Many Eliminated Foods Tolerated in Children With Atopic Dermatitis
A prospective study suggests that many food eliminations in young children with atopic dermatitis (AD) may be unnecessary when based solely on IgE testing.
“Children with atopic dermatitis (AD) are frequently placed on elimination diets based solely on food-specific IgE,” the authors noted.
Among 58 children (median age, 22 months), 196 foods were eliminated. Of 61 oral food challenges performed, all egg challenges were negative, while reactions occurred with soy (40%), cow’s milk (54.5%), and wheat (anaphylaxis in 1 case).
“In patients with AD and sIgE levels between 0.35 kUA/L and the DDP, tolerance varied by food type,” the authors concluded. “Egg was frequently tolerated, whereas cow’s milk and wheat carried higher risks.”
Reference
Malapet A, Chatmaitri S, Kanchanapoomi K, et al. Validation of food allergies in pediatric atopic dermatitis patients practicing food avoidance. Presented at: American Academy of Allergy, Asthma, and Immunology annual meeting. February 27-March 2, 2026; Philadelphia, Pennsylvania.
