فهرست نشریات علمی دسترسی آزاد ایران

Introduction: Cow’s milk allergy is the most common food allergy in children. Symptoms usually involve the skin and the gastrointestinaland respiratory tracts. Gastrointestinal tract manifestations of cow’s milk allergy are nonspecific, and are the onlytype that can be diagnosed in all age groups. Here, we report a rare case of cow’s milk allergy in an infant with hypoalbuminemiaand malnutrition.Case Presentation: A nine-month-old girl was admitted to Dr. Sami Ulus maternity and children’s health and diseases trainingand research hospital, Ankara, Turkey, in September 2013, for weakness and swelling of the legs that had endured for two days. Shehad bilateral pretibial pitting (+2) edema. Laboratory data revealed albumin at 1.7 g/dL; serum Na, K, urea, creatinin, and alanineaspartateaminotransferase levels were normal. Her urinary analysis did not reveal proteinuria. Stool samples were normal, andstool steatocrite was negative. Anti-gliadin, anti-endomysium, and anti-tissue transglutaminase antibodies were negative. Cow’smilk allergy was diagnosed due to cow’s milk-specific IgE and skin prick test results.Conclusions: On rare occasions, cow’s milk allergy presents with hypoalbuminemia. When diagnosis is delayed, this allergy mayimpair the growth and quality of life and may even be life-threatening.