Difficulties in interpretation of oral food challenge results

Julia Gawryjołek; Alicja Wycech; Adrianna Smyk; Aneta Krogulska

doi:10.5114/ada.2021.106248

eISSN: 2299-0046
ISSN: 1642-395X

Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii

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abstract:

Review paper

Difficulties in interpretation of oral food challenge results

Julia Gawryjołek

¹

,

Alicja Wycech

²

,

Adrianna Smyk

²

,

Aneta Krogulska

¹

Department of Paediatrics, Allergology and Gastroenterology, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland
Student Research Cirle, Paediatric Allergology and Gastroenterology, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland

Adv Dermatol Allergol 2021; XXXVIII (5): 721-726

DOI: https://doi.org/10.5114/ada.2021.106248

Online publish date: 2021/11/05

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Oral food challenge is the gold standard in diagnosing food allergies; however, many testing protocols are available. The present article illustrates the difficulties associated with interpreting oral challenge tests with the example of a six-year-old boy with allergy to hen’s eggs. The symptoms observed on the first day of challenge indicated a negative result; however, the consumption of the cumulative dose resulted in anaphylaxis. The interpretation of the oral food challenge can be complicated. The criteria used to determine a positive or negative result are sometimes ambiguous. An accurate interpretation of the results is key to determining correct management in children with food allergy.

keywords:

Difficulties in interpretation of oral food challenge results

Julia Gawryjołek 1 , Alicja Wycech 2 , Adrianna Smyk 2 , Aneta Krogulska 1

oral food challenge, egg allergy, baked egg, child, food allergy, diagnosis

Julia Gawryjołek

¹

,

Alicja Wycech

²

,

Adrianna Smyk

²

,

Aneta Krogulska

¹