Baked Milk and Egg Diets for Milk and Egg Allergy Management

In baked form, cow's milk and egg are less allergenic and tolerated by a majority of milk- and egg-allergic children. Not only may including baked milk and egg in the diets of children who are tolerant improve nutrition and promote more social inclusion but there is also evidence that inclusion may accelerate the resolution of unheated milk and egg allergy. Further research is needed to identify biomarkers that can predict baked milk or egg reactivity; however, data suggest casein- and ovomucoid-specific immunoglobulin E levels may be useful. Physician-supervised introduction of baked milk and egg is recommended since anaphylaxis has occurred.