Acute Food protein-induced enterocolitis syndrome (FPIES) provoked by egg yolk
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Children aged 0-2 years at the time of study enrollment 2) Those who have a history of the final induced symptoms of vomiting due to egg yolk ingestion within 3 months from the time of study enrollment 3) Diagnosed as FPIES with egg yolk as an allergen
Exclusion criteria
Exclusion criteria: 1) At the time of research registration, it was decided to move within one year 2) Those that the caregiver cannot read Japanese 3) Those with serious gastrointestinal complications or history of surgery 4) Those who cannot take solid foods orally even after 6 months of age 5) Those with congenital immunodeficiency 6) Those using oral immunosuppressive drugs
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Acquired resistance to egg yolk Acute FPIES for 3 years from the time of study registration | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Comparison of background factors with and without resistance acquisition of egg yolk Acute FPIES 2. Percentage of cases of transition from egg yolk Acute FPIES to immediate food allergy 3. IgE-dependent food allergy other than egg yolk , FPIES other than egg yolk, atopic dermatitis, and bronchial asthma in Egg yolk Acute FPIES cases 4. Changes in blood tests before and after Oral food challenge test (OFC) in OFC-positive cases of egg yolk Acute FPIES (neutrophil count, eosinophil count, TARC) 5. Percentage of cases in which any of egg white, yolk, and ovomucoid-specific IgE antibody titers has increased to 0.35 or higher 6. Comparison of resistance acquisition rate between Atypical FPIES (egg white, yolk, ovomucoid-specific IgE antibody titer 0.35 or higher) and non-IgE-dependent FPIES 7. Positive rate of STEP1 OFC (STEP0 OFC) and STEP2 OFC 8. Correlation between biomarkers (TARC, total IgE value, specific IgE antibody titer, eosinophils, neutrophil count, SPT) and resistance acquisition, severity of induced symptoms | — |
Countries
Japan
Contacts
Kindai University Faculty of Medicine Pediatrics