Clinical and immunologic profile of children and adolescents submitted to cow milk oral immunotheray (OIT)

نویسندگان

  • Conrado Martins
  • Alfredo Alves Neto
  • Fabio Kuschnir
  • José Luiz De Magalhães Rios
  • Marilucia Alves Da Venda
  • João Bosco Magalhães Rios
چکیده

Results The mean age was 8.73 years (min: 4, Max: 19), and 9 were females. The symptoms started before 1 year old in 93% of the sample and in 50% before 6 months. Urticaria was the most frequent manifestation in the 1st contact (60%), some progressing to anaphylaxis: the initial event in 40% of cases. Half of the patients responded to minimal amounts of LV, mainly (60%) in raw state. Symptoms appeared in less than 1 hour in 96%. Until the beginning of treatment 73% have had 1-5 episodes of anaphylaxis. About 75% of patients have associated respiratory allergy and 33% had some anaphylactic event in the last 12 months. The specific IgE levels were elevated in 93% of the sample: For full LV the mean level was 50.2 KU/L and the median 41 KU/L (Min: 1.4 KU/l and Max: >100 KU/L); for casein, the mean was 40 KU/L, and the median 28.4 KU/L (0.8 >100). For a-lacto albumin and b-lacto globulin, these values were respectively: 23.1 KU/L, 12.1 KU/L (0.4 82) and 9.94 KU/L, 4:46 KU/L (0.7 31.4).

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Immunologic shifts occurring during cow milk (CM) oral immunotheray (OIT)

Methods Series of cases involving 15 children over 4 years and adolescents who still had anaphylaxis to cow’s milk. Specific IgE levels were evaluated in three steps of OIT: at baseline, pre-treatment session (step 1); When the patient reached the concentration 1:1 (step 2); and when reaching the final volume to 150 ml of milk a day (step 3). The differences between the levels of specific IgE w...

متن کامل

Risks and benefits of oral immunotherapy for IgE-mediated cow's milk allergy

Methods We study 23 children with CMA that met the following criteria: clinical history of IgE-mediated CMA in the last 6 months and specific IgE (sIgE) for cow’s milk (CM) ≥ 15 kU/L (> 2 years) or ≥ 5 kU/L (< 2 years). On study entry, basal serum levels for sIgE for CM and casein plus sIgG4 for casein were obtained. The study was divided into 2 stages. In the first 12 months, patients were ran...

متن کامل

Hematuria due to Cow Milk Allergy: a case report

Background: Cow milk allergy is one of the most common food allergies in young children causing a wide range of clinical syndromes due to immunologic responses to cow milk proteins. In this report we introduce an infant with dietary protein proctitis due to a cow’s milk referred with hematuria and bloody stool. Case Presentation: Our case was a 10- month old m...

متن کامل

A randomized, double-blind, placebo-controlled study of milk oral immunotherapy for cow's milk allergy.

BACKGROUND Orally administered, food-specific immunotherapy appears effective in desensitizing and potentially permanently tolerizing allergic individuals. OBJECTIVE We sought to determine whether milk oral immunotherapy (OIT) is safe and efficacious in desensitizing children with cow's milk allergy. METHODS Twenty children were randomized to milk or placebo OIT (2:1 ratio). Dosing included...

متن کامل

Safety and efficacy profile and immunological changes associated with oral immunotherapy for IgE-mediated cow's milk allergy in children: systematic review and meta-analysis.

BACKGROUND Cow's milk allergy (CMA), one of the main types of childhood allergy, considerably impairs patient quality of life. Allergen avoidance is difficult, and mistakes are common. Therefore, new treatment strategies such as oral immunotherapy (OIT) have been sought for patients with CMA. Our objective was to review current evidence on immunological changes, efficacy, and safety when using ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 8  شماره 

صفحات  -

تاریخ انتشار 2015