Double-Blind, Placebo-Controlled Food Challenges (DBPCFC) Demonstrating Acute IgE-Mediated Allergic Reactions to Good Start, Ultrafiltered Good Start, Alfaré, Nutramigen, and Alimentum in a Seven-Year-Old

Autor: Mark S. Amonette, Leisa Mattson, Donald M. Eldredge, Robert H. Schwartz, Linda B. Peers
Rok vydání: 1991
Předmět:
Zdroj: Pediatric Asthma, Allergy & Immunology. 5:245-251
ISSN: 1557-7767
0883-1874
DOI: 10.1089/pai.1991.5.245
Popis: A 7-year-old girl with IgE-mediated cows' milk allergy (immediate reactor) underwent double-blind, placebo-controlled food challenge (DBPCFC) with three whey hydrolysate formulas (Good Start, Ultrafiltered Good Start, Alfare) and two casein hydrolysates (Nutramigen, Alimentum), using a soy protein formula (Isomil) as a control. She developed acute reactions to Good Start (3 ml; gastrointestinal, respiratory), Ultra Good Start (8 ml; respiratory, cutaneous), Alfare (158 ml; respiratory), Nutramigen (3 ml; respiratory, cutaneous), and Alimentum (4 ml; respiratory, cutaneous, gastrointestinal) and tolerated the Isomil control (318 ml) on three separate challenges under similar conditions. The generalized urticarial reactions to Nutramigen and Alimentum began 90 minutes after receiving less than 1 teaspoonful (3 ml and 4 ml, respectively) of formula. These observations indicate that all current commercially available cows' milk protein hydrolysate formulas can cause serious allergic reactions in the highly se...
Databáze: OpenAIRE