Tolerance to egg proteins in egg-sensitized infants without previous consumption

BACKGROUND

Egg-sensitized infants who have never eaten egg may react at first ingestion. We sought to determine the association between skin prick test (SPT) and specific IgE (sIgE) to egg proteins (EP) and oral food challenge (OFC) outcomes to find cut-off points which can diagnose egg allergy.

METHODS

One hundred and fifty-four infants up to 18 months, with cow's milk allergy (CMA) and/or atopic dermatitis (AD) without previous egg consumption, were recruited. SPT to EP were performed. If it was positive, sIgE was performed. If positive SPT and/or sIgE (n = 94), OFC was performed between 12 and 18 months. Receiver operating characteristic (ROC) curves were plotted, and the outcome of the OFC was related to SPT and sIgE. The cut-off points with the best diagnostic accuracy were found.

RESULTS

Ninety-four patients were sensitized to egg (69%) and 60 nonsensitized (31%). Of the sensitized, 27 tolerated cooked (CE) and raw egg (RE) (28.7%). Sixty-seven were allergic (71.3%): 29 reacted to CE, seven to egg yolk (EY) and 22 to egg white (EW) and 38 reacted to RE. 69.2% tolerated CE. EW SPT and ovalbumin (OVA) sIgE have the best area under the curve (AUC). The higher positive predictive values (PPV) were obtained for EW SPT and EW sIgE.

CONCLUSIONS

In egg-sensitized infants with EW SPT ≥8 mm and/or EW sIgE ≥8.36 KU/l, egg diagnostic OFC can be avoided as there is 94% probability of becoming positive. In the other patients, OFC should be performed safely and early to avoid unnecessary diets.

The competitor release effect applied to carnivore species: how red foxes can increase in numbers when persecuted

The objective of our study was to numerically simulate the population dynamics of a hypothetical community of three species of small to medium–sized carnivores subjected to non–selective control within the context of the competitor release effect (CRE). We applied the CRE to three carnivore species, linking interspecific competition with predator control efforts. We predicted the population response of European badger, the red fox and the pine marten to this wildlife management tool by means of numerical simulations. The theoretical responses differed depending on the intrinsic rate of growth (r), although modulated by the competition coefficients. The red fox, showing the highest r value, can increase its populations despite predator control efforts if control intensity is moderate. Populations of the other two species, however, decreased with control efforts, even reaching extinction. Three additional theoretical predictions were obtained. The conclusions from the simulations were: 1) predator control can play a role in altering the carnivore communities; 2) red fox numbers can increase due to control; and 3) predator control programs should evaluate the potential of unintended effects on ecosystems.

Sensitization to Anisakis simplex species in the population of northern Morocco

OBJECTIVE

To investigate sensitization to third-stage Anisakis simplex larvae in a randomly selected population in northern Morocco.

METHODS

We studied sera obtained from clinical analysis laboratories in Tangier and Tetuouan and from fishermen at Tangier port. The age of the study population ranged from 6 to 83 years. ImmunoCAP and immunoblotting techniques were used to determine total and specific immunoglobulin (Ig) E values and the chi2 and Fisher exact tests were applied to analyze relationships between study variables.

RESULTS

A seroprevalence of 5.1% was found, with a higher percentage of positive sera in the 31-to-43-year age group. Sensitization was not significantly associated with the origin, sex, occupation, or age of the individuals studied. In sera positive by InmunoCAP, immunoblotting studies detected numerous bands of between 7 kDa and >209 kDa, with a predominance of bands in the approximately 20-kDa to 24-kDa range.

CONCLUSIONS

Although no cases of human anisakiasis have been reported in Morocco to date, part of a randomly selected population in Northern Morocco shows sensitization to A simplex proteins.