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Senin, 24 Desember 2012

Egg allergy

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Egg allergy

Definition:
Egg allergy

Eggs are one of the most common allergy-causing foods in children. Egg allergy symptoms usually occur a few minutes to a few hours after eating eggs or foods containing eggs. Signs and symptoms range from mild to severe and can include skin rashes, hives, nasal inflammation, and vomiting or other digestive problems.

Rarely, egg allergy can cause anaphylaxis — a life-threatening reaction. Egg allergy can occur as early as infancy. Most children outgrow their egg allergy before adolescence. But in some cases, it continues into adulthood.

Symptoms:

Egg allergy reactions vary from person to person and usually occur soon after exposure to egg. Egg allergy symptoms can include:
  • Skin inflammation or hives — the most common egg allergy reaction
  • Allergic nasal inflammation (allergic rhinitis)
  • Digestive (gastrointestinal) symptoms, such as cramps, nausea and vomiting
  • Asthma signs and symptoms such as coughing, chest tightness or shortness of breath
Anaphylaxis
A severe allergic reaction can lead to anaphylaxis, a life-threatening emergency that requires an immediate epinephrine (adrenaline) shot and a trip to the emergency room. Anaphylaxis signs and symptoms include:
  • Constriction of airways, including a swollen throat or a lump in your throat that makes it difficult to breathe
  • Abdominal pain and cramping
  • Rapid pulse
  • Shock, with a severe drop in blood pressure felt as dizziness, lightheadedness or loss of consciousness
If you or your child has a reaction to eggs, discuss this with a doctor no matter how mild it may have been. The severity of egg allergy reactions can vary each time one occurs. This means that even if you or your child had a mild reaction in the past, the next reaction could be more serious.
If your doctor thinks you or your child may be at risk of a severe reaction, the doctor may prescribe an emergency epinephrine shot to be used if anaphylaxis occurs. The shot comes in a device that makes it easy to deliver, called an autoinjector.

When to see a doctor
See a doctor if you or your child has signs or symptoms of a food allergy shortly after eating eggs or a product that contains eggs. If possible, see the doctor when the allergic reaction is occurring. This may help in making a diagnosis.
If you or your child has signs and symptoms of anaphylaxis, seek immediate emergency treatment and use an autoinjector if one has been prescribed.

Causes:

All food allergies are caused by an immune system overreaction. The immune system mistakenly identifies certain egg proteins as harmful. When you or your child comes in contact with egg proteins, immune system cells (antibodies) recognize them and signal the immune system to release histamine and other chemicals that cause allergic signs and symptoms.
Both egg yolks and egg whites contain proteins that can cause allergies, but allergy to egg whites is most common. It's possible for breast-fed infants to have an allergic reaction to egg proteins in breast milk if the mother consumes eggs.

Complications:

The most significant complication of egg allergy is having a severe allergic reaction requiring an epinephrine injection and emergency treatment.
The same immune system reaction that causes egg allergy can also cause other conditions. If you or your child has an egg allergy, you or your child may be at increased risk of:
  • Allergies to other foods, such as milk, soy or peanuts
  • Hay fever — an allergic reaction to pet dander, dust mites or grass pollen
  • Allergic skin reactions such as atopic dermatitis
  • Asthma, which in turn increases the risk of having a severe allergic reaction to eggs or other foods

Treatments and drugs:

There's no medication or other treatment that can cure an egg allergy or prevent someone with a food allergy from having an allergic reaction. The only way to prevent egg allergy symptoms is to avoid eggs or egg products. This can be difficult, as eggs are a common food ingredient. However, you may find that you or your child can tolerate eggs that have been cooked into foods, such as when they are an ingredient in baked goods.

Antihistamines to ease symptoms
Despite your best efforts, you or your child may still come into contact with eggs. Medications, such as antihistamines, may reduce signs and symptoms of a mild egg allergy. These drugs can be taken after exposure to eggs. But, they aren't effective for preventing an allergic egg reaction or for treating a severe reaction.

Emergency epinephrine shots
If you or your child is at risk of a severe reaction, you may need to carry an emergency epinephrine injector (EpiPen, EpiPen Jr, Twinject) at all times. If you or your child develops anaphylaxis after egg exposure, you or your child will need an emergency epinephrine shot and a trip to the emergency room. Even if anaphylaxis symptoms improve, you or your child will need to remain under medical supervision for a period of time to be sure severe symptoms don't return.

If you or your child does have an autoinjector, be sure it's always available. Learn how to use it properly. If your child has one, make sure caregivers have access to it and know how to use it. If your child is old enough, make sure he or she also understands how to use it. Replace the autoinjector before its expiration date. Otherwise, it may not work properly.

There's no cure for egg allergy, but most children will eventually outgrow it. Talk to your child's doctor about how often he or she should be tested to see whether eggs still cause symptoms. This may be yearly, or on another schedule depending on your child's symptoms and the doctor's recommendations. It may be unsafe for you to test your child's reaction to eggs at home, particularly if your child has had a severe reaction to eggs in the past.

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