성인에서 발생한 우유 알레르기 1례
A Case of Adult-onset Cow Milk Allergy
0
조회
0
다운로드
0
인용
0
참고문헌
초록
Abstract
Cow milk is one of the most common allergens, which causes allergic diseases of the respiratory tract and skin of the infants. However, cow milk allergy after adolescent period is uncommon and previous reports were only few. We experienced a case of the newly diagnosed, adult-onset cow milk allergy, and herein report the case with the review of literature. A 22-year-old female visited our clinic for itching, urticaria accompanied by abdominal pain, and dyspnea. The patient had never experienced any symptoms related to milk ingestion, but 6 months before her visit to our clinic, she started to suffer from intermittent symptoms such as swelling around her lips and abdominal pain, which subsided spontaneously in about 18 hours. 2 weeks before her 1st visit, she experienced urticaria, abdominal pain, and dyspnea immediately after eating cheese pizza, and 3 days before the same symptoms developed after drinking milk and yogurt. She presented slightly elevated total IgE, strong positive skin response to cow milk and high concentration of milk-specific IgE by CAP test. On IgE immunoblotting, specific IgE to 26 kD and 30 kD milk proteins have been found. We recommended her to avoid cow milk and have prescribed fexofenadine, and inhalation of salbutamol if needed.
참고문헌 (18)
- "Kang SY. A case of cow`s milk allergy in an adult. Korean J Asthma", pp.116~20
- "The role of the gut mucosal barrier and the uptake of macromolecules in milk protein allergy. Pediatr Allergy Respir Dis 1991", pp.53~61
- "Diagnosis of cow's milk allergy. Pediatr Allergy Respir Dis 1991", pp.61~2
- "Sampson HA. Food allergy in infancy. Pediatr Clin North Am 1994", pp.1047~67
- "Epidemiology of food allergy", food intolerance in adults: associations with other manifestations of atopy, 2001, pp.56, 1172~1179
- "Rodriguez J. Allergy to cow milk with onset in adult life. Ann allergy 1989"
- "Adult onset of cow milk protein allergy with small-intestinal mucosal IgE mast cells", 51, pp.417~420 (1996)
- "Lee SY. Clinical observation of 8 cases of respiratory allergic diseases by foods. Korean J Asthma", pp.11~8
- "Adverse Reactions to Foods", pp.1622~1623 (2003), Mosby Inc.
- "Expression of CD1d in the duodenum of patients with cow Milk Hypersensitivity", 52(va m), pp.609~617 (2000)
- "Thresholds of clinical reactivity to milk, egg, peanut and sesame in immunoglobulin E-dependent allergies: evaluation by double-blind or single-blind placebo- controlled oral challenges", 33, pp.1046~1051 (2003)
- "Wuthrich B. Type I allergy to cow milk proteins in adults A retrospective study of 34 adult milk- and cheese-allergic patients. Int Arch Allergy Immunol 1993", pp.399~407
- "Milk-responsive atopic dermatitis is associated with a casein- specific lymphocyte response in adolescent and adult patients", 99, pp.124~133 (1997)
- "Respiratory pathophysiologic responses: Do dairy products induce", 101, pp.45~50 (1998)
- "Detection of a κ-casein-specific lymphocyte response in milk-responsive atopic dermatitis", 26, pp.1380~1386 (1996)
- "Adult- onset sensitization to casein after occupational exposure to aerosolized Tryptone powder", 104, pp.1108~1109 (1999)
- "Management of patients with cow's milk allergy. Pediatr Allergy Respir Dis 1991", pp.62~3
- "Adverse Reactions to Foods", pp.1638~ (2003), Mosby Inc.