A case of galactosemia misdiagnosed as cow’s milk intolerance
نویسندگان
چکیده
We report on a female patient affected by galactosemia in whom the diagnosis was obscured by the concomitant presence of manifestations suggesting a cow's milk intolerance. This case exemplifies the problems in reaching a correct diagnosis in patients with metabolic diseases.
منابع مشابه
Cow’s Milk Allergy versus Lactose Intolerance
An accurate diagnosis of adverse reactions to cow’s milk is critical to ensure an effective dietary management strategy and/or to avoid the unnecessary elimination of cow’s milk from the diet. Strict avoidance of cow’s milk, milk products, and some food ingredients derived from cow’s milk (e.g., casein, whey protein concentrate), with careful attention to the nutritional adequacy of the diet, m...
متن کاملPD26 - Acute allergic reactions in children following a cow’s milk exclusion diet for intolerance symptoms such as gastro-oesophageal reflux
Clear guidelines have been published by ESPGHAN [1] and RCPCH [2] concerning the diagnostic approach and management of Cow’s milk protein allergy (CMPA) in infants and children. Immune reactions may be IgE mediated, non IgE mediated or mixed and present either with acute allergic reactions or delayed manifesting as eczema “flare ups”, or often non-specific gastrointestinal manifestations such a...
متن کاملDifferentiating milk allergy (IgE and non-IgE mediated) from lactose intolerance: understanding the underlying mechanisms and presentations.
British Journal of General Practice, August 2016 e609 INTRODUCTION Children with food allergy and, in particular, infants with suspected adverse reactions to cow’s milk, commonly present to primary care. It is thought that 6–8% of children aged <3 years have a food allergy1 and up to 4.9% have a cow’s milk allergy.2 Inconsistencies in the management of food allergy prompted the commissioning of...
متن کاملCow’s Milk Intollerance and Cronic Constipation in Children. Aclinicaland Histology Study
Background: Chronic constipation in children can be due to cow’s milk intolerance (CMI) but its pathogenesis is unknown. Aims: To evaluate the histology in patients with food intolerance-related constipation. Patients and Methods: Tirthy-nine consecutive children with chronic constipation were enrolled. All underwent an elimination diet and successive double-blind food challenge. All underwent ...
متن کاملDuarte galactosemia: how sweet is it?
The pathologic consequences of various inborn errors of metabolism in the conversion of dietary and endogenously produced galactose through the Leloir pathway have recently been reviewed (1, 2 ). In this issue of the Journal, Ficicioglu and colleagues (3 ) report that children (ages 1– 6 years) who have Duarte galactosemia (DG), a variant form of galactosemia, and are on a standard diet have ty...
متن کامل