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Is there any way to perform a baked egg challenge in an infant, or best to wait until developmentally able to consume baked egg?

3 Answers
Mednet MemberInvited Expert
Allergy & Immunology · The University of Chicago Medicine
Answered on

We have had great success with using the Mt Sinai Baked Egg Muffin recipe for older infants and toddlers. The muffin can be mixed in with tolerated foods such as apple sauce.

While the actual efficacy of baked egg ingestion vs OIT may be less for the resolution of egg allergy, I do find baked egg challenges useful as we determine which younger children are more likely to require egg OIT versus the large majority who will have resolution of egg allergy without OIT. Families also find tolerance of baked eggs to be very liberating for the diet.

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Mednet MemberInvited Expert
Allergy & Immunology · University of Rochester Medical Center
Answered on

We typically wait until 1 year of age when they likely can consume the appropriate serving size. In my experience, most infants will not eat an entire muffin prior to that age. I imagine it could be smashed up into a puree; however, they still may not consume the requisite amount to pass. Generally, it is less frustrating to wait.

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Mednet MemberInvited Expert
Allergy & Immunology · Penn State College Of Medicine
Answered on

I agree with Dr. @Dr. First Last. We often will use the same muffin recipe, and for older infants, will mix it in favorite foods such as applesauce. We sometimes will have the family make the recipe in advance of the challenge at home (using an egg substitute). This way, the child has eaten the muffin before the challenge and is somewhat used to the taste and texture.

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