Calle Ana, Chinchilla Carlos, Cardona Ricardo
Universidad de Antioquia, Grupo de Alergología Clínica y Experimental, Antioquia, Colombia.
Rev Alerg Mex. 2019 Jan-Mar;66(1):123-127. doi: 10.29262/ram.v66i1.350.
Allergy to cow's milk protein is a common problem in children. The clinical manifestations of the reactions that are mediated by IgE are varied and the anaphylactic reactions can be life-threatening.
A girl at an age of four months and a half that, five minutes after consuming cereal with cow's milk, had rashes in the perioral area and extensive pruritic micropapular lesions associated with vomit and inspiratory stridor. She received adrenaline by intramuscular injection and antihistamines by intravenous injection. She was first evaluated in a service of allergy treatment when she was six months and twenty days old. The results of the allergen-specific immunoglobulin E test were positive. The treatment was initiated with a hydrolyzed rice formula and supplementary feeding.
Anaphylaxis can be the first and last manifestation of a food allergy. The right education for parents about strictly avoiding the food that triggered the allergic reaction and the right training in the use of intramuscular adrenalin may result in a better prognosis for patients.
牛奶蛋白过敏是儿童常见问题。由IgE介导的反应临床表现多样,过敏反应可能危及生命。
一名四个半月大的女孩,食用含牛奶的谷物五分钟后,口周出现皮疹,伴有广泛瘙痒性微丘疹病变,并伴有呕吐和吸气性喘鸣。她接受了肌肉注射肾上腺素和静脉注射抗组胺药治疗。她在六个月零二十天时首次在过敏治疗科室接受评估。过敏原特异性免疫球蛋白E检测结果呈阳性。开始采用水解大米配方奶粉和补充喂养进行治疗。
过敏反应可能是食物过敏的首发及唯一表现。对家长进行关于严格避免引发过敏反应食物的正确教育以及正确使用肌肉注射肾上腺素的培训,可能会使患者预后更好。