Evidence map›Paper›PMID 40484346›Full record

ArticleThe journal of allergy and clinical immunology. In practice2025

Clinical Significance of Egg Sensitization in Pediatric Food Protein-Induced Enterocolitis Syndrome to Hen's Egg.

Alexandra Navard-Keck, Samantha Horn, Terri F Brown-Whitehorn, Melanie A Ruffner, Pooja Varshney

Abstract readMulticenter Study
In one paragraph

Article in The journal of allergy and clinical immunology. In practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Alexandra Navard-KeckDivision of Allergy and Immunology, Children's Hospital of Philadelphia, Philadelphia, Pa.
Samantha HornDivision of Allergy and Immunology, Children's Hospital of Philadelphia, Philadelphia, Pa.
Terri F Brown-WhitehornDivision of Allergy and Immunology, Children's Hospital of Philadelphia, Philadelphia, Pa; Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa.
Melanie A RuffnerDivision of Allergy and Immunology, Children's Hospital of Philadelphia, Philadelphia, Pa; Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa. Electronic address: Ruffnerm@chop.edu.
Pooja VarshneyDivision of Allergy and Immunology, Dell Children's Medical Center, Austin, Tex; Department of Pediatrics, Dell Medical School at the University of Texas at Austin, Austin, Tex. Electronic address: pvarshney@ascension.org.

Funding

Epigenetic regulation of esophageal epithelial barrier function in eosinophilic esophagitisK08AI148456 · NIAID · CHILDREN'S HOSP OF PHILADELPHIA · PI RUFFNER, MELANIE A · 2020 to 2024
$927k
NIAID NIH HHS K08 AI148456
6 · The paper itself

Abstract

backgroundHen's egg, a common IgE-mediated food allergen, is an increasingly common food protein-induced enterocolitis syndrome (FPIES) trigger. Atypical FPIES is defined as detectable IgE to the food causing FPIES.

objectiveTo evaluate clinical characteristics, natural history, baked egg tolerance, and FPIES challenge outcomes based on allergic sensitization status in patients with egg FPIES.

methodsThis retrospective, dual-center cohort study examined children with the diagnosis of egg FPIES by an allergist. We reviewed charts for reaction characteristics, atopic history, allergic sensitization to egg, baked egg tolerance, and food reintroduction outcomes.

resultsOf 153 patients with FPIES, 124 underwent egg allergy testing and 56 (36.6%) were sensitized to egg. Skin testing and food reintroduction varied based on practice and patient preferences. Of 48 patients who introduced baked egg, 30 (62.5%) tolerated it after a median of 20.5 months (interquartile range, 13.25-33 months) of avoidance. Including those tolerating baked egg at presentation, 22.9% incorporated baked before unbaked egg. Sensitization did not delay tolerance but was linked to a higher risk of immediate hypersensitivity during reintroduction. IgE-mediated symptoms were evident during reintroductions in sensitized patients but were absent in non-sensitized and untested patients. The overall phenotype switch rate from FPIES to IgE food allergy was at least 9.2%. Concomitant IgE-mediated food allergy to other foods was more common among sensitized patients.

conclusionsOur data suggest that testing for allergic sensitization to egg may help stratify patients with FPIES at risk for future IgE-mediated symptoms. Future prospective studies should evaluate the optimal timing and predictive value of skin testing in patients with FPIES and the utility of introducing baked egg in patients with egg FPIES.

Indexed as

AllergensEgg HypersensitivityEgg ProteinsEggsEnterocolitisAnimalsChickensChildChild, PreschoolClinical RelevanceFemaleHumansImmunoglobulin EInfantMaleRetrospective StudiesAllergensEgg ProteinsImmunoglobulin EAllergic sensitizationAtypical FPIESBaked egg toleranceEgg allergyEgg hypersensitivityFood protein–induced enterocolitis syndromeIgE-mediated food allergy

Identifiers

PMID40484346
PMCPMC12302416

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.