Diagnostic Decision Point for IgE-Mediated Wheat Allergy in Children
The diagnostic decision point can help diagnose food allergies while reducing the need for oral food challenge (OFC) tests. We performed a multicenter survey of children aged 0-7 years from January 1, 2018 to March 31, 2022. A total of 231 children were recruited from 18 institutions. Wheat allergy...
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Published in | Allergy, asthma & immunology research Vol. 16; no. 5; pp. 555 - 561 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
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Korea (South)
Korean Academy of Asthma, Allergy and Clinical Immunology
01.09.2024
The Korean Academy of Asthma, Allergy and Clinical Immunology; The Korean Academy of Pediatric Allergy and Respiratory Disease 대한천식알레르기학회 |
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Abstract | The diagnostic decision point can help diagnose food allergies while reducing the need for oral food challenge (OFC) tests. We performed a multicenter survey of children aged 0-7 years from January 1, 2018 to March 31, 2022. A total of 231 children were recruited from 18 institutions. Wheat allergy (WA) or non-wheat allergy (NWA) was determined on the basis of OFC results and symptoms. There were no differences in age, sex, family history of allergy or allergic comorbidities between the WA and NWA groups. According to receiver operating characteristic analysis for wheat-specific immunoglobulin E (IgE), the optimal cutoff value, positive decision point, and negative decision point were 10.2, 33.5, and 0.41 kU/L, respectively. For the ω-5 gliadin-specific IgE, their values were 0.69, 3.88, and 0.01 kU/L, respectively. This new diagnostic decision point may be used to diagnose WA in Korean children. |
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AbstractList | The diagnostic decision point can help diagnose food allergies while reducing the need for oral food challenge (OFC) tests. We performed a multicenter survey of children aged 0-7 years from January 1, 2018 to March 31, 2022. A total of 231 children were recruited from 18 institutions. Wheat allergy (WA) or non-wheat allergy (NWA) was determined on the basis of OFC results and symptoms. There were no differences in age, sex, family history of allergy or allergic comorbidities between the WA and NWA groups. According to receiver operating characteristic analysis for wheat-specific immunoglobulin E (IgE), the optimal cutoff value, positive decision point, and negative decision point were 10.2, 33.5, and 0.41 kU/L, respectively. For the ω-5 gliadin-specific IgE, their values were 0.69, 3.88, and 0.01 kU/L, respectively. This new diagnostic decision point may be used to diagnose WA in Korean children.The diagnostic decision point can help diagnose food allergies while reducing the need for oral food challenge (OFC) tests. We performed a multicenter survey of children aged 0-7 years from January 1, 2018 to March 31, 2022. A total of 231 children were recruited from 18 institutions. Wheat allergy (WA) or non-wheat allergy (NWA) was determined on the basis of OFC results and symptoms. There were no differences in age, sex, family history of allergy or allergic comorbidities between the WA and NWA groups. According to receiver operating characteristic analysis for wheat-specific immunoglobulin E (IgE), the optimal cutoff value, positive decision point, and negative decision point were 10.2, 33.5, and 0.41 kU/L, respectively. For the ω-5 gliadin-specific IgE, their values were 0.69, 3.88, and 0.01 kU/L, respectively. This new diagnostic decision point may be used to diagnose WA in Korean children. The diagnostic decision point can help diagnose food allergies while reducing the need for oral food challenge (OFC) tests. We performed a multicenter survey of children aged 0–7 years from January 1, 2018 to March 31, 2022. A total of 231 children were recruited from 18 institutions. Wheat allergy (WA) or non-wheat allergy (NWA) was determined on the basis of OFC results and symptoms. There were no differences in age, sex, family history of allergy or allergic comorbidities between the WA and NWA groups. According to receiver operating characteristic analysis for wheat-specific immunoglobulin E (IgE), the optimal cutoff value, positive decision point, and negative decision point were 10.2, 33.5, and 0.41 kU/L, respectively. For the ω-5 gliadin-specific IgE, their values were 0.69, 3.88, and 0.01 kU/L, respectively. This new diagnostic decision point may be used to diagnose WA in Korean children. KCI Citation Count: 0 The diagnostic decision point can help diagnose food allergies while reducing the need for oral food challenge (OFC) tests. We performed a multicenter survey of children aged 0–7 years from January 1, 2018 to March 31, 2022. A total of 231 children were recruited from 18 institutions. Wheat allergy (WA) or non-wheat allergy (NWA) was determined on the basis of OFC results and symptoms. There were no differences in age, sex, family history of allergy or allergic comorbidities between the WA and NWA groups. According to receiver operating characteristic analysis for wheat-specific immunoglobulin E (IgE), the optimal cutoff value, positive decision point, and negative decision point were 10.2, 33.5, and 0.41 kU/L, respectively. For the ω-5 gliadin-specific IgE, their values were 0.69, 3.88, and 0.01 kU/L, respectively. This new diagnostic decision point may be used to diagnose WA in Korean children. |
Author | Min, Taek Ki Jung, Minyoung Shin, Meeyong Kim, Min Jung Lee, Sooyoung Kim, Jeong Hee Song, Tae Won Lee, Ji Young Kim, Jihyun Kim, Yoon Hee Lee, So-Yeon Jeong, Kyunguk Park, Young A Lee, Yong Ju Hwang, Yoonha Jeon, You Hoon Ahn, Kangmo Ahn, Young Min Lee, Jeongmin Jang, Gwang Cheon Hong, Soo-Jong Kim, Minji |
AuthorAffiliation | 5 Department of Pediatrics, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea 19 Department of Pediatrics, Inha University Hospital, Inha University College of Medicine, Incheon, Korea 2 Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea 6 Department of Pediatrics, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea 4 Department of Pediatrics, Childhood Asthma and Atopy Center, Humidifier Disinfectant Health Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea 8 Department of Pediatrics, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea 18 PHI Digital Healthcare, Seoul, Korea. Institute for innovation in Digital Healthcare, Yonsei University, Seoul, Korea 7 Department of Pediatrics, Soonchunhyang University Bucheon Hospital, Soonchunhyang University School of Medicine, Bucheon, Korea 10 Department of Pediatrics, Chungnam National University Sejo |
AuthorAffiliation_xml | – name: 8 Department of Pediatrics, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea – name: 2 Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea – name: 11 Department of Pediatrics, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea – name: 18 PHI Digital Healthcare, Seoul, Korea. Institute for innovation in Digital Healthcare, Yonsei University, Seoul, Korea – name: 19 Department of Pediatrics, Inha University Hospital, Inha University College of Medicine, Incheon, Korea – name: 16 Department of Pediatrics, National Health Insurance Service, Ilsan Hospital, Goyang, Korea – name: 17 Department of Pediatrics, Jangs Hospital, Seoul, Korea – name: 3 Department of Pediatrics, Ajou University School of Medicine, Suwon, Korea – name: 6 Department of Pediatrics, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea – name: 13 Department of Pediatrics, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea – name: 4 Department of Pediatrics, Childhood Asthma and Atopy Center, Humidifier Disinfectant Health Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea – name: 1 Department of Pediatrics, Busan St. Mary’s Hospital, Busan, Korea – name: 5 Department of Pediatrics, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea – name: 14 Department of Pediatrics, Yonsei University Wonju College of Medicine, Wonju, Korea – name: 10 Department of Pediatrics, Chungnam National University Sejong Hospital, Chungnam National University School of Medicine, Sejong, Korea – name: 7 Department of Pediatrics, Soonchunhyang University Bucheon Hospital, Soonchunhyang University School of Medicine, Bucheon, Korea – name: 15 Department of Pediatrics, Ewha Womans University Seoul Hospital, Ewah Womans University College of Medicine, Seoul, Korea – name: 9 Department of Pediatrics, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea – name: 12 Department of Pediatrics, Hallym University Chuncheon Sacred Heart Hospital, Hallym University School of Medicine, Chuncheon, Korea |
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Copyright | Copyright © 2024 The Korean Academy of Asthma, Allergy and Clinical Immunology • The Korean Academy of Pediatric Allergy and Respiratory Disease. Copyright Korean Academy of Asthma, Allergy and Clinical Immunology Sep 2024 Copyright © 2024 The Korean Academy of Asthma, Allergy and Clinical Immunology • The Korean Academy of Pediatric Allergy and Respiratory Disease 2024 The Korean Academy of Asthma, Allergy and Clinical Immunology • The Korean Academy of Pediatric Allergy and Respiratory Disease |
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CorporateAuthor | Food Allergy and Atopic Dermatitis (FAAD) study Group in the Korean Academy of Pediatric Allergy and Respiratory Disease on behalf of the Food Allergy and Atopic Dermatitis (FAAD) study Group in the Korean Academy of Pediatric Allergy and Respiratory Disease |
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Keywords | Demographic diagnosis wheat specific IgE ingestion food allergy |
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SubjectTerms | Allergies Brief Communication Children Chronology Comorbidity Diagnostic systems Food Food allergies Genetics Immunoglobulin E Wheat 내과학 |
Title | Diagnostic Decision Point for IgE-Mediated Wheat Allergy in Children |
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ispartofPNX | Allergy, 2024, Asthma & Immunology Research, 16(5), , pp.555-561 |
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