scholarly journals Massive hematemesis and melena stool: A case report of unusual manifestation of Cow’s milk protein intolerance

2021 ◽  
Vol 2021 (10) ◽  
Author(s):  
Leen Jamel Doya ◽  
Omar Aljanati ◽  
Hanin Ahmed Mansour ◽  
Maria Naamah ◽  
Alexander Ali Ibrahim ◽  
...  

ABSTRACT Cow’s milk protein intolerance (CMPI) is a common condition that causes gastrointestinal bleeding in the first year of life. It is the most common cause of chronic blood loss and anemia; however, severe massive hematemesis is an uncommon condition. Herein, we present a case of severe massive hematemesis with melena stool in a six-month-old boy with cow’s milk protein intolerance. In this case, we described management used in poor developing countries.

The Lancet ◽  
1978 ◽  
Vol 311 (8066) ◽  
pp. 722-723 ◽  
Author(s):  
J.C Vitoria ◽  
M.E Aranjuelo ◽  
J Rodriguez-Soriano

PEDIATRICS ◽  
1987 ◽  
Vol 80 (3) ◽  
pp. 461-462
Author(s):  
HAROLD I. LECKS

In Reply.— The literature has been replete with discussions of cow's milk protein hypersensitivity relevant to its diagnosis as well as clinical patterns of presentation since the entity was initially described by M. Rubin 40 years ago. Drs Gilbertson and Bentley now suggest a comparatively simple diagnostic procedure for detecting cow's milk protein intolerance (hypersensitivity) by merely inspecting the rectal mucosa of the infant at risk. My criticism of their observations relates initially to the specificity of rectal mucosal vascularity changes, as well as to the pragmatic aspects of this diagnostic procedure.


PEDIATRICS ◽  
1987 ◽  
Vol 80 (3) ◽  
pp. 461-461
Author(s):  
NICOLA J. GILBERTSON ◽  
DONALD BENTLEY

To the Editor.— With regard to the diagnosis of cow's milk protein intolerance, we were interested by the findings of Kahn et al (Pediatrics 1985;76:880-884) and Dr Lecks' subsequent comments (Pediatrics 1986;78:378). A hitherto undescribed clinical feature that may contribute to the establishment of this diagnosis is the presence of hyperemia of the rectal mucosa in affected infants. Proctoscopy may readily be performed using a lubricated pediatric otoscope. The procedure is well tolerated, inexpensive, and takes only a few seconds.


1988 ◽  
Vol 24 (3) ◽  
pp. 407-407
Author(s):  
M Heyman ◽  
E Crasset ◽  
R Ducroc ◽  
J F Desjeux

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