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Immunol Allergy Clin North Am. 2016 Feb;36(1):147-59. doi: 10.1016/j.iac.2015.08.013.

Baked Milk and Egg Diets for Milk and Egg Allergy Management.

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Division of Pediatric Allergy & Immunology, Department of Pediatrics, Rady Children's Hospital San Diego, University of California, San Diego, 3020 Children's Way, MC 5114, San Diego, CA 92123, USA. Electronic address:
Division of Pediatric Allergy, Department of Pediatrics, Jaffe Food Allergy Institute, Icahn School of Medicine at Mount Sinai, Box 1198, One Gustave L. Levy Place, New York, NY 10029, USA.


In baked form, cow's milk and egg are less allergenic and are tolerated by most milk- and egg-allergic children. Not only may including baked milk and egg in the diets of children who are tolerant improve nutrition and promote more social inclusion but there is also evidence that inclusion may accelerate the resolution of unheated milk and egg allergy. Further research is needed on biomarkers that can predict baked milk or egg reactivity; however, data suggest casein- and ovomucoid-specific immunoglobulin E levels may be useful. Physician-supervised introduction of baked milk and egg is recommended because anaphylaxis has occurred.


Baked egg; Baked milk; Cow’s milk allergy; Egg allergy; Extensively heated egg; Extensively heated milk; Hen’s egg allergy; Milk allergy

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