Andrea and Sylvia, 3-year-old girls both with a history of eczema and positive skin-prick test for egg white, are seen by their healthcare provider for additional insight into their egg allergies.
Andrea and Sylvia’s healthcare provider conducts a full clinical history and physical examination and decides to test using egg components.
Andrea and Sylvia were both diagnosed with egg allergies as infants. Will their test results change over time?
Test |
Type |
Andrea's Results |
Sylvia's Results |
Egg White |
Whole Alergen |
+5 |
+4 |
Andrea and Sylvia had a negative skin-prick test to milk.
Test |
Type |
Andrea's Results |
Sylvia's Results |
Egg white |
Whole Allergen |
20 |
22 |
Based on history, evaluation, and testing their previous healthcare provider recommended that Andrea and Sylvia remove egg entirely from their diets.
These results, together with Andrea and Sylvia's case history and symptoms, may help their healthcare provider confirm the diagnosis.
Test |
Type |
Andrea's Results |
Sylvia's Results |
Egg white |
Whole Allergen |
16 |
19 |
Gal d 1 (Ovomucoid) |
Allergen Component |
0.4 |
16 |
Gal d 2 (Ovabumin) |
Allergen Component |
11.1 |
6.9 |
Gal d 3 (Conalbumin) |
Allergen Component |
0.4 |
0.2 |
Gal d 4 (Lysozyme) |
Allergen Component |
4.5 |
0.3 |
Andrea’s low level of sensitization to Gal d 1 may be an indication of tolerance to baked egg.1,2 An open challenge in the clinic with baked egg may be performed to help you confirm the diagnosis. With components, Andrea’s quality of life could have been improved: No need of strict avoidance of egg and no cause of stress in the family due to the risk of eating products containing baked egg, such as cakes and cookies.
REFINED DIAGNOSIS
HEALTHCARE PROVIDER MANAGEMENT PLAN
FOLLOW UP
Sylvia’s significant levels of specific IgE to Gal d 1 indicates that she has a risk for reaction to all forms of egg.1,2
REFINED DIAGNOSIS
HEALTHCARE PROVIDER MANAGEMENT PLAN
FOLLOW UP
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