• 대한지역사회영양학회지
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• 제9권1호
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• pp.90-97
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• 2004

The purpose of this study was to determined the rate of sensitization to food allergen in children with Atopic Dermatitis (AD) in Korea. A total of 3,783 patients (male = 1983, female = 1800) with AD (age under 18 years) who had visited Samsung Medical Center from 1998 to 2003 were enrolled in the study. Food hypersensitivity was measured by specific IgE to egg, cow's milk, soy, peanut, wheat, buckwheat, beef, pork, chicken, shrimp, crab, salmon, mackerel, etc. Specific IgE levels > 0.7 kU/L. by Captured Allergen Product (CAP) assay were considered positive. Chi-square test at p value < 0.05 was used to examine the difference of the prevalence by sex and age. The rate of sensitization to multiple food allergens was 31.2% and decreased with age. Hypersensitivity to egg showed highest prevalence, which was 24.3%, compared to the prevalence of other foods. High prevalence of hypersensitivity to milk. wheat, soy, peanut, crab or shrimp was observed (11.6- 17.7%). Low prevalence of hypersensitivity to beef, pork, tuna or chicken was observed (1.9-3.5%). Children aged under 3 years had significantly higher prevalence of hypersensitivity to egg, milk, soy and beef than children aged at least 3 years. Our results stress the need for examination of food hypersensitivity aimed at identified and limited each food allergen among children with AD caused by food to help patients outgrow their food allergy.

• Nutrition Research and Practice
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• 제7권6호
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• pp.488-494
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• 2013

A food allergy is an adverse health effect arising from a specific immune response that occurs reproducibly upon exposure to a given food. In those with food allergies that are thought to cause aggravation of eczema, food avoidance is important. The objective of this study was to research the nutritional status of patients with food allergies. A total of 225 subjects diagnosed with atopic dermatitis underwent a skin prick test as well as measurement of serum immunoglobulin E. Food challenge tests were conducted using seven food items: milk, eggs, wheat, soybeans, beef, pork, and chicken. At post-food challenge visits to the test clinic, participants completed a three-day dietary record, which included two week days and one weekend day, in order to evaluate energy intake and diet quality during the challenge. We analyzed nutrient intake based on differential food allergens. Subjects with a food allergy to milk showed lower intake of Ca, Zn, and vitamin B2, and subjects with a food allergy to egg showed lower intake of vitamin A, B1, B2, niacin, and cholesterol. Subjects with a food allergy to wheat and soybean showed lower intake of Ca, P, Fe, K, Zn, vitamin B2, vitamin B6, and niacin; and subjects with a food allergy to beef, pork, and chicken showed lower intake of Fe and higher intake of K, vitamin A, B2. Subjects with atopic dermatitis were lacking in several nutrients, including vitamin A and vitamin C. A greater number of food allergies showed an association with a greater number of nutrient intake deficiencies. Allergen avoidance is the basic treatment for atopic dermatitis. However, when the allergen is food, excessive restriction can lead to nutrition deficiency. Findings of this study suggest the necessity for enhanced nutritional education in order to provide substitute foods for patients with food allergies who practice food restriction.

• 한국축산식품학회지
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• 제29권2호
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• pp.151-156
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• 2009

19세에서 24세까지의 대학생을 중심으로 그들의 병력을 바탕으로 한 설문조사를 실시하여 식품알레르기의 발생 경향을 조사하고, 알레르기 경험자의 혈청을 이용하여 식육알레르기의 원인 알레르겐에 대하여 조사하였다. 조사 대상자 중 11.33%가 어떤 형태의 식품알레르기를 경험하였고, 그 원인식품으로는 생선, 우육, 계육, 유제품, 난류(계란), 돈육 순으로 나타났으며, 그 중 식육에 대한 알레르기를 경험한 대상자의 비율은 전체의 4.65%(우육 2.33%, 계육 1.66%,돈육 0.66%)를 차지하였다. 이 중 가장 발생빈도가 높은 우육에 대한 원인 알레르겐 조사를 위해 설문조사에서 우육에 대하여 과민반응을 경험하였다고 응답한 대상자 6명의 혈청을 이용하여 원인 알레르겐에 대한 조사를 실시하였다. ELISA를 이용한 항원성의 검사결과 우육에 특이적 반응성을 보인 대상자의 혈청과 우육추출물을 이용하여 원인 알레르겐을 조사하였다. Western blots 결과에서 PVDF membrane상에 대상자의 혈청과 특이적으로 반응하는 2개의 밴드가 관찰되었다. 표준단백질 middle range marker를 이용한 전기영동상 이동거리비교에서 이들의 분자량이 67kDa과 31kDa인 것으로 판명되었다. N말단 아미노산서열 분석결과로부터, 67kDa은 지금까지 중요한 우육알레르겐의 하나로 알려진 BSA인 것으로 확인되었으나, 31kDa은 지금까지 보고가 없는 새로운 잠재적 우육알레르겐인 것으로 보인다. 31kDa 분자는 N 말단 아미노산서열 분석이 어려웠다. PAS염색결과 아미노산 서열분석이 어려운 이유는 31kDa분자가 당쇄로 수식되어 있기 때문인 것으로 사료되며, 앞으로 31kDa분자에 대한 이화학적 및 물리적인 특성에 관한 연구가 필요할 것으로 사료된다. 지금까지 식육에 대한 알레르기 발생경향 및 식육알레르겐에 관한 연구보고가 국내에서 거의 이루어지지 않은 상황에서 본 연구는 식육알레르기 연구에 중요한 정보를 제공해 줄 것으로 사료된다.

• Nutritional Sciences
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• 제2권2호
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• pp.119-124
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• 1999

Food allergies play an important role in Atopic Dermatitis (AD). Dietary manipulation is essential in the management of AD. However, there has been a paucity of data reporting the prevalence of food allergies in AD patients in Korea. In this study, the Food Open Challenge Tests (FOCT) were conducted to investigate food allergies in AD patients. The skin-prick test and the detection of specific IgE, as well as allergy history of patient were used to detect food allergies in all AD patients. Elimination diet was conducted for two weeks prior to FOCTs. The prevalence of food allergies by FOCT is as follows: milk (67.3%); chicken (64.2%); pork (62.8%); eggs (61.0%); beef(55.4%) ; wheat (52.0%) and soybean (45.2%). Allergenic food items in Korean AD patients were different from people in other foreign countries. The seven major foods those tested positively by FOCTs were completely eliminated from the replaced diets for two weeks, and were subsequently reintroduced one at a time. Results from FOCTs were not comparable with allergy history or skin-prick tests or specific IgE detection. The sensitivity and specificity of skin-prick tests and specific IgE detection were lower than FOCTs. Allergy history, skin-prick tests, and specific IgE detection are useful for the identification of food allergen but its clinical significance differed according to food items. Therefore, we conclude that even though a 10-day delay was necessary after food challenge, FOCT is a useful and valid method to confirm food allergies and may be essential for the effective control of food allergies for treatment of AD.