[An acute vomiting infant with profuse diarrhoea: enterocolitis due to non-IgE-mediated cow's milk allergy]. / Een hevig spugende zuigeling met profuse diarree: enterocolitis door niet-IgE-gemedieerde koemelkallergie.
Ned Tijdschr Geneeskd
; 158: A7313, 2014.
Article
em Nl
| MEDLINE
| ID: mdl-25027211
ABSTRACT
BACKGROUND:
Food protein-induced enterocolitis is a manifestation of non-IgE-mediated cow's milk allergy, characterized by acute vomiting and profuse diarrhoea. This reaction is often not recognized as cow's milk allergy. CASE DESCRIPTION We present a 6-week-old, formula-fed girl with frequent vomiting, diarrhoea and failure to thrive. These symptoms disappeared after giving cow's milk-free formula. Forty-five minutes after the last dose in a non-blinded provocation test with cow's milk, she developed profuse diarrhoea and vomiting, resulting in hypovolemic shock. No specific IgE against cow's milk was found.CONCLUSION:
Unusual in this case is the severe but relatively late reaction to the provocation test. In an acutely ill infant with vomiting, diarrhoea and pallor - which can even result in shock - food protein-induced enterocolitis as manifestation of non-IgE-mediated allergy must be considered. These symptoms start as late as 2 to 3 hours after exposure and disappear after withdrawal of the causal product.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Hipersensibilidade a Leite
/
Diarreia
/
Enterocolite
/
Proteínas do Leite
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Animals
/
Female
/
Humans
/
Infant
Idioma:
Nl
Revista:
Ned Tijdschr Geneeskd
Ano de publicação:
2014
Tipo de documento:
Article