scholarly journals A Preterm Case of Cow’s Milk Allergy Presenting with Recurrent Ascites Treated with Donor Breast Milk

2021 ◽  
Vol 18 (3) ◽  
pp. 1187
Author(s):  
Ruka Nakasone ◽  
Kazumichi Fujioka ◽  
Shutaro Suga ◽  
Shinya Abe ◽  
Mariko Ashina ◽  
...  
Keyword(s):  
Breast Milk ◽  
Male Infant ◽  
Cow’S Milk Allergy ◽  
Cow’S Milk ◽  
Milk Allergy ◽  
Cow's Milk ◽  
Cow's Milk Allergy ◽  
Hydrolyzed Formula ◽  
Mother’S Own Milk ◽  
Milk Feeding

We report a case of a preterm infant who developed cow’s milk allergy. This male infant presented with recurrent ascites and was successfully treated with donated breast milk. He was born at 24 weeks’ gestation with a birthweight of 506 g. From day 20, infant formula, soy protein-based formula, and casein-hydrolyzed formula were used due to insufficient maternal lactation. This resulted in abdominal distention, generalized edema, and recurrent ascites. We diagnosed him with cow’s milk allergy since these symptoms improved on exclusive breast milk feeding. No recurrence of symptoms occurred when donated breast milk was used in combination with the mother’s own milk. Ascites should be regarded as a clinical symptom of neonatal cow’s milk allergy. Donated breast milk may be effective in the treatment of the allergy if breastfeeding is not available.

scholarly journals Hypoallergenicity of a thickened hydrolyzed formula in children with cow’s milk allergy

2019 ◽  
Vol 7 (16) ◽  
pp. 2256-2268
Author(s):  
Danilo Rossetti ◽  
Salvatore Cucchiara ◽  
Alessandra Morace ◽  
Beatrice Leter ◽  
Salvatore Oliva
Keyword(s):  
Cow’S Milk Allergy ◽  
Cow’S Milk ◽  
Milk Allergy ◽  
Cow's Milk ◽  
Cow's Milk Allergy ◽  
Hydrolyzed Formula

scholarly journals Systemic reaction to an extensively hydrolyzed formula in an infant with cow’s milk anaphylaxis

2020 ◽  
Vol 2 (2) ◽  
pp. 164-167
Author(s):  
Alvaro Flores ◽  
Yudy K. Persaud
Keyword(s):  
Systemic Reaction ◽  
Signs And Symptoms ◽  
Cow’S Milk Allergy ◽  
Cow’S Milk ◽  
Milk Formula ◽  
Protein Chain ◽  
Milk Allergy ◽  
Cow's Milk ◽  
Cow's Milk Allergy ◽  
Hydrolyzed Formula

Background: Cow’s milk allergy is the most common cause of food allergy in young children. Ingestion of milk products in children with a milk protein allergy can lead to anaphylaxis and must be avoided. Some guidelines suggest the use of an extensively hydrolyzed formula (EHF) in these cases; however, rare allergic reactions can still occur. Here, we presented a 3-month-old boy who developed anaphylaxis to a cow’s milk formula. Subsequently, he developed a rare systemic reaction to soy and to an EHF. Case: The patient had an unremarkable medical history and presented with signs and symptoms consistent with anaphylaxis after being fed cow’s milk formula for the first time. Symptoms included immediate vomiting, wheezing, stridor, angioedema of eyelids and lips. Although intramuscular epinephrine was given, the patient continued to clinically deteriorate, becoming more lethargic and necessitating admission to the pediatric intensive care unit. Subsequently, a trial of soy formula ingestion reproduced the symptoms and an EHF was given. However, immediately after taking an EHF, he developed facial angioedema and diffuse urticarial lesions. Conclusion: In most patients with a cow’s milk allergy, an extensively based formula can be tolerated safely due to a hydrolyzed protein chain. However, medical providers must be vigilant when switching formula because a rare systemic allergic reaction to EHF can still occur.

Most cases of cow's milk allergy are able to ingest a partially hydrolyzed formula

2015 ◽  
Vol 115 (4) ◽  
pp. 330-331.e2 ◽  
Author(s):  
Jun Kido ◽  
Natsuko Nishi ◽  
Masami Sakaguchi ◽  
Tomoaki Matsumoto
Keyword(s):  
Cow’S Milk Allergy ◽  
Cow’S Milk ◽  
Milk Allergy ◽  
Cow's Milk ◽  
Cow's Milk Allergy ◽  
Hydrolyzed Formula

scholarly journals Cow’s milk allergy in patients with diarrhea

2016 ◽  
Vol 44 (6) ◽  
pp. 239 ◽  
Author(s):  
Nanis S Marzuki ◽  
Arwin AP Akib ◽  
I Boediman
Keyword(s):  
Acute Diarrhea ◽  
Chronic Diarrhea ◽  
Elimination Diet ◽  
Cow’S Milk Allergy ◽  
Cow’S Milk ◽  
Milk Formula ◽  
Milk Allergy ◽  
Cow's Milk ◽  
Cow's Milk Allergy ◽  
Hydrolyzed Formula

Background Cow’s milk allergy (CMA) might be one of the causesof diarrhea in children. Previous prospective studies found theprevalence of CMA in children aged 0-3 years between 1.1-5.2%,but data about the prevalence of CMA in children with diarrheawas very limited.Objective This study intended to estimate the prevalence of CMAin children with diarrhea.Methods Children aged 0-3 years, who came with diarrhea andconsumed milk formula were selected for further evaluation. Adiagnostic procedure was developed i.e., elimination diet with par-tially hydrolyzed formula (pHF) for 2 weeks, and then open milkchallenge. If diarrhea was not resolved with pHF, the children weregiven extensively hydrolyzed formula, or soy-based formula.Results Ninety-nine children participated in this study, 87 camewith acute diarrhea and 12 with chronic diarrhea. There were 3children (2 children with acute diarrhea and one with chronicdiarrhea) who reacted to the milk challenge.Conclusion The estimated prevalence of CMA in children withdiarrhea in our study was 3%

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