Patient selection for milk and egg ladders using a food ladder safety checklist
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Date
2022-06-12
Authors
Chua, Gilbert T.
Chan, Edmond S.
Yeung, Joanne
Cameron, Scott B.
Soller, Lianne
Williams, Brock A.
Chomyn, Alanna
Vander Leek, Timothy K.
Abrams, Elissa M.
Mak, Raymond
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Abstract
Abstract
A food ladder is a form of home-based dietary advancement therapy that gradually increases exposure to an allergenic food through the gradual introduction of egg or milk containing food with increasing quantity and allergenicity from extensively heated forms, such as baked goods, to less processed products. While widely considered safe, the food ladder is not risk-free and most of the egg and milk ladder studies only included preschoolers with mild egg and milk allergies, and with no or well-controlled asthma. We propose a Food Ladder Safety Checklist to assist with patient selection using ā4 A'sā based on available evidence for food ladders, including Age, active or poorly controlled Asthma, history of Anaphylaxis, and Adherence.
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Citation
Allergy, Asthma & Clinical Immunology. 2022 Jun 12;18(1):51