reported to have a food or digestive allergy in the previous 12 months. […] From 1997 to 2007, the prevalence of reported food allergy increased 18% among children under age 18 years. […] From 2004 to 2006, there were approximately 9,500 hospital discharges per year with a diagnosis related to food allergy among children under age 18 years. […] Recent data show hospitalizations with diagnoses related to food allergies have increased among children. […] Hospitalizations having at least one diagnosis related to food allergy also increased from 1998-2000 through 2004-2006.
  • #82 Products – Data Briefs – Number 10 – October 2008
    https://www.cdc.gov/nchs/products/databriefs/db10.htm
    In 2007, approximately 3 million children under age 18 years (3.9%) were reported to have a food or digestive allergy in the previous 12 months. […] From 1997 to 2007, the prevalence of reported food allergy increased 18% among children under age 18 years. […] From 2004 to 2006, there were approximately 9,500 hospital discharges per year with a diagnosis related to food allergy among children under age 18 years. […] Recent data show hospitalizations with diagnoses related to food allergies have increased among children. […] Hospitalizations having at least one diagnosis related to food allergy also increased from 1998-2000 through 2004-2006.
  • #83 AAIR :: Allergy, Asthma & Immunology Research
    https://e-aair.org/DOIx.php?id=10.4168/aair.2019.11.4.446
    The prevalence of immunoglobulin E (IgE)-mediated egg allergy is one of the most common food allergies in infants and young children; the estimating rate is about 0.1% to 8.9%, with the lowest rate in Greece (0.07%) and the highest rate in the population-based Health Nuts study (8.9%).1, 2, 3, 4 The prevalence of egg allergy in infants is 2.8% in Korea.5 […] According to a study of meta-analysis, egg allergy is the second most common food allergy (FA) in children and adults.1 Egg allergy is the second most common immediate-type FA (cow’s milk, 37%; egg, 34%) in Korean children less than 2 years of age.6 Egg allergy can cause life-threatening anaphylactic reactions that lead to significant morbidity and impaired quality of life, and also can develop other allergic diseases, such as atopic dermatitis and/or asthma, simultaneously or later in life.
  • #84 AAIR :: Allergy, Asthma & Immunology Research
    https://e-aair.org/DOIx.php?id=10.4168/aair.2019.11.4.446
    Among the cases with food-induced anaphylaxis, the egg is the second most common cause, followed by cow’s milk in Korean young children.6 A nationwide multi-institutional survey in the US reported that hen’s eggs, fruit, peanuts and tree nuts are frequently observed in anaphylactic cases of children under 5 years of age.7 Hen’s egg and cow’s milk are the most frequent causes of anaphylaxis among children under 3 years of age in a European study.8 […] Fortunately, egg allergy is expected to resolve in the majority of children by school age.9 However, some studies on the natural history of egg allergy have reported different findings in terms of the average age at which allergy resolves. […] In conclusion, the majority of young children with egg allergy develop tolerance over time, so that repeated egg challenge tests are required to determine the tolerance acquisition.
  • #85 KoreaMed Synapse
    https://synapse.koreamed.org/articles/1125499
    Among the cases with food-induced anaphylaxis, the egg is the second most common cause, followed by cow’s milk in Korean young children.6 A nationwide multi-institutional survey in the US reported that hen’s eggs, fruit, peanuts and tree nuts are frequently observed in anaphylactic cases of children under 5 years of age.7 Hen’s egg and cow’s milk are the most frequent causes of anaphylaxis among children under 3 years of age in a European study.8 […] In conclusion, the majority of young children with egg allergy develop tolerance over time, so that repeated egg challenge tests are required to determine the tolerance acquisition.
  • #86 AAIR :: Allergy, Asthma & Immunology Research
    https://e-aair.org/DOIx.php?id=10.4168/aair.2019.11.4.446
    Among the cases with food-induced anaphylaxis, the egg is the second most common cause, followed by cow’s milk in Korean young children.6 A nationwide multi-institutional survey in the US reported that hen’s eggs, fruit, peanuts and tree nuts are frequently observed in anaphylactic cases of children under 5 years of age.7 Hen’s egg and cow’s milk are the most frequent causes of anaphylaxis among children under 3 years of age in a European study.8 […] Fortunately, egg allergy is expected to resolve in the majority of children by school age.9 However, some studies on the natural history of egg allergy have reported different findings in terms of the average age at which allergy resolves. […] In conclusion, the majority of young children with egg allergy develop tolerance over time, so that repeated egg challenge tests are required to determine the tolerance acquisition.
  • #87 KoreaMed Synapse
    https://synapse.koreamed.org/articles/1125499
    Among the cases with food-induced anaphylaxis, the egg is the second most common cause, followed by cow’s milk in Korean young children.6 A nationwide multi-institutional survey in the US reported that hen’s eggs, fruit, peanuts and tree nuts are frequently observed in anaphylactic cases of children under 5 years of age.7 Hen’s egg and cow’s milk are the most frequent causes of anaphylaxis among children under 3 years of age in a European study.8 […] In conclusion, the majority of young children with egg allergy develop tolerance over time, so that repeated egg challenge tests are required to determine the tolerance acquisition.
  • #88 AAIR :: Allergy, Asthma & Immunology Research
    https://e-aair.org/DOIx.php?id=10.4168/aair.2019.11.4.446
    Among the cases with food-induced anaphylaxis, the egg is the second most common cause, followed by cow’s milk in Korean young children.6 A nationwide multi-institutional survey in the US reported that hen’s eggs, fruit, peanuts and tree nuts are frequently observed in anaphylactic cases of children under 5 years of age.7 Hen’s egg and cow’s milk are the most frequent causes of anaphylaxis among children under 3 years of age in a European study.8 […] Fortunately, egg allergy is expected to resolve in the majority of children by school age.9 However, some studies on the natural history of egg allergy have reported different findings in terms of the average age at which allergy resolves. […] In conclusion, the majority of young children with egg allergy develop tolerance over time, so that repeated egg challenge tests are required to determine the tolerance acquisition.
  • #89 KoreaMed Synapse
    https://synapse.koreamed.org/articles/1125499
    Among the cases with food-induced anaphylaxis, the egg is the second most common cause, followed by cow’s milk in Korean young children.6 A nationwide multi-institutional survey in the US reported that hen’s eggs, fruit, peanuts and tree nuts are frequently observed in anaphylactic cases of children under 5 years of age.7 Hen’s egg and cow’s milk are the most frequent causes of anaphylaxis among children under 3 years of age in a European study.8 […] In conclusion, the majority of young children with egg allergy develop tolerance over time, so that repeated egg challenge tests are required to determine the tolerance acquisition.
  • #90 Statistics and Figures | Allergy UK | National Charity
    https://www.allergyuk.org/about-allergy/statistics-and-figures/
    In the same year, 19.2% of emergency admissions were for anaphylactic reactions and 19.2% were for ‘Other’ allergic reactions. The lowest number of emergency admissions was for allergic rhinitis (1.0%). (HSCIC, 2014) […] In the UK, allergic diseases across all ages costs the NHS an estimated £900 million a year, mostly through prescribed treatments in primary care, representing 10% of the GP prescribing budget. (Venter, 2009) […] Food allergies are a cause of particular concern in young children, where the incidence of food allergy (often life threatening) is estimated to be greater in toddlers (5-8%) than in adults (1-2%) (Pawankar R, et al, 2013) […] Food allergy affects 3-6% of children in the developed world (3). In the UK, it is estimated that the prevalence for food allergy is 7.1% in breast-fed infants, with 1 in 40 developing peanut allergy and 1 in 20 developing egg allergy (BSACI, 2011)
  • #91 Statistics and Figures | Allergy UK | National Charity
    https://www.allergyuk.org/about-allergy/statistics-and-figures/
    In the same year, 19.2% of emergency admissions were for anaphylactic reactions and 19.2% were for ‘Other’ allergic reactions. The lowest number of emergency admissions was for allergic rhinitis (1.0%). (HSCIC, 2014) […] In the UK, allergic diseases across all ages costs the NHS an estimated £900 million a year, mostly through prescribed treatments in primary care, representing 10% of the GP prescribing budget. (Venter, 2009) […] Food allergies are a cause of particular concern in young children, where the incidence of food allergy (often life threatening) is estimated to be greater in toddlers (5-8%) than in adults (1-2%) (Pawankar R, et al, 2013) […] Food allergy affects 3-6% of children in the developed world (3). In the UK, it is estimated that the prevalence for food allergy is 7.1% in breast-fed infants, with 1 in 40 developing peanut allergy and 1 in 20 developing egg allergy (BSACI, 2011)
  • #92 Statistics and Figures | Allergy UK | National Charity
    https://www.allergyuk.org/about-allergy/statistics-and-figures/
    In the same year, 19.2% of emergency admissions were for anaphylactic reactions and 19.2% were for ‘Other’ allergic reactions. The lowest number of emergency admissions was for allergic rhinitis (1.0%). (HSCIC, 2014) […] In the UK, allergic diseases across all ages costs the NHS an estimated £900 million a year, mostly through prescribed treatments in primary care, representing 10% of the GP prescribing budget. (Venter, 2009) […] Food allergies are a cause of particular concern in young children, where the incidence of food allergy (often life threatening) is estimated to be greater in toddlers (5-8%) than in adults (1-2%) (Pawankar R, et al, 2013) […] Food allergy affects 3-6% of children in the developed world (3). In the UK, it is estimated that the prevalence for food allergy is 7.1% in breast-fed infants, with 1 in 40 developing peanut allergy and 1 in 20 developing egg allergy (BSACI, 2011)
  • #93 Hong Kong Institute of Allergy and Hong Kong Society for Paediatric Immunology Allergy & Infectious Diseases joint consensus statement 2018 on vaccination in egg-allergic patients | HKMJ
    https://www.hkmj.org/abstracts/v24n5/527.htm
    Vaccination of egg-allergic individuals has been a historical concern, particularly for influenza and measles-mumps-rubella-varicella vaccines that are developed in chicken egg embryos or chicken cell fibroblasts. […] Local epidemiological studies have shown that 0.4%-0.7% of Hong Kong children were reported by their parents to have had an adverse reaction to intake of a hens egg. […] A recent United Kingdom multi-centre study found that more than a third of patients with suspected egg allergy who were referred to a tertiary allergy centre for vaccination were not actually egg allergic, and all were vaccinated successfully. […] Despite the paucity of evidence, there remains some concern that administration of vaccines that could contain egg proteins, notably ovalbumin, might cause allergic reactions in egg-allergic subjects. […] Recently published international guidelines have updated their recommendations regarding the administration of vaccines to egg-allergic individuals. […] A significant number of suspected egg-allergic patients may be misdiagnosed, so referral to an allergist for evaluation may be considered.
  • #94 Flu Vaccines and People with Egg Allergies | Influenza (Flu) | CDC
    https://www.cdc.gov/flu/vaccines/egg-allergies.html
    People with egg allergy may receive any flu vaccine (egg-based or non-egg-based) that is otherwise appropriate for their age and health status. […] Beginning with the 2023-2024 season, additional safety measures are no longer recommended for flu vaccination of people who are allergic to eggs beyond those recommended for receipt of any vaccine, regardless of the severity of previous reaction to egg. […] Most flu vaccines today are produced using an egg-based manufacturing process and thus contain a small amount of egg protein called ovalbumin. […] Everyone 6 months and older with egg allergy should receive an annual flu vaccine. Any flu vaccine (egg based or non-egg based) that is otherwise appropriate for the recipient’s age and health status can be used. […] Egg allergy does not indicate additional safety measures for flu vaccination beyond those recommended for any recipient of any vaccine, regardless of severity of previous reaction to egg.
  • #95 Flu Vaccines and People with Egg Allergies | Influenza (Flu) | CDC
    https://www.cdc.gov/flu/vaccines/egg-allergies.html
    People with egg allergy may receive any flu vaccine (egg-based or non-egg-based) that is otherwise appropriate for their age and health status. […] Beginning with the 2023-2024 season, additional safety measures are no longer recommended for flu vaccination of people who are allergic to eggs beyond those recommended for receipt of any vaccine, regardless of the severity of previous reaction to egg. […] Most flu vaccines today are produced using an egg-based manufacturing process and thus contain a small amount of egg protein called ovalbumin. […] Everyone 6 months and older with egg allergy should receive an annual flu vaccine. Any flu vaccine (egg based or non-egg based) that is otherwise appropriate for the recipient’s age and health status can be used. […] Egg allergy does not indicate additional safety measures for flu vaccination beyond those recommended for any recipient of any vaccine, regardless of severity of previous reaction to egg.
  • #96 Flu Vaccines and People with Egg Allergies | Influenza (Flu) | CDC
    https://www.cdc.gov/flu/vaccines/egg-allergies.html
    People with egg allergy may receive any flu vaccine (egg-based or non-egg-based) that is otherwise appropriate for their age and health status. […] Beginning with the 2023-2024 season, additional safety measures are no longer recommended for flu vaccination of people who are allergic to eggs beyond those recommended for receipt of any vaccine, regardless of the severity of previous reaction to egg. […] Most flu vaccines today are produced using an egg-based manufacturing process and thus contain a small amount of egg protein called ovalbumin. […] Everyone 6 months and older with egg allergy should receive an annual flu vaccine. Any flu vaccine (egg based or non-egg based) that is otherwise appropriate for the recipient’s age and health status can be used. […] Egg allergy does not indicate additional safety measures for flu vaccination beyond those recommended for any recipient of any vaccine, regardless of severity of previous reaction to egg.
  • #97 Flu Vaccines and People with Egg Allergies | Influenza (Flu) | CDC
    https://www.cdc.gov/flu/vaccines/egg-allergies.html
    People with egg allergy may receive any flu vaccine (egg-based or non-egg-based) that is otherwise appropriate for their age and health status. […] Beginning with the 2023-2024 season, additional safety measures are no longer recommended for flu vaccination of people who are allergic to eggs beyond those recommended for receipt of any vaccine, regardless of the severity of previous reaction to egg. […] Most flu vaccines today are produced using an egg-based manufacturing process and thus contain a small amount of egg protein called ovalbumin. […] Everyone 6 months and older with egg allergy should receive an annual flu vaccine. Any flu vaccine (egg based or non-egg based) that is otherwise appropriate for the recipient’s age and health status can be used. […] Egg allergy does not indicate additional safety measures for flu vaccination beyond those recommended for any recipient of any vaccine, regardless of severity of previous reaction to egg.
  • #98 Hong Kong Institute of Allergy and Hong Kong Society for Paediatric Immunology Allergy & Infectious Diseases joint consensus statement 2018 on vaccination in egg-allergic patients | HKMJ
    https://www.hkmj.org/abstracts/v24n5/527.htm
    Vaccination of egg-allergic individuals has been a historical concern, particularly for influenza and measles-mumps-rubella-varicella vaccines that are developed in chicken egg embryos or chicken cell fibroblasts. […] Local epidemiological studies have shown that 0.4%-0.7% of Hong Kong children were reported by their parents to have had an adverse reaction to intake of a hens egg. […] A recent United Kingdom multi-centre study found that more than a third of patients with suspected egg allergy who were referred to a tertiary allergy centre for vaccination were not actually egg allergic, and all were vaccinated successfully. […] Despite the paucity of evidence, there remains some concern that administration of vaccines that could contain egg proteins, notably ovalbumin, might cause allergic reactions in egg-allergic subjects. […] Recently published international guidelines have updated their recommendations regarding the administration of vaccines to egg-allergic individuals. […] A significant number of suspected egg-allergic patients may be misdiagnosed, so referral to an allergist for evaluation may be considered.
  • #99 Hong Kong Institute of Allergy and Hong Kong Society for Paediatric Immunology Allergy & Infectious Diseases joint consensus statement 2018 on vaccination in egg-allergic patients | HKMJ
    https://www.hkmj.org/abstracts/v24n5/527.htm
    Vaccination of egg-allergic individuals has been a historical concern, particularly for influenza and measles-mumps-rubella-varicella vaccines that are developed in chicken egg embryos or chicken cell fibroblasts. […] Local epidemiological studies have shown that 0.4%-0.7% of Hong Kong children were reported by their parents to have had an adverse reaction to intake of a hens egg. […] A recent United Kingdom multi-centre study found that more than a third of patients with suspected egg allergy who were referred to a tertiary allergy centre for vaccination were not actually egg allergic, and all were vaccinated successfully. […] Despite the paucity of evidence, there remains some concern that administration of vaccines that could contain egg proteins, notably ovalbumin, might cause allergic reactions in egg-allergic subjects. […] Recently published international guidelines have updated their recommendations regarding the administration of vaccines to egg-allergic individuals. […] A significant number of suspected egg-allergic patients may be misdiagnosed, so referral to an allergist for evaluation may be considered.
  • #100 Risk Factors for Hen’s Egg Allergy in Europe: EuroPrevall Birth Cohort – University of Surrey
    https://openresearch.surrey.ac.uk/esploro/outputs/journalArticle/Risk-Factors-for-Hens-Egg-Allergy/99978665302346?institution=44SUR_INST&skipUsageReporting=true&recordUsage=false
    Hen’s egg is one of the commonest causes of food allergy, but there are little data on its risk factors. To assess the risk factors, particularly eczema, for hen’s egg allergy in the EuroPrevall birth cohort. […] Independently associated with egg allergy were past/current eczema (adjusted odds ratio, 9.21; 95% CI, 2.65-32.04), Scoring Atopic Dermatitis (1.54 per 5 units; 1.28-1.86), antibiotics in the first week of life (6.17; 1.42-26.89), and current rhinitis (3.02; 1.04-8.78). Increasing eczema severity was associated with an increasing likelihood of egg allergy. […] The potential role of antibiotics in early life as a risk factor for egg allergy needs further examination.
  • #101 Risk Factors for Hen’s Egg Allergy in Europe: EuroPrevall Birth Cohort – University of Surrey
    https://openresearch.surrey.ac.uk/esploro/outputs/journalArticle/Risk-Factors-for-Hens-Egg-Allergy/99978665302346?institution=44SUR_INST&skipUsageReporting=true&recordUsage=false
    Hen’s egg is one of the commonest causes of food allergy, but there are little data on its risk factors. To assess the risk factors, particularly eczema, for hen’s egg allergy in the EuroPrevall birth cohort. […] Independently associated with egg allergy were past/current eczema (adjusted odds ratio, 9.21; 95% CI, 2.65-32.04), Scoring Atopic Dermatitis (1.54 per 5 units; 1.28-1.86), antibiotics in the first week of life (6.17; 1.42-26.89), and current rhinitis (3.02; 1.04-8.78). Increasing eczema severity was associated with an increasing likelihood of egg allergy. […] The potential role of antibiotics in early life as a risk factor for egg allergy needs further examination.
  • #102 Risk Factors for Hen’s Egg Allergy in Europe: EuroPrevall Birth Cohort – University of Surrey
    https://openresearch.surrey.ac.uk/esploro/outputs/journalArticle/Risk-Factors-for-Hens-Egg-Allergy/99978665302346?institution=44SUR_INST&skipUsageReporting=true&recordUsage=false
    Hen’s egg is one of the commonest causes of food allergy, but there are little data on its risk factors. To assess the risk factors, particularly eczema, for hen’s egg allergy in the EuroPrevall birth cohort. […] Independently associated with egg allergy were past/current eczema (adjusted odds ratio, 9.21; 95% CI, 2.65-32.04), Scoring Atopic Dermatitis (1.54 per 5 units; 1.28-1.86), antibiotics in the first week of life (6.17; 1.42-26.89), and current rhinitis (3.02; 1.04-8.78). Increasing eczema severity was associated with an increasing likelihood of egg allergy. […] The potential role of antibiotics in early life as a risk factor for egg allergy needs further examination.
  • #103 AAIR :: Allergy, Asthma & Immunology Research
    https://e-aair.org/DOIx.php?id=10.4168/aair.2019.11.4.498
    However, tolerance acquisition rates have been varyingly reported as 30%-50% by age of 3 years, 59%-66% by age of 5 years and 50%-70% at age of 6 years. […] The median time to develop tolerance has been reported to be from 3 to 9 years of age, and 5%-10% of children reported that their egg allergy persisted until 18 years of age. […] The prognostic factors associated with the egg allergy tolerance acquisition have been reported to include the following: characteristics of the initial reaction at the time of egg consumption, baseline egg skin prick test wheal size, and baseline egg-specific IgE level at diagnosis. […] We propose EWsIgE12mo as an early predictor for future tolerance. […] It is important to predict which children with egg allergy are likely to have persistent allergy because it is necessary to identify the candidates for emerging food allergy therapies including oral immunotherapy, which can carry risks and be costly. […] In conclusion, children with egg allergy are less likely to have tolerance to egg when they show concomitant allergies to other food, atopic dermatitis, or EWsIgE level of 16 kU/L at diagnosis.
  • #104 AAIR :: Allergy, Asthma & Immunology Research
    https://e-aair.org/DOIx.php?id=10.4168/aair.2019.11.4.498
    However, tolerance acquisition rates have been varyingly reported as 30%-50% by age of 3 years, 59%-66% by age of 5 years and 50%-70% at age of 6 years. […] The median time to develop tolerance has been reported to be from 3 to 9 years of age, and 5%-10% of children reported that their egg allergy persisted until 18 years of age. […] The prognostic factors associated with the egg allergy tolerance acquisition have been reported to include the following: characteristics of the initial reaction at the time of egg consumption, baseline egg skin prick test wheal size, and baseline egg-specific IgE level at diagnosis. […] We propose EWsIgE12mo as an early predictor for future tolerance. […] It is important to predict which children with egg allergy are likely to have persistent allergy because it is necessary to identify the candidates for emerging food allergy therapies including oral immunotherapy, which can carry risks and be costly. […] In conclusion, children with egg allergy are less likely to have tolerance to egg when they show concomitant allergies to other food, atopic dermatitis, or EWsIgE level of 16 kU/L at diagnosis.
  • #105 Food Allergies: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/135959-overview
    Epidemiology […] General surveys report that as many as 25-30% of households consider at least 1 family member to have a food allergy. However, this high rate is not supported by controlled studies in which oral food challenges are used to confirm patient histories. […] Comprehensive studies that include oral food challenges are few in number. Considering allergy to milk, egg, peanut, and seafood in a meta-analysis of 6 international studies using oral food challenges, estimated rates of 1-10.8% were obtained. […] In a meta-analysis including allergy to fruits and vegetables (excluding peanut), only 6 international studies included oral food challenges, and estimates of allergy varied widely from 0.1-4.3% for fruits and tree nuts to 0.1-1.4% for vegetables to under 1% for wheat, soy, and sesame. […] Among children, males appear to be more affected; among adults, females are more frequently affected. The prevalence of food allergies has been estimated to be up to 8% in infants and children and 3.7% in adults. […] However, variations in prevalence have been reported according to method used (self-report, testing, physician evaluation), geographic region, and foods included in the assessment. […] In a population-based survey study of 40,443 US adults, an estimated 10.8% were food allergic at the time of the survey, whereas nearly 19% of adults believed that they were food allergic. Nearly half of food-allergic adults had at least 1 adult-onset food allergy, and 38% reported at least 1 food allergy-related ED visit in their lifetime. […] Studies in the United States and the United Kingdom indicate a rise in peanut allergy among young children in the past decade. One study showed an increase of peanut allergy in children from 0.4% in 1997 to 0.8% in 2002. […] A report from the US Centers for Disease Control and Prevention (CDC) indicated that 5.8% of children nationwide had a food allergy in 2021. The percentage of children with a food allergy increased with age, from 4.4% in children 0-5 years old to 5.8% in children 6-11 years old, and 7.1% in children 12-17 years old. […] Based on available studies, estimations of the rate of food allergies in children have been summarized as follows for common food allergens: Cow milk – 2.5%, Eggs – 1.3%, Peanuts – 0.8%, Wheat – 0.4%, Soy – 0.4%. […] Research indicates that racial and socioeconomic disparities play a crucial role in shaping the landscape of food allergy prevalence, access to care, and health outcomes. […] According to a 2023 study, in the United States, Hispanic, Black, and Asian individuals experience higher rates of allergies across all age groups. Prevalence rate was 10.6% in Hispanic and Black individuals, 10.5% in Asian individuals, and 9.5% in White individuals. The study also found that prevalence of food allergies was lowest among households in the highest income bracket ($150,000 annually). […] Another study found that people of color are less likely to have an allergy diagnosis but have higher rates of food-induced anaphylaxis.
  • #106 Food Allergies: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/135959-overview
    Epidemiology […] General surveys report that as many as 25-30% of households consider at least 1 family member to have a food allergy. However, this high rate is not supported by controlled studies in which oral food challenges are used to confirm patient histories. […] Comprehensive studies that include oral food challenges are few in number. Considering allergy to milk, egg, peanut, and seafood in a meta-analysis of 6 international studies using oral food challenges, estimated rates of 1-10.8% were obtained. […] In a meta-analysis including allergy to fruits and vegetables (excluding peanut), only 6 international studies included oral food challenges, and estimates of allergy varied widely from 0.1-4.3% for fruits and tree nuts to 0.1-1.4% for vegetables to under 1% for wheat, soy, and sesame. […] Among children, males appear to be more affected; among adults, females are more frequently affected. The prevalence of food allergies has been estimated to be up to 8% in infants and children and 3.7% in adults. […] However, variations in prevalence have been reported according to method used (self-report, testing, physician evaluation), geographic region, and foods included in the assessment. […] In a population-based survey study of 40,443 US adults, an estimated 10.8% were food allergic at the time of the survey, whereas nearly 19% of adults believed that they were food allergic. Nearly half of food-allergic adults had at least 1 adult-onset food allergy, and 38% reported at least 1 food allergy-related ED visit in their lifetime. […] Studies in the United States and the United Kingdom indicate a rise in peanut allergy among young children in the past decade. One study showed an increase of peanut allergy in children from 0.4% in 1997 to 0.8% in 2002. […] A report from the US Centers for Disease Control and Prevention (CDC) indicated that 5.8% of children nationwide had a food allergy in 2021. The percentage of children with a food allergy increased with age, from 4.4% in children 0-5 years old to 5.8% in children 6-11 years old, and 7.1% in children 12-17 years old. […] Based on available studies, estimations of the rate of food allergies in children have been summarized as follows for common food allergens: Cow milk – 2.5%, Eggs – 1.3%, Peanuts – 0.8%, Wheat – 0.4%, Soy – 0.4%. […] Research indicates that racial and socioeconomic disparities play a crucial role in shaping the landscape of food allergy prevalence, access to care, and health outcomes. […] According to a 2023 study, in the United States, Hispanic, Black, and Asian individuals experience higher rates of allergies across all age groups. Prevalence rate was 10.6% in Hispanic and Black individuals, 10.5% in Asian individuals, and 9.5% in White individuals. The study also found that prevalence of food allergies was lowest among households in the highest income bracket ($150,000 annually). […] Another study found that people of color are less likely to have an allergy diagnosis but have higher rates of food-induced anaphylaxis.
  • #107 Food Allergies: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/135959-overview
    Epidemiology […] General surveys report that as many as 25-30% of households consider at least 1 family member to have a food allergy. However, this high rate is not supported by controlled studies in which oral food challenges are used to confirm patient histories. […] Comprehensive studies that include oral food challenges are few in number. Considering allergy to milk, egg, peanut, and seafood in a meta-analysis of 6 international studies using oral food challenges, estimated rates of 1-10.8% were obtained. […] In a meta-analysis including allergy to fruits and vegetables (excluding peanut), only 6 international studies included oral food challenges, and estimates of allergy varied widely from 0.1-4.3% for fruits and tree nuts to 0.1-1.4% for vegetables to under 1% for wheat, soy, and sesame. […] Among children, males appear to be more affected; among adults, females are more frequently affected. The prevalence of food allergies has been estimated to be up to 8% in infants and children and 3.7% in adults. […] However, variations in prevalence have been reported according to method used (self-report, testing, physician evaluation), geographic region, and foods included in the assessment. […] In a population-based survey study of 40,443 US adults, an estimated 10.8% were food allergic at the time of the survey, whereas nearly 19% of adults believed that they were food allergic. Nearly half of food-allergic adults had at least 1 adult-onset food allergy, and 38% reported at least 1 food allergy-related ED visit in their lifetime. […] Studies in the United States and the United Kingdom indicate a rise in peanut allergy among young children in the past decade. One study showed an increase of peanut allergy in children from 0.4% in 1997 to 0.8% in 2002. […] A report from the US Centers for Disease Control and Prevention (CDC) indicated that 5.8% of children nationwide had a food allergy in 2021. The percentage of children with a food allergy increased with age, from 4.4% in children 0-5 years old to 5.8% in children 6-11 years old, and 7.1% in children 12-17 years old. […] Based on available studies, estimations of the rate of food allergies in children have been summarized as follows for common food allergens: Cow milk – 2.5%, Eggs – 1.3%, Peanuts – 0.8%, Wheat – 0.4%, Soy – 0.4%. […] Research indicates that racial and socioeconomic disparities play a crucial role in shaping the landscape of food allergy prevalence, access to care, and health outcomes. […] According to a 2023 study, in the United States, Hispanic, Black, and Asian individuals experience higher rates of allergies across all age groups. Prevalence rate was 10.6% in Hispanic and Black individuals, 10.5% in Asian individuals, and 9.5% in White individuals. The study also found that prevalence of food allergies was lowest among households in the highest income bracket ($150,000 annually). […] Another study found that people of color are less likely to have an allergy diagnosis but have higher rates of food-induced anaphylaxis.
  • #108 Food Allergies: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/135959-overview
    Epidemiology […] General surveys report that as many as 25-30% of households consider at least 1 family member to have a food allergy. However, this high rate is not supported by controlled studies in which oral food challenges are used to confirm patient histories. […] Comprehensive studies that include oral food challenges are few in number. Considering allergy to milk, egg, peanut, and seafood in a meta-analysis of 6 international studies using oral food challenges, estimated rates of 1-10.8% were obtained. […] In a meta-analysis including allergy to fruits and vegetables (excluding peanut), only 6 international studies included oral food challenges, and estimates of allergy varied widely from 0.1-4.3% for fruits and tree nuts to 0.1-1.4% for vegetables to under 1% for wheat, soy, and sesame. […] Among children, males appear to be more affected; among adults, females are more frequently affected. The prevalence of food allergies has been estimated to be up to 8% in infants and children and 3.7% in adults. […] However, variations in prevalence have been reported according to method used (self-report, testing, physician evaluation), geographic region, and foods included in the assessment. […] In a population-based survey study of 40,443 US adults, an estimated 10.8% were food allergic at the time of the survey, whereas nearly 19% of adults believed that they were food allergic. Nearly half of food-allergic adults had at least 1 adult-onset food allergy, and 38% reported at least 1 food allergy-related ED visit in their lifetime. […] Studies in the United States and the United Kingdom indicate a rise in peanut allergy among young children in the past decade. One study showed an increase of peanut allergy in children from 0.4% in 1997 to 0.8% in 2002. […] A report from the US Centers for Disease Control and Prevention (CDC) indicated that 5.8% of children nationwide had a food allergy in 2021. The percentage of children with a food allergy increased with age, from 4.4% in children 0-5 years old to 5.8% in children 6-11 years old, and 7.1% in children 12-17 years old. […] Based on available studies, estimations of the rate of food allergies in children have been summarized as follows for common food allergens: Cow milk – 2.5%, Eggs – 1.3%, Peanuts – 0.8%, Wheat – 0.4%, Soy – 0.4%. […] Research indicates that racial and socioeconomic disparities play a crucial role in shaping the landscape of food allergy prevalence, access to care, and health outcomes. […] According to a 2023 study, in the United States, Hispanic, Black, and Asian individuals experience higher rates of allergies across all age groups. Prevalence rate was 10.6% in Hispanic and Black individuals, 10.5% in Asian individuals, and 9.5% in White individuals. The study also found that prevalence of food allergies was lowest among households in the highest income bracket ($150,000 annually). […] Another study found that people of color are less likely to have an allergy diagnosis but have higher rates of food-induced anaphylaxis.
  • #109 Egg Allergy in US Children – PubMed
    https://pubmed.ncbi.nlm.nih.gov/32376485/
    Among children with current egg allergy, those with baked egg tolerance reported that their food allergy resulted in significantly reduced psychosocial burden, relative to their baked egg-allergic counterparts (M = 3.1 [2.9-3.3] vs M = 3.7 [3.5-3.9]). […] Egg allergy is common amongst young children. Nearly two-thirds of children with egg allergy reported baked egg tolerance. Increased efforts are needed to ensure that children with egg allergy are appropriately evaluated as many have comorbid allergic disease and determination of baked egg tolerance may improve quality of life.
  • #110 Egg Allergy in US Children – PubMed
    https://pubmed.ncbi.nlm.nih.gov/32376485/
    Among children with current egg allergy, those with baked egg tolerance reported that their food allergy resulted in significantly reduced psychosocial burden, relative to their baked egg-allergic counterparts (M = 3.1 [2.9-3.3] vs M = 3.7 [3.5-3.9]). […] Egg allergy is common amongst young children. Nearly two-thirds of children with egg allergy reported baked egg tolerance. Increased efforts are needed to ensure that children with egg allergy are appropriately evaluated as many have comorbid allergic disease and determination of baked egg tolerance may improve quality of life.