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CASE REPORT
Year : 2015  |  Volume : 29  |  Issue : 2  |  Page : 96-98

Persistent cow's milk allergy with attacks of anaphylaxis


Department of Allergy and Immunology, Apollo Gleneagles Hospital, Kolkata, West Bengal, India

Correspondence Address:
Sujoy Khan
Department of Allergy and Immunology, Apollo Gleneagles Hospital, 58 Canal Circular Road, Kolkata - 700 054, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-6691.178277

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The most common food protein causing allergy in infants and young children is cow's milk, but persistence of this allergy into adulthood is rare. It is estimated that 2-3% of the general population suffers from cow's milk allergy (CMA), but reports of anaphylaxis in adulthood are limited. This case report discusses persistence of CMA with several anaphylaxis episodes in a 12-year-old girl who had allergic reactions from 6 months of age. She is also unable to tolerate milk from all available animal sources including goat and sheep. Skin prick test was strongly positive at 10 mm at 7 years of age, with specific IgE cow's milk >100 kUA/L when she presented with anaphylaxis episodes 5 years later. Patient-specific management plans need to be in place to avoid and manage anaphylaxis, especially for patients who do not have easy access to healthcare.


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