Abstract
The clinical patterns of adverse reactions to cows' milk were examined in 72 children with cows' milk hypersensitivity. Two main groups were found, according to the time of onset of the adverse reaction--immediate onset, within one hour of milk ingestion and delayed onset, after one hour. Children with immediate onset reactions usually had cutaneous manifestations, positive prick tests, raised IgE values, were atopic, and the reaction was provoked by only small amounts of milk. Children with delayed onset reactions usually had gastrointestinal manifestations; negative prick tests; normal IgE values; were not atopic; had a history of vomiting, diarrhoea, and colic in the first year of life; and a larger amount of milk was needed to provoke the adverse reaction. Placing affected children into one or other category should increase the reliability of interpreting milk prick tests and clinical findings.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Ashkenazi A., Levin S., Idar D., Or A., Rosenberg I., Handzel Z. T. In vitro cell-mediated immunologic assay for cow's milk allergy. Pediatrics. 1980 Sep;66(3):399–402. [PubMed] [Google Scholar]
- Bock S. A., Lee W. Y., Remigio L. K., May C. D. Studies of hypersensitivity reactions to foods in infants and children. J Allergy Clin Immunol. 1978 Dec;62(6):327–334. doi: 10.1016/0091-6749(78)90132-x. [DOI] [PubMed] [Google Scholar]
- Dannaeus A., Johansson S. G. A follow-up study of infants with adverse reactions to cow's milk. I. Serum IgE, skin test reactions and RAST in relation to clinical course. Acta Paediatr Scand. 1979 May;68(3):377–382. doi: 10.1111/j.1651-2227.1979.tb05023.x. [DOI] [PubMed] [Google Scholar]
- Delire M., Cambiaso C. L., Masson P. L. Circulating immune complexes in infants fed on cow's milk. Nature. 1978 Apr 13;272(5654):632–632. doi: 10.1038/272632a0. [DOI] [PubMed] [Google Scholar]
- Ford R. P., Fergusson D. M. Egg and cows' milk allergy in children. Arch Dis Child. 1980 Aug;55(8):608–610. doi: 10.1136/adc.55.8.608. [DOI] [PMC free article] [PubMed] [Google Scholar]
- GOLDMAN A. S., ANDERSON D. W., Jr, SELLERS W. A., SAPERSTEIN S., KNIKER W. T., HALPERN S. R. MILK ALLERGY. I. ORAL CHALLENGE WITH MILK AND ISOLATED MILK PROTEINS IN ALLERGIC CHILDREN. Pediatrics. 1963 Sep;32:425–443. [PubMed] [Google Scholar]
- Harris M. J., Petts V., Penny R. Cow's milk allergy as a cause of infantile colic: immunofluorescent studies on jejunal mucosa. Aust Paediatr J. 1977 Dec;13(4):276–281. doi: 10.1111/j.1440-1754.1977.tb01162.x. [DOI] [PubMed] [Google Scholar]
- Hill D. J., Davidson G. P., Cameron D. J., Barnes G. L. The spectrum of cow's milk allergy in childhood. Clinical, gastroenterological and immunological studies. Acta Paediatr Scand. 1979 Nov;68(6):847–852. doi: 10.1111/j.1651-2227.1979.tb08222.x. [DOI] [PubMed] [Google Scholar]
- Kilby A., Walker-Smith J. A., Wood C. B. Letter: Small intestinal mucosa in cow's milk allergy. Lancet. 1975 Mar 1;1(7905):531–531. doi: 10.1016/s0140-6736(75)92887-1. [DOI] [PubMed] [Google Scholar]
- Minford A. M., MacDonald A., Littlewood J. M. Food intolerance and food allergy in children: a review of 68 cases. Arch Dis Child. 1982 Oct;57(10):742–747. doi: 10.1136/adc.57.10.742. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Minor J. D., Tolber S. G., Frick O. L. Leukocyte inhibition factor in delayed-onset food allergy. J Allergy Clin Immunol. 1980 Oct;66(4):314–321. doi: 10.1016/0091-6749(80)90027-5. [DOI] [PubMed] [Google Scholar]
- Paganelli R., Levinsky R. J., Brostoff J., Wraith D. G. Immune complexes containing food proteins in normal and atopic subjects after oral challenge and effect of sodium cromoglycate on antigen absorption. Lancet. 1979 Jun 16;1(8129):1270–1272. doi: 10.1016/s0140-6736(79)92230-x. [DOI] [PubMed] [Google Scholar]
- Shiner M., Ballard J., Smith M. E. The small-intestinal mucosa in cow's milk allergy. Lancet. 1975 Jan 18;1(7899):136–134. doi: 10.1016/s0140-6736(75)91431-2. [DOI] [PubMed] [Google Scholar]
- Walker-Smith J., Harrison M., Kilby A., Phillips A., France N. Cows' milk-sensitive enteropathy. Arch Dis Child. 1978 May;53(5):375–380. doi: 10.1136/adc.53.5.375. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wraith D. G., Merrett J., Roth A., Yman L., Merrett T. G. Recognition of food-allergic patients and their allergens by the RAST technique and clinical investigation. Clin Allergy. 1979 Jan;9(1):25–36. doi: 10.1111/j.1365-2222.1979.tb01519.x. [DOI] [PubMed] [Google Scholar]