TABLE I.
Clinical and immune characteristic | Ecuador (n = 599) | Kenya (n = 254) | USA | |
---|---|---|---|---|
α-Gal syndrome (n = 42) | Controls (n = 63) | |||
Age (y), median (range)* | 11 (6–19) | 11 (8–15)† | 12 (5–15) | 8 (4–18) |
Sex: male, n (%)‡ | 337 (56) | 130 (51)† | 31 (74) | 28 (44)† |
Recurrent wheeze/asthma, n (%)‡ | 170 (29) | 19 (7)† | 8 (19) | 25 (40)† |
Consume beef ≥1X per week, n (%) | 524 (87.5) | NA | NA§ | NA |
Total IgE, (IU/mL), GM (95% CI)‖ | 450 (404–502)¶ | 330 (261–418)† | 146 (104–204) | 90 (58–140) |
α-Gal sIgE, n > 0.35 (%)‡ | 194 (32)¶ | 137 (54)¶ | 42 (100) | 16 (25)¶ |
α-Gal sIgE (IU/mL), GM (95% CI)‖ | 1.8 (1.5–2.1)¶ | 3.3 (2.7–4.1)¶ | 9.1 (6.1–13.5) | 2.0 (1.1–3.6)¶ |
α-Gal sIgE as % of total, GM (95% CI)‖ | 0.2 (0.1–0.2)¶ | 0.4 (0.3–0.5)¶ | 6.2 (4.5–8.6) | 1.8 (0.8–3.9)† |
GM, Geometric mean.
Student t test, compared with AGS.
P value in relation to AGS < .05.
Fisher exact test, compared with AGS.
Most of these children were not consuming mammalian meat, but detailed dietary history was not available
Mann-Whitney U test, compared with AGS.
P value in relation to α-Gal syndrome < .001.