Butter Tolerance in Children Allergic to Cow's Milk.
10.4168/aair.2015.7.2.186
- Author:
Noriyuki YANAGIDA
1
;
Takanori MINOURA
;
Setsuko KITAOKA
Author Information
1. Department of Pediatrics, National Hospital Organization, Sendai Medical Center, Miyagi, Japan. n-yanagida@sagamihara-hosp.gr.jp
- Publication Type:Brief Communication
- Keywords:
Food hypersensitivity;
butter;
milk;
probability
- MeSH:
Butter*;
Child*;
Diet;
Food Hypersensitivity;
Hot Temperature;
Humans;
Immunoglobulin E;
Milk*;
Quality of Life
- From:Allergy, Asthma & Immunology Research
2015;7(2):186-189
- CountryRepublic of Korea
- Language:English
-
Abstract:
We performed an oral food challenge (OFC) with 10 g of butter (equivalent of 2.9 mL cow's milk) and 25-mL heated cow's milk for 68 children with cow's milk-allergy. Thirty-eight children reacted only to heated cow's milk. Twenty-four children reacted to neither heated milk nor butter. Thirty-eight (86.4%) of 44 patients with positive results to the OFC for heated milk could safely tolerate butter. It is highly likely that even children with cow's milk-allergy who show positive results to an OFC for heated milk can consume butter. The milk-specific IgE value indicative of a negative predictive value of over 95% was 17.8 kUA/L, and patients with low milk-specific IgE values may be able to safely consume butter. Including butter in the diets of patients with milk-allergy after a butter challenge may improve quality of life.
