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Table 1 Patient clinical features and allergy test results before starting omalizumab

From: Omalizumab in children with severe allergic disease: a case series

Patient

Age

Sex

Allergy disease

Comorbidity

Symptoms

SPT and PBP (mm)

Serum IgEs (KU/L)

Total Serum IgE (IU/L)

Maintenance Therapy

First Aid Access

Hospitalizations

ACT

1

13

M

Severe asthma

Allergic rhinitis,

Eosinophilic esophagitis

Non-controlled asthma and exacerbations during HDM SLIT

DP = 9, DF = 7, Olea = 5

Milk = 8, Bos d 8 = 6

Bos d 4 = 10, Bos d 5 = 7

PBP = 10

DP = 100, DF = 82

Olea = 68

Milk = 2.14

---

---

1003

Fluticasone 1000 mcg/die

LABA 100 mcg/die

LTRA 10 mg/die

3

3

8

2

15

M

Severe asthma

Allergic rhinitis,

Chronic rhinosinusitis

Noncontrolled asthma and exacerbations during HDM SLIT

DP = 5, DF = 6

Pellitory = 5

DP = 100, DF = 100

Pellitory = 12

372

Fluticasone 1000 mcg/die

LABA 100 mcg/die

LTRA 10 mg/die

3

3

14

3

10

M

Moderate-severe asthma

Severe Cow’s milk allergy

/

Anaphylactic reaction with traces cow’s milk

DP = 5, DF = 4

Pellitory = 5, Cat = 4

Milk = 16, Bos d 4 = 13,

Bos d 5 = 11, Bos d 8 = 12

DP = 23.4, DF = 17.1

Pellitory =20.7,

Cat = 9.51,

Milk > 100,

Bos d 8 = 100,

Bos d 4 = 92,

Bos d 5 = 38.6

668

Fluticasone 500 mcg/die

LABA 100 mcg/die

2

2

16

4

9

F

Severe asthma

Pnx, Pnm

Non-controlled asthma and frequent exacerbations

PNX

DP = 5, DF = 3

DP = 62.8, DF = 31.3

280

Fluticasone 500 mcg/die

LABA 100 mcg/die

LTRA 10 mg/die

5

5

10

5

7

F

Severe Cow’s milk allergy

/

Anaphylaxis after

4 ml of cow’s milk

Milk = 7

Bos d 8 = 7

Bos d 4 = 6

Bos d 5 = 5

Milk = 20.9

Bos d 8 = 18.1

Bos d 4 = 5.73

Bos d 5 = 3.49

68.8

OIT

4

4

/

6

14

M

Moderate-severe asthma

Severe cow’s milk allergy

/

Asthma exacerbation after cow’s milk in traces

DP = 4, DF = 3

Cat = 4, Dog = 5

Milk = 8, PBP milk = 11

Bos d 4 = 13.5 mm,

Bos d 5 = 8 mm,

Bos d 8 = 11 mm

DP = 1.18, DF = 1.12

Cat = 1, Dog 3.21

Milk = 90,

Bos d 8 = 62.3

Bos d 4 = 62.5

Bos d 5 = 36.6

597

Fluticasone 1000 mcg/die

LABA 100 mcg/die

6

6

12

7

8

M

Severe cow’s milk allergy

/

Anaphylaxis after cow’s milk in traces

Milk 7

Bos d 8 = 12

Bos d 4 = 6

Bos d 5 = 11

PBP milk = 15

Milk 25.1

Bos d 8 = 16

Bos d 4 = 5.99

Bos d 5 = 4.24

79.9

OIT

1

1

/

8

11

M

Moderate-severe asthma

Severe cow’s milk allergy

/

Anaphylaxis after cow’s milk in traces

DP = 4, DF = 5

Pellitory = 5, Cat = 5

Milk = 16, Bos d 8 = 18

Bos d 4 = 11, Bos d 5 = 12

PBP milk = 17

DP = 17.1, DF = 23.4

Pellitory = 20.7,

Cat = 9.51

Milk > 100, Bos d 8 > 100

Bos d 4 = 15.8

Bos d 5 = 9.26

972

Fluticasone 500 mcg/die

LABA 100 mcg/die

4

4

14

  1. Abbreviations: ACT asthma control test, DP Dermatophagoides pteronyssinus, DF Dermatophagoides farinae, HDM house dust mite, IgE immunoglobulin E, LABA long acting beta2agonist, LTRA leukotriene receptor antagonist, OIT oral immunotherapy, PBP prick by prick, Pnm pneumomediastinum, Pnx pneumothorax, SLIT sublingual specific immunotherapy, SPT skin prick test