Country / Subjects | Sensitivity to | References |
Australia, Victoria
100 cow's milk allergic children |
egg 58% | Bishop et al. 1990 |
Denmark, Odense
39 cow's milk allergic infants |
egg white 29% | Host & Halken 1990 |
Estonia
251 allergic infants |
egg white 3.6% (RAST) | Julge et al. 1997 |
France
81 cases of anaphylactic shock to food |
egg 11.6% | Moneret-Vautrin & Kanny 1995 |
France, Toulouse
142 food allergic children |
egg white 53 % (Labial food challenge) | Rance & Dutau 1997 |
Germany
790 children (general population) |
egg 8.4% (RAST) | Nickel et al. 1997 |
Italy
134 patients with atopic dermatitis |
egg 28% (RAST) | Bonifazi et al. 1978 |
Japan, Okinawa
127 atopic patients |
egg white 12% (MAST) | Kosugi et al. 1992 |
Spain
355 food allergic children |
egg white 34% (skin prick test, RAST) | Crespo et al. 1995 |
Switzerland, Zurich
402 food allergic adults |
egg white 12% | Wüthrich 1993 |
Thailand
100 asthmatic children |
egg white 1% (skin prick test) | Kongpanichkul et al. 1997 |
USA, Baltimore, MD
196 food allergic children |
egg 73% (DBPCFC, RAST) | Sampson & Ho 1997 |
USA, Denver, Colorado
180 food allergic children |
egg 26% (DBPCFC) | Bock & Atkins 1990 |
Symptoms & Case Reports | References |
allergic rhinitis
anaphylaxis angioedema asthma atopic dermatitis flare gastrointestinal symptoms nausea oral allergy syndrom urticaria vomiting wheeze |
Hoffmann 1983
Langeland 1983a, 1983b, 1985 Anet et al. 1985 Clinton et al. 1986 Bernstein et al. 1987 Blanco-Carmona et al. 1992 Yamada et al. 1993 Bernhisel-Broadbent et al. 1994 Reekers et al. 1996 Urisu et al. 1997 |
3 Composition of Hen's Egg White
4 Allergens of Hen's Egg White
Proteins / Glycoproteins | Allergen Nomenclature | References |
Ovomucoid | Gal d 1 | Langeland T (1982b) |
Ovalbumin | Gal d 2 | Langeland T (1982b) |
Ovotransferrin | Gal d 3 | Langeland & Harbitz (1983) |
Lysozyme | Gal d 4 | Hoffman 1983 |
Ovomucin | none | Walsh et al. 1988 |
4.1 Sensitization to Egg White Allergens
Country / Subjects | Sensitivity to | References |
Denmark
32 adults with suspected egg allergy |
ovomucoid 34%
ovalbumin 9% ovotransferrin 22% lysozyme 6% (dot-immunoblot) |
Djurtoft et al. 1991 |
Denmark
34 egg allergic adults |
ovomucoid 38%
ovalbumin 32% ovotransferrin 53% lysozyme 15% (SDS-PAGE / immunoblot) |
Aabin et al. 1996 |
France, Nancy
52 egg allergic patients |
lysozyme 35% (RAST) | Fremont et al. 1997 |
Germany, Hamburg
33 egg allergic patients |
ovomucoid 36%
ovalbumin 30% (SDS-PAGE / immunoblot) |
Besler et al. 1997 |
Japan
39 egg allergic patients |
lysozyme 67% (RAST) | Yamada et al. 1993 |
Japan, Toyoake
72 egg allergic patients |
decreasing specific serum IgE against OM>OA>>OT>LY (RAST) | Urisu et al. 1997 |
Norway, Oslo
68 egg allergic patients |
ovomucoid 69%
ovalbumin 100% ovotransferrin 54% (CRIE) |
Langeland 1982b, 1983b |
USA, Baltimore, MD
18 egg allergic children |
ovomucoid 89%
ovalbumin 78% lysozyme 61% (skin prick test) |
Bernhisel-Broadbent et al. 1994 |
USA, Baltimore, MD
egg allergic children: a) 10 persistent allergy b) 11 developed clinical tolerance |
ovomucoid:
a) 44.5 ng/ml b) 3.5 ng/ml ovalbumin: a) 1.6 ng/ml b) 1.5 ng/ml (specific serum-IgE) |
Bernhisel-Broadbent et al. 1994 |
USA, NC
33 egg allergic patients |
ovomucoid 97%
ovalbumin 100% ovotransferrin 94% lysozyme 69% (RAST) |
Hoffmann 1983 |
Extract / Purified Allergens | Methods | References |
ovomucoid, ovalbumin, lysozyme | IEC-HPLC | Bernhisel-Broadbent et al. 1994 |
ovomucoid, ovalbumin, ovotransferrin, lysozyme | IEC / SEC | Awade et al. 1994
Ebbehoj et al. 1995 |
ovomucoid, ovalbumin, ovotransferrin, lysozyme | capillary electrophoresis | Besler et al. 1998 |
egg white / yolk proteins | review: liquid chromatography applications | Awade 1996 |
Cross-Reacting Allergens to | Subjects / Methods | References |
egg white
egg yolk, chicken serum, chicken meat |
egg allergic patients (quantitative immunoelectrophoresis) | Langeland 1983c |
egg white
egg yolk |
6 egg allergic patients (RAST inhibition) | Anet et al. 1985 |
ovalbumin
ovomucoid, ovotransferrin, lysozyme |
6 egg allergic patients (RAST inhibition) | Walsh et al. 1987 |
ovalbumin
apovitellenin I (egg yolk) |
4 egg allergic patients (RAST inhibition) | Walsh et al. 1987 |
lysozyme
alpha-lactalbumin (cow's milk) |
6 egg allergic patients (RAST inhibition) | Walsh et al. 1987 |
7 Stability of Egg White Allergens
Treatment | Effects | References |
egg white
hard-boiled (100°C, 20 min) soft-boiled (100°C, 3 min) |
some antigenicity retained,
ovalbumin and ovomucoid were detectable (RIEP) |
Hoffmann 1983 |
egg white
diluted and heated (90°C, 10 min) |
significantly decreased RAST for 50% of 16 egg allergic patients | Anet et al. 1985 |
dried whole egg
(1) heat (120°C, 40 min) (2) succinic anhydride, sodium hydroxide and heat |
(1) no significant decrease in antigenicity
(2) decreased antigenicity (1/1000) (ELISA/RAST inhibition, PCA) |
Hisatomi et al. 1991 |
egg white
(1) heat (90°C, 60 min) (2) ovomucoid-depletion of heated egg white |
(1) 55% negative challenge in patients with positive
challenge to freeze-dried egg white
(2) 94% negative challenge in patients with positive challenge to heated egg white (DBPCFC) |
Urisu et al. 1997 |
of ovalbumin, ovomucoid |
Allergen Source | References |
Food
egg in hamburger roll (1) egg in meatballs, pasta (2) lysozyme: unlabeled additive in cheese preparation (3) |
(1) Sampson et al. 1992
(2) Yman et al. 1994 (3) Fremont et al. 1997 |
Vaccines
egg white: influenza virus vaccine (1, 4) egg white: influenza A/New Jersey/76 virus vaccines (2) ovalbumin / egg white: measles vaccine (3, 6) egg white: measles-mumps-rubella vaccine (5, 7) |
(1) Davies & Pepys 1976
(2) Bell et al. 1977 (3) Herman et al. 1983 (4) Yamane et al. 1988 (5) Levine & Lavi 1991 (6) Aickin et al. 1994 (7) Levy et al. 1994 |
Other Pharmaceuticals
lysozyme / egg white: vaginal suppository (1) |
(1) Pichler & Campi 1993 |