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Table 3 Comparison of different DBPCFC evaluation criteria

From: Standardization of double blind placebo controlled food challenge with soy within a multicentre trial

 

EuroPrevall [28; from 2015]

PRACTALL [8, from 2012]

This trial (2008)

Scoring

Objective signs absent/present

Subjective symptoms: persistent > 45 min

Objective signs and subjective symptoms 0 = absent, 1 = mild, 2 = moderate, 3 = severe

Objective signs: present/absent

Subjective symptoms: VAS (0–10 cm)

Skin/mucosa

Blisters of oral mucosa (O)

Skin flushing (O)

Urticaria (O)

Angioedema (O)

Conjunctivitis (O)

Itching of palms, soles head (S)

Pruritus (S)

Urticaria/angioedema (O)

Rash (O)

O1 Intraoral swelling/blistering

O2 Flush

O3 Urticaria

O4 Angioedema

O5 Conjunctivitis

S1 Intraoral tingling/itching

S2 Perceived lip swelling

S3 Itching skin/eye/nose

Upper respiratory tract

Rhinitis (O)

Sneezing/itching (S/O)

O6 Rhinitis

S3 Itching nose

Lower respiratory tract

Drop of FEV1 > 12% or drop of PEF > 20% (O)

Laryngeal edema (O)

Wheezing (O)

Laryngeal (O)

O7 Peak flow reduction > 20%

S5 Dyspnea

Gastrointestinal tract

Diarrhea (O)

Emesis (S)

Severe gastric/abdominal pain (S)

Itchy mouth/throat, nausea, pain (S)

emesis, diarrhea (O)

O10 Diarrhea, vomiting

S4 Dysphagia

S6 Nausea

S7 Abdominal pain

Cardiovascular/neurological system

Drop of BP > 20 mmHg (O)

Heart rate increase or drop in blood pressure, dizziness, unconsciousness (O/S)

O8 Drop of BP > 20 mmHg

O9 Increase of heart rate > 20%

S8 Dizziness

  1. S subjective, O objective, BP blood pressure