Canadian food ladders for dietary advancement in children with IgE-mediated allergy to milk and/or egg

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Date
2021-08-05
Authors
Chomyn, Alanna
Chan, Edmond S.
Yeung, Joanne
Vander Leek, Timothy K.
Williams, Brock A.
Soller, Lianne
Abrams, Elissa M.
Mak, Raymond
Wong, Tiffany
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Abstract
Abstract Food ladders are clinical tools already widely used in Europe for food reintroduction in milk- and egg-allergic children. Previously developed milk and egg ladders have limited applicability to Canadian children due to dietary differences and product availability. Herein we propose a Canadian version of cow’s milk and egg food ladders and discuss the potential role that food ladders may have in the care of children with IgE-mediated allergies to cow’s milk and/or egg, as either a method of accelerating the acquisition of tolerance in those who would outgrow on their own, or as a form of modified oral immunotherapy in those with otherwise persistent allergy.
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Allergy, Asthma & Clinical Immunology. 2021 Aug 05;17(1):83