Nasal food challenge with hen's egg white allergen

Abstract Background Nasal allergen provocation tests are an important part of the diagnostics of allergic diseases triggered by environmental factors. Recently, increased attention has been paid to the potential use of this method in the diagnosis of food allergy. The objective of the study was to e...

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Main Authors: Edyta Krzych-Fałta, Andrzej Namysłowski, Sławomir Białek, Monika E. Czerwińska, Konrad Furmańczyk, Aleksandra Tylewicz, Adam Sybilski, Bolesław Samoliński, Oksana Wojas
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Allergy, Asthma & Clinical Immunology
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Online Access:https://doi.org/10.1186/s13223-024-00945-0
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author Edyta Krzych-Fałta
Andrzej Namysłowski
Sławomir Białek
Monika E. Czerwińska
Konrad Furmańczyk
Aleksandra Tylewicz
Adam Sybilski
Bolesław Samoliński
Oksana Wojas
author_facet Edyta Krzych-Fałta
Andrzej Namysłowski
Sławomir Białek
Monika E. Czerwińska
Konrad Furmańczyk
Aleksandra Tylewicz
Adam Sybilski
Bolesław Samoliński
Oksana Wojas
author_sort Edyta Krzych-Fałta
collection DOAJ
description Abstract Background Nasal allergen provocation tests are an important part of the diagnostics of allergic diseases triggered by environmental factors. Recently, increased attention has been paid to the potential use of this method in the diagnosis of food allergy. The objective of the study was to evaluate the usefulness of the nasal allergen provocation test in a group of subjects allergic to hen's egg white allergens. Methods The material consisted of a group of 57 subjects (32 subjects with hen's egg white allergy and 25 healthy controls). The method consisted in a nasal allergen provocation test carried out with the use of hen's egg white allergen and assessed using the visual analog scale and optical rhinometry as well as by determination of sIgE and tryptase levels in nasal lavage fluid. Results Subjective nasal symptoms and objective evaluations following the application of 100 µg of hen's egg white allergen revealed a moderately positive nasal mucosal response in optical rhinometry tests (ΔE = 0.34 OD). Conclusions Nasal food challenge with hen's egg white allergen is a good diagnostic alternative in the group of food allergy patients. Due to the insufficient number of studies carried out so far, further attempts at standardization of the method are required.
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spelling doaj-art-1adbcb58fbf04382b4d1cb8124f3e9612025-01-19T12:27:18ZengBMCAllergy, Asthma & Clinical Immunology1710-14922025-01-0121111010.1186/s13223-024-00945-0Nasal food challenge with hen's egg white allergenEdyta Krzych-Fałta0Andrzej Namysłowski1Sławomir Białek2Monika E. Czerwińska3Konrad Furmańczyk4Aleksandra Tylewicz5Adam Sybilski6Bolesław Samoliński7Oksana Wojas8Department of Basic Nursing, Medical University of WarsawDepartment of Prevention of Environmental Hazards, Allergology and Immunology, Medical University of WarsawDepartment of Biochemistry and Pharmacogenomics, Medical University of WarsawDepartment of Biochemistry and Pharmacogenomics, Medical University of WarsawInstitute of Information Technology, Warsaw University of Life SciencesSecond Department of Pediatrics, Centre of Postgraduate Medical EducationSecond Department of Pediatrics, Centre of Postgraduate Medical EducationDepartment of Prevention of Environmental Hazards, Allergology and Immunology, Medical University of WarsawDepartment of Prevention of Environmental Hazards, Allergology and Immunology, Medical University of WarsawAbstract Background Nasal allergen provocation tests are an important part of the diagnostics of allergic diseases triggered by environmental factors. Recently, increased attention has been paid to the potential use of this method in the diagnosis of food allergy. The objective of the study was to evaluate the usefulness of the nasal allergen provocation test in a group of subjects allergic to hen's egg white allergens. Methods The material consisted of a group of 57 subjects (32 subjects with hen's egg white allergy and 25 healthy controls). The method consisted in a nasal allergen provocation test carried out with the use of hen's egg white allergen and assessed using the visual analog scale and optical rhinometry as well as by determination of sIgE and tryptase levels in nasal lavage fluid. Results Subjective nasal symptoms and objective evaluations following the application of 100 µg of hen's egg white allergen revealed a moderately positive nasal mucosal response in optical rhinometry tests (ΔE = 0.34 OD). Conclusions Nasal food challenge with hen's egg white allergen is a good diagnostic alternative in the group of food allergy patients. Due to the insufficient number of studies carried out so far, further attempts at standardization of the method are required.https://doi.org/10.1186/s13223-024-00945-0Food allergyNasal allergen challengeNasal food challenge
spellingShingle Edyta Krzych-Fałta
Andrzej Namysłowski
Sławomir Białek
Monika E. Czerwińska
Konrad Furmańczyk
Aleksandra Tylewicz
Adam Sybilski
Bolesław Samoliński
Oksana Wojas
Nasal food challenge with hen's egg white allergen
Allergy, Asthma & Clinical Immunology
Food allergy
Nasal allergen challenge
Nasal food challenge
title Nasal food challenge with hen's egg white allergen
title_full Nasal food challenge with hen's egg white allergen
title_fullStr Nasal food challenge with hen's egg white allergen
title_full_unstemmed Nasal food challenge with hen's egg white allergen
title_short Nasal food challenge with hen's egg white allergen
title_sort nasal food challenge with hen s egg white allergen
topic Food allergy
Nasal allergen challenge
Nasal food challenge
url https://doi.org/10.1186/s13223-024-00945-0
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AT monikaeczerwinska nasalfoodchallengewithhenseggwhiteallergen
AT konradfurmanczyk nasalfoodchallengewithhenseggwhiteallergen
AT aleksandratylewicz nasalfoodchallengewithhenseggwhiteallergen
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