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Tests and diagnosis

By Mayo Clinic staff

To evaluate whether you or your child has an egg allergy, your doctor may:

  • Ask detailed questions about signs and symptoms
  • Perform a physical exam
  • Have you keep a detailed diary of the foods you or your child eats
  • Have you eliminate eggs from your diet or your child's diet (elimination diet) — and then have you eat the food in question again to see if it causes a reaction

Your doctor may also recommend one or more of the following tests:

  • Skin test. In this test, your skin is pricked and exposed to small amounts of the proteins found in eggs. If you're allergic, you develop a raised bump (hive) at the test location on your skin. Allergy specialists usually are best equipped to perform and interpret allergy skin tests.
  • Blood test. A blood test can measure your immune system's response to eggs by measuring the amount of certain antibodies in your bloodstream, known as immunoglobulin E (IgE) antibodies. A blood sample can be tested in a medical laboratory, where it can be tested for evidence of sensitivity to eggs.
  • Food challenge. Because other tests aren't always conclusive, your doctor may want to do a food challenge. This test involves giving small amounts of the offending food and then monitoring the child or adult for a reaction. If no reaction occurs, more of the substance is given, and you or your child will again be monitored. One reason for doing a food challenge could be to confirm that your child has outgrown his or her allergy to eggs.

If your doctor suspects your problems are caused by something other than a food allergy, you may need other tests to identify — or rule out — other medical problems.

References
  1. Food allergy: An overview. National Institute of Allergy and Infectious Diseases. http://www3.niaid.nih.gov/topics/foodAllergy/PDF/foodallergy.pdf. Accessed July 12, 2009.
  2. Kurowski K, et al. Food allergies: Detection and management. American Family Physician. 2008;77:1678.
  3. Lack G. Food allergy. New England Journal of Medicine. 2008;359:1252.
  4. Anaphylaxis. Asthma and Allergy Foundation of America. http://www.aafa.org/print.cfm?id=9&sub=23&cont=324. Accessed July 16, 2009.
  5. Chapman JA, et al. Food allergy: A practice parameter. Annals of Allergy, Asthma and Immunology. 2006;96:S1.
  6. Sicherer SH. Food allergen avoidance. http://www.uptodate.com/home/index.html. Accessed May 22, 2009.
  7. Egg allergy. Asthma and Allergy Foundation of America. http://www.aafa.org/print.cfm?id=9&sub=20&cont=523. Accessed July 16, 2009.
  8. Flu vaccine and egg allergy. American College of Allergy, Asthma and Immunology. http://www.acaai.org/public/advice/Fluvaccine_eggallergy.htm. Accessed July 16, 2009.

DS01021

Sept. 25, 2009

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