Egg allergy appears mainly, but not exclusively, in children. In fact, it is the second most common food allergy in children. (The most common is cows' milk allergy). It is usually treated with an exclusion diet and vigilant avoidance of foods that may be contaminated with egg. The most severe food allergy reaction is called anaphylaxis and is an emergency situation requiring immediate attention and treatment with epinephrine. The Asthma and Allergy Foundation of America estimates that most children outgrow egg allergy by the age of five, but some people remain allergic for a lifetime.
Some research on lysozyme and ovotransferrin suggests that, perhaps, one of the causes of the allergy is from the chelating capacity of the proteins with metals, especially those of heavy metals. However, little scientific information is available currently on the direct relationships of the heavy metals in hen eggs and egg allergy.
A person who reacts only to a protein in the egg yolk may be able to easily tolerate egg whites, and vice versa. Some people will be allergic to proteins in both the egg white and the egg yolk. Egg yolk allergies may be somewhat more common in adults. A small number of people who are allergic to eggs will develop an allergy to chicken or other poultry meats.
Diagnosis is generally made through a combination of skin prick testing or blood testing and detailed records of all foods and drink the person regularly intakes.
There is currently no cure for egg allergy. Most people who are allergic to eggs avoid eating any form of egg or egg component. For people with a more serious allergic reaction to eggs, urticaria (hives) and inflammation can occur and as such, doctors suggest that the person carries around an EpiPen.
In a study presented at the 2007 American Academy of Allergy, Asthma, and Immunology (AAAAI) meeting, 50% of patients outgrew egg allergy by age 17. Of those patients who outgrew it, 45% did so by age 5. Children who outgrew the allergy tended to have peak IgE levels at around age one, which then decline.
The flu vaccine is typically made using chicken embryo, and as a result the final vaccine does contain egg proteins. Egg-allergic individuals may react to egg protein(s) in the vaccine (or to gelatin or neomycin if they are allergic to that). If an individual is unable to take the vaccine, vaccinating all other members of their family can help protect them from the flu. Different brands and even individual batches of flu vaccine do vary in their egg protein content. Allergist formerly used skin testing with flu vaccine to predict if receiving the flu shot might be safe, but the results of this type of testing are totally unpredictive and this type of testing should be abandonded. Instead, the age-appropriate immunization material containing the lowest amount of egg proteins should be chosen, then a 1/10 dose should be given followed by a 30 observation period in a medical setting fully equipped to treat any possible reaction. Ovalbumin is usually used as a marker for the egg proteins. Vaccines available as recently as 2010 in the US contained up to 21 mcg of ovalbumin per 0.5 mL dose. In 2011 the ovalbumin content varies from less than 5.0 mcg/dose down to less than 0.05 mcg/dose, depending on the brand. One study done on 83 egg allergic patients resulted in a lack of serious reactions at doses of ovalbumin ranging from 0.10 mcg to 0.60 mcg. Thus so some brands available in the US in 2011 are probably safe for most egg allergic patients (administered with caution), but others may not be. For reference modern MMR vaccine (which is generally accepted now to be well tolerated by egg allergic patients, but which is still given with caution) was shown in a 2009 study reported in the BMJ to contain 0.0005 to 0.0010 mcg/dose [0.5 to 1.0 ng/dose). REFERENCE: June 2011 UPTODATE.com monograph on "influenza vaccine and egg allergy" and the NIH Expert Panel Report on Food Allergy, December 2010. Egg proteins can also be found in yellow fever vaccine and MMR vaccine. The quantity of egg protein in a dose of MMR vaccine is approximately 40 picograms (much lower than in influenza vaccine, which contains approximately 0.02-1.0 micrograms), and this is believed to be associated with a much lower risk.
Some research on lysozyme and ovotransferrin suggests that, perhaps, one of the causes of the allergy is from the chelating capacity of the proteins with metals, especially those of heavy metals. However, little scientific information is available currently on the direct relationships of the heavy metals in hen eggs and egg allergy.
A person who reacts only to a protein in the egg yolk may be able to easily tolerate egg whites, and vice versa. Some people will be allergic to proteins in both the egg white and the egg yolk. Egg yolk allergies may be somewhat more common in adults. A small number of people who are allergic to eggs will develop an allergy to chicken or other poultry meats.
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In a study presented at the 2007 American Academy of Allergy, Asthma, and Immunology (AAAAI) meeting, 50% of patients outgrew egg allergy by age 17. Of those patients who outgrew it, 45% did so by age 5. Children who outgrew the allergy tended to have peak IgE levels at around age one, which then decline.
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