쌀 알레르기가 동반된 아토피피부염 1례
A Case of Atopic Dermatitis with Rice Allergy
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저자들은 아토피피부염 환아에서 이유식의 시작과 함께 증상의 악화를 보여 쌀을 포함하는 다중 식품알레르기로 진단된 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Rice is a popular food all over the world. Rice is regarded as hypoallergenic and rice hypersensitivity is not common. We experienced a case of multiple food allergy including cow's milk, egg white, buckwheat, soybean and rice. The 8 month-old boy presenting with atopic dermatitis developed recurrent wheezing later. Laboratory findings showed a high serum level of total IgE (561 kU/L), and high levels of specific IgE to rice (11.0 kU/L), egg white (13.0 kU/L), cow's milk (5.73 kU/L), buckwheat (5.45 kU/L), and soybean (25.5 kU/L) using the immune-CAP system. Foods causing allergic reaction were absolutely eliminated and substituted with hypoallergic formula milk. Thereafter, his skin lesions began to improve, and 5 months later, he was tolerable to eat rice. However, he developed recurrent wheezing at the age of 23 months. At now 4 years, he is regularly followed up without any symptoms of food allegy.
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