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CASE REPORT
Year : 2020  |  Volume : 34  |  Issue : 2  |  Page : 123-125

Heiner's syndrome: Exploring beyond milk


1 Department of Pediatrics, Sir Ganga Ram Hospital, New Delhi, India
2 Department of Pathology, Sir Ganga Ram Hospital, New Delhi, India

Correspondence Address:
Dr. Neeraj Gupta
Department of Pediatrics, Sir Ganga Ram Hospital, Pediatric Reception, Ward 6, Ground Floor, Rajinder Nagar, New Delhi - 110 060
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijaai.ijaai_54_20

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Milk protein allergy, by non-IgE-mediated immune mechanisms, can present with nonspecific alveolar hemorrhage (Heiner's syndrome). We present the case of a 9-month-old infant with hemoptysis and diffuse pulmonary infiltrates who tested positive for milk, rice, and egg-white allergy on skin prick testing. The child responded to specific dietary elimination with reappearance of symptoms on accidental rice exposure. The present case highlights the need for exploring food allergies, other than milk, as a probable culprit in cases of unexplained hemoptysis.


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