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HF 514

Food Challenge for Extensively Heated Eggs (Baked Egg Challenge)

The goal for a baked egg food challenge is to have your child eat a known amount of egg in a baked product, such as cake, cupcake, or muffin. This dose is usually about ¼ of a baked egg.

Please use the recipe in this handout, if possible. If you do not, please bring in a copy of your recipe to clinic, the day of your challenge. Your recipe should have at least 2-3 eggs in it, so your child’s goal dose is age appropriate. If your child has a wheat allergy, you can use a gluten free cake or muffin mix that calls for 2-3 eggs.

Prepare for the Food Challenge

  1. Do not give antihistamines for 5 days before the food challenge. The one exception is diphenhydramine (Benadryl®), which can be used up to 24 hours before the food challenge procedure.

  2. Continue to give other allergy and asthma medicines as usual.

  3. If your child is sick on the day of the food challenge, call the clinic to reschedule. Your child needs to be well for a food challenge.

Sample Recipe for Baked Egg Food Challenge

What You Will Need

  • Duncan Hines Yellow Cake Mix, 15.25oz

  • 1 cup water

  • 1/3 cup vegetable oil

  • 3 large eggs

Pan Size/Bake Time:

  • 13 x 9-inch: 23-28 minutes OR

  • 24 cupcakes: 18-21 minutes

  1. Prep: Preheat oven to 350°F. for metal or glass pans, 325°F. for dark or coated pans*. Grease sides and bottom of each pan. Flour lightly. (Use baking cups for cupcakes).

  2. Mix: Blend dry mix, water, oil, and eggs in large bowl at low speed until moistened (about 30 seconds). Beat at medium speed for 2 minutes. Pour batter in pans and bake right away.

  3. Bake: Follow bake times on box. *Add 3-5 minutes to bake time for dark or coated pans. Cake is done when toothpick inserted in center comes out clean. Cool in pan on wire rack for 15 minutes. Cool all the way before frosting.

  4. Cut: 13x9-inch cake into 12 equal pieces.

  5. Please bring entire cake or batch of cupcakes with you to clinic. We will cut and portion and return the remainder after challenge.

Who to Call

Pediatric Allergy Clinic
(608) 263-6180