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Table 3 DBPCFC results of the eight patients

From: Development and validation of a standardized double-blind, placebo-controlled food challenge matrix for raw hazelnuts

Results challenge

Patient no.

Dose

Signs and symptomsa

Test outcome

1

Verum 3–9

Very mild tingling on the lips

+/−; Only mild OAS symptoms; open provocation test needed

 

Placebo 1–9

 

Open provocation: ½ hazelnut

Mild tingling on tongue and lips

+/−

2

Verum 4–5

Tingling of the lips, Pruritus

Mild urticaria/angioedema of the lips (11 min after verum 4)

+; Test is stopped after dose 5 because of inconvenient allergic complaints

 

Placebo 1–9

3

Verum 9

Very mild tingling on the lips

+/−; Only mild OAS symptoms; Open provocation test needed

 

Placebo 1–9

 

Open provocation: 5 hazelnuts

Raw feeling in the throat

+

4

Verum 2–7

Verum 8–9

Pruritus, urticaria lesion in the neck

Sneezing, itchy nose

+

 

Placebo 1–9

5

Verum 9

Very mild tingling of the lips

+/−; Only mild OAS symptoms; Open provocation test needed

 

Placebo 1–9

 

Open provocation: 5 hazelnuts

Raw feeling in the throat

+

6

Verum 1–9

Very mild tingling of the lips

Verum and placebo challenges gave both mild OAS symptoms. This could be due to the anxiety of the patient during the challenges. Open provocation test is needed

 

Verum 9

Gastrointestinal: Nausea

 
 

Placebo 1–9

Very mild tingling of the lips

 
 

Placebo 9

Gastrointestinal: Nausea

 
 

Open provocation: ½ hazelnut

Mild tingling of throat and tongue

+/−

7

Verum 1–9

 

Placebo 1–9

 

Open provocation: ½ hazelnut

Mild tingling of throat and tongue

+/−

8

Verum 1–9

  
 

Placebo 1–9

  
 

Open provocation: ½ hazelnut

Urticaria: discrete blister lower lip

+/−

  1. aSymptoms and signs were assessed according to the standardized clinical parameters checklist described in the work of Sampson et al. [1]. OAS symptoms/signs were reported extra
  2. +, positive test because of distinct objective signs during the challenge; +/−, results are uncertain because of subjective symptoms during the challenge; −, no reactions were observed during the challenge