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April 1986, Vol 140, No. 4 >
Article | April 1986

Cow's Milk Allergy FREE

BRUCE L. PFUETZE, MD
Am J Dis Child. 1986;140(4):330. doi:10.1001/archpedi.1986.02140180064023.
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Sir.—I was disappointed that chronic bronchitis induced by cow's milk allergy was not mentioned in the article by Smith et al.1I noted that 12 of the 20 children reported in the article developed onset of symptoms in the first year of life. In a study of asthma and cow's milk allergy, Brasher2 noted a very high incidence of cow's milk allergy in infantile asthma. In that study, improvement was noted in all children 6 months of age or younger after cow's milk was eliminated from their diet. It has been my impression that this diagnosis is frequently missed, even by allergists. Cow's milk allergy is frequently not associated with a positive skin test or a positive radioallergosorbent test to cow's milk. This diagnosis is best established by infant feeding history, family history, and evaluation by challenge, elimination, and rechallenge with cow's milk.3-5 The most comprehensive

REFERENCES

1 +
Smith TF, Ireland TA, Zaatari GS, et al:  Characteristics of children with endoscopically proved chronic bronchitis . AJDC 1985;;139: 1039-1044.
2 +
Brasher GW:  Clinical aspects of infantile asthma . Ann Allergy 1975;;35:216-220.
3 +
Goldstein GB, Heiner DC:  Clinical and immunological perspectives in food sensitivity . J Allergy Clin Immunol 1970;;46:270-291.
4 +
Goldman AS, Anderson DW Jr, Sellers WA, et al:  Milk allergy: I. Oral challenge with milk and isolated milk proteins in allergic children . Pediatrics 1963;;32:425-443.
5 +
Gerrard JW, MacKenzie JWA, Goluboff N, et al:  Cow's milk allergy: Prevalence and manifestations in an unselected series of newborns . Acta Paediatr Scand Suppl 1973;;234:1-21.
6 +
Bahna SL, Heiner DC: Allergies to Milk . New York, Grune & Stratton, 1980;, p 202.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Smith TF, Ireland TA, Zaatari GS, et al:  Characteristics of children with endoscopically proved chronic bronchitis . AJDC 1985;;139: 1039-1044.
2 +
Brasher GW:  Clinical aspects of infantile asthma . Ann Allergy 1975;;35:216-220.
3 +
Goldstein GB, Heiner DC:  Clinical and immunological perspectives in food sensitivity . J Allergy Clin Immunol 1970;;46:270-291.
4 +
Goldman AS, Anderson DW Jr, Sellers WA, et al:  Milk allergy: I. Oral challenge with milk and isolated milk proteins in allergic children . Pediatrics 1963;;32:425-443.
5 +
Gerrard JW, MacKenzie JWA, Goluboff N, et al:  Cow's milk allergy: Prevalence and manifestations in an unselected series of newborns . Acta Paediatr Scand Suppl 1973;;234:1-21.
6 +
Bahna SL, Heiner DC: Allergies to Milk . New York, Grune & Stratton, 1980;, p 202.

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