Cow’s milk protein allergy

Calvani, M. Jr. and Alessandri, C. 1998. Anaphylaxis to sheep s milk cheese in a child unaffected by cow s milk protein allergy. EurJ Pediatr 157(1) 17—19. 

Enfamil Nutramigen LIPIL, Enfamil Malabsorption, cow s milk protein allergy, chylothorax. 

Morikawa A, Kohno Y, Yamashiro Y, et al. (2002). Nutritional and immunological evaluation of ultrafiltrated extensively hydrolyzed casein formula in infants with cow s milk protein allergy. Jpn. J. Pediatr. Clin. Immunol, 16 103-114. 

Fremont S, KannyG, BieberS, Nicolas JP, Monerer-Vautrin DA (1996). Identification of a masked allergen, alpha-lactalbumin, in baby-food cereal flour guaranteed free of cow s milk protein. Allergy, 51 749-754. 

Fontaine, J. L., and Navarro, J., 1975, Small intestinal biopsy in cow s milk protein allergy in infancy. Arch. Dis. Child. 50 357. 

Vandenplas, Y, De Greef, E., and Devreker, T. (2014) Treatment of Cow s Milk Protein Allergy. Ped Gastroenterol Hepatol Nutr 17, 1-5. 

Host A, HaUcen S, Jacobsen HP, Estmann A, Mortensen S, Mygil S. The natural course of cow s milk protein allergy intolerance J Allergy Clin Immunol 1997 99 S491. 

Hidvegi, E., Cserhati, E., Kereki, E., Savilahti, E., and Arato, A. 2002. Serum immunoglobulin E, IgA, and IgG antibodies to different cow s milk proteins in children with cow s milk allergy Association with prognosis and clinical manifestations. Pediatr Allergy Immunol 13 255-261. 

Bernard, H., Creminon, C., Yvon, M., and Wal, J.M. 1998. Specificity of the human IgE response to the different purified caseins in allergy to cow s milk proteins. Int Arch Allergy Immunol 115(3) 235—244. 

Carroccio, A., Cavataio, F., Montalto, G., and D Amicio, A.L. 2000. Intolerance to hydro-lysated cow s milk proteins in infant Characteristics and dietary treatment. Clin Exp Allergy 18 1597-1603. 

Because the symptoms of lactose intolerance are nonspecific, lactose intolerance needs to be differentiated from other common disorders causing diarrhea and abdominal pain or discomfort. These differential diagnoses include milk protein allergy, gastroenteritis, colitis, and irritable bowel syndrome. Allergy or sensitivity to one or more of cow s milk proteins characteristically occurs in formula-fed infants, and although no age is exempt, it is rare in the older... 

The balance of the evidence indicates that early antigen exposure, and particularly the type of infant feeding, influences both the immediate incidence of eczema and the later development of other allergic diseases. The protective effect of exclusive breast-feeding appears to be due to the avoidance of early exposure to potential allergens. Occasionally, however, allergy in fully breast-fed infants can be traced to maternal absorption and excretion of cow s milk protein antigens (Warner, 1980). 

Camponeschi, B., Lucarelli, S., Frediani, T., Barbato, M., and Quinteri, F. 1997. Association HLA DQ7 antigen with cow milk protein allergy in Italian children. Pediatr Allergy Immunol 8 106-109. 

There are cases that indicate that goat protein allergens other than casein can be involved in food allergies to GM and even small quantities of protein can elicit clinical symptoms. A 27-year-old female patient experienced two episodes of urticaria after ingestion of goat s cheese. She tolerated cow s milk, dairy products, and sheep cheese but her skin tests were positive for goat s milk and goat s cheese (Tavares et al. 2007). 

Several authors report coexisting clinical soy allergies in 5%-50% of patients with cows milk allergies (NDA Opinion 2004). It is unclear whether soy allergy represents a de novo sensitization or a cross-reaction of a soy protein component with caseins from milk (Rozenfeld et al. 2002). However, due to homology in the amino acid sequences of soybean and cow s milk allergens of 50%-70%, cross-reactivity is likely (Wilson et al. 2005). 

Lam, H.Y. et al. Cow s milk allergy in adults is rare but severe Both casein and whey proteins are involved. Submitted for publication... 

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