Cow's Milk Protein Allergy Mimicking Acrodermatitis Enteropathica 160-161
Dr. John Solomon,
Professor of Paediatrics, Paediatric Haematology and Oncology and Head of the Department of Paediatrics,
Sree Balaji Medical College and Hospital, Chennai-600044, India.
Phone: +91 9444610092, E-mail: email@example.com
Cowâ€™s milk protein allergy is an adverse immune reaction to one or more of the constituent proteins of milk obtained from any animal, most commonly alpha s 1-casein cowâ€™s milk. In many cases, the allergy is genetic in origin. The infants may experience symptoms within minutes after feeding (rapid onset) or commonly after 7-10 days of consuming the cowâ€™s milk (slower onset). Many children with cowâ€™s milk protein allergy develop symptoms in at least two of the following organ systems: gastrointestinal, skin and respiratory tract. Acrodermatitis Enteropathica (primary or secondary zinc deficiency) can also produce lesions in the skin and also gastro intestinal symptoms which can mimic milk protein allergy and differentiating between these two may be difficult. We are reporting a case of cowâ€™s milk protein allergy in an infant, which was initially diagnosed as Acrodermatitis Enteropathica and treated with zinc. The lesions did not subside completely even after achieving adequate zinc levels, but on stopping the cowâ€™s milk all the symptoms and signs disappeared completely and there was no recurrence on long term follow up.