우유 알레르기로 인한 출혈성 위염 1예
A Case of Hemorrhagic Gastritis due to Cow's Milk Allergy
0
조회
0
다운로드
0
인용
0
참고문헌
초록
저자들은 분유 수유를 하던 1개월 된 영아가 토혈을 주소로 내원하여 시행한 내시경 검사에서 출혈성 위염으로 진단되어 고식적인 치료를 하였으나 토혈이 멎지 않고 발열이 동반되는 등 증상의 호전이 없었고 오히려 증상이 악화되어 우유 알레르기를 의심하였다. 금식시킨 후 증상이 호전되었고 우유를 가수분해 분유로 바꾼 후 출혈이 소실된 우유 알레르기로 인한 출혈성 위염 1예를 경험하였기에 보고하는 바이다.
Abstract
Hematemesis is a rare condition in infants and can be a symptom of cow's milk-induced hemorrhagic gastritis. Other clinical manifestations of cow's milk allergy are vomiting, malnutrition and anemia. The criteria for the diagnosis of cow's milk allergy includes elimination of cow milk formula resulting in improvement of symptoms, specific endoscopic and histologic findings as well as exclusion of other causes. Cow's milk allergy should be considered in the etiologic differential diagnosis of hematemesis and gastritis in infancy. We have experienced a 1-month-old female infant with hematemesis due to cow's milk-induced hemorrhagic gastritis, and report the case with a review of previously published cases.
참고문헌 (15)
- Rodrigo S,, "Hemorrhagic gastritis due to cow's milk allergy report of two cases", 79, pp.363~8 (2003)
- Gryboski JD, "Gastrointestinal milk allergy in infants", 40, pp.354~62 (1967)
- Kravis LP, "Upper and lower gastrointestinal tract bleeding induced by whole cow's milk in an atopic infant", 40, pp.661~5 (1967)
- el Mouzan MI, "Cow's milk- induced erosive gastritis in an infant", 10, pp.111~3 (1990)
- Klemola T, "Allergy to soy formula and to extensively hydrolyzed whey formula in infants with cow's milk allergy:a prospective,randomized study with a follow-up to the age of 2 years", 140, pp.219~24 (2002)
- Sampson HA, "Summary and recommendations:classification of gastrointestinal manifestations due to immunologic reactions to foods in infants and young children", 30(1), pp.87~94 (2000)
- Goldman H, "Allergic proctitis and gastroenteritis in children", 10, pp.75~86 (1986)
- Aanpreung P, "Hematemesis in infants induced by cow milk allergy", 21, pp.211~6 (2003)
- Dixon MF, "Classification and grading of gastritis International Workshop on the Histopathology of Gastritis", pp.1161~81
- Cantami A, "Diagnostic criteria for food allergy with predominantly intestinal symptoms", 14, pp.108~12 (1992)
- Jacobsson J, "A prospective study of cow's milk protein intolerance in Swedish infants", 68, pp.853~9 (1979)
- Verkasalo M, "Changing pattern of cow's milk protein intolerance", 70, pp.289~95 (1981)
- Cow's milk allergy, "Textbook of gastroenterology and nutrition in infancy", pp.473~89 (1989), Raven Press Ltd
- Halpern SR, "Development of childhood allergy in infants fed breast,soy,or cow milk", 51, pp.139~51 (1973)
- Dupont C, "Formula feeding during cow's milk allergy", 55, pp.209~16 (2003)