Eggs & Eczema
The most common food allergen in children with eczema worldwide. Found in baked goods, pasta, mayo, and some vaccines. About 70% of egg-allergic children tolerate eggs baked into muffins or cakes.
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Reaction Timeline
IgE-mediated reactions (hives, swelling) happen within 2 hours. Late-phase eczema flares at 6–48 hours are very common in AD and are the main reason egg is missed as a trigger — the flare happens long after the meal.
How Much Is Needed To React?
Some children react to trace amounts of egg protein. However, ~70% of egg-allergic children tolerate baked egg (heated in a wheat matrix at 350°F for 30 minutes). Start elimination completely, then reintroduce with baked egg first.
Does Preparation Matter?
~70% of egg-allergic children tolerate baked egg (≥350°F for 30 min in a wheat matrix). Extensive heating denatures ovalbumin; ovomucoid is more heat-resistant. Children tolerant of baked egg are 14.6× more likely to outgrow their egg allergy. Scrambled, fried, and soft-boiled eggs retain more allergenic protein. [16][18]
Also Watch Out For...
Chicken meat — "bird-egg syndrome" involves cross-reactivity between egg yolk alpha-livetin (Gal d 5) and chicken serum albumin; rare but documented
Other poultry eggs (duck, quail) — variable cross-reactivity; some individuals tolerate duck egg but not hen egg
What To Use Instead
Flax egg (1 tbsp ground flax + 3 tbsp water, for baking)
Commercial egg replacer (Bob's Red Mill, JUST Egg for scrambles)
Aquafaba (chickpea liquid) for meringues and whipping — note: chickpeas are on the trigger list
Mashed banana as binder in baking — note: banana is on the trigger list
Hidden Sources
Baked goods (cakes, cookies, muffins, breads)
Pasta (fresh pasta contains egg; most dried pasta does not)
Mayonnaise and aioli
Marshmallows (egg white)
Flu vaccines (trace egg protein)
Albumin in wines (fining agent)
Lysozyme in some aged cheeses
Nougat and marzipan fillings
Egg wash on breads, pretzels, pastries
Meringue powder in royal icing
Some ice creams (custard-based)
Meatballs and meatloaf (egg as binder)







