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Updated: Jul 1, 2026

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High-throughput, Microscale Protocol for the Analysis of Processing Parameters and Nutritional Qualities in Maize (Zea mays L.)
Published on: June 16, 2018
Maize food allergy: a double-blind placebo-controlled study
J Scibilia1, E A Pastorello, G Zisa
1Unit of Allergology and Clinical Immunology, A.O. Niguarda Hospital, Milan, Italy.
Summary
Maize allergy, though uncommon, causes IgE-mediated reactions in children and adults. Nearly half of patients evaluated were confirmed allergic, with some reacting to just 100 mg of maize.
Area of Science:
- Allergy and Immunology
- Food Science
- Clinical Medicine
Background:
- IgE-mediated maize allergy is infrequently studied, particularly in European populations.
- Limited research exists on the prevalence and clinical presentation of maize allergy.
Purpose of the Study:
- To evaluate patients with a history of maize allergy using double-blind, placebo-controlled food challenges (DBPCFC).
- To identify the range of symptoms during challenges and determine the lowest provocation dose (PD).
- To assess the diagnostic performance of skin prick tests (SPT) and specific IgE for maize allergy.
Main Methods:
- Twenty-seven patients with suspected maize allergy underwent SPT, specific IgE testing, and DBPCFC.
- Standardized protocols were used for all diagnostic procedures.
Main Results:
- 48% of patients tested positive in the DBPCFC.
- The lowest provocation dose (PD) ranged from 0.1 to 25 grams, with 54% reacting to ≤2.5g.
- Specific IgE testing showed high sensitivity (1.00) but low specificity (0.077); SPT had lower sensitivity (0.846) and specificity (0.384).
Conclusions:
- Maize can elicit IgE-mediated allergic reactions in both children and adults.
- DBPCFC confirmed maize allergy in nearly half of the evaluated subjects.
- Maize-induced anaphylaxis occurred in 23% of positive challenge patients, highlighting the risk even at low doses (100 mg).
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