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Cow's Milk Allergy-Reply

Cow's Milk Allergy-Reply Abstract In Reply.—It is clear that cow's milk has the potential to contribute to respiratory symptoms by both immunologic and nonimmunologic mechanisms. The former are accurately designated as allergy, although misuse of this term has made it nearly useless.1 Clinical experience suggests that nonimmunologically mediated adverse reactions are important, and we and others currently are studying possible mechanisms to explain these reactions. However, Bahna and Heiner2 emphasize the need for caution in diagnosing allergic (or other adverse) reactions to cow's milk lest "overzealousness" obscures appropriate diagnosis and treatment. A rational approach to the possibility of adverse reactions to foods has been outlined and certainly hinges on double-blind challenges.3 The role of cow's milk—induced respiratory symptoms was considered in many of the patients we described.4 None who had undergone immediate hypersensitivity skin testing had positive responses to cow's milk, and none had been noted to have a References 1. May CD: Food allergy: Material and ethereal . N Engl J Med 1980;302:1142-1143.Crossref 2. Bahna SL, Heiner DC: Allergies to Milk . New York, Grune & Stratton, 1980, pp 83-84. 3. May CD, Bock SA: A modern clinical approach to food hypersensitivity . Allergy 1978;33: 166-188.Crossref 4. Smith TF, Ireland TA, Zaatari GS, et al: Characteristics of children with endoscopically proved chronic bronchitis . AJDC 1985;139:1039-1044. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Cow's Milk Allergy-Reply

Abstract

Abstract In Reply.—It is clear that cow's milk has the potential to contribute to respiratory symptoms by both immunologic and nonimmunologic mechanisms. The former are accurately designated as allergy, although misuse of this term has made it nearly useless.1 Clinical experience suggests that nonimmunologically mediated adverse reactions are important, and we and others currently are studying possible mechanisms to explain these reactions. However, Bahna and Heiner2 emphasize the...
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Publisher
American Medical Association
Copyright
Copyright © 1986 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1986.02140180064024
Publisher site
See Article on Publisher Site

Abstract

Abstract In Reply.—It is clear that cow's milk has the potential to contribute to respiratory symptoms by both immunologic and nonimmunologic mechanisms. The former are accurately designated as allergy, although misuse of this term has made it nearly useless.1 Clinical experience suggests that nonimmunologically mediated adverse reactions are important, and we and others currently are studying possible mechanisms to explain these reactions. However, Bahna and Heiner2 emphasize the need for caution in diagnosing allergic (or other adverse) reactions to cow's milk lest "overzealousness" obscures appropriate diagnosis and treatment. A rational approach to the possibility of adverse reactions to foods has been outlined and certainly hinges on double-blind challenges.3 The role of cow's milk—induced respiratory symptoms was considered in many of the patients we described.4 None who had undergone immediate hypersensitivity skin testing had positive responses to cow's milk, and none had been noted to have a References 1. May CD: Food allergy: Material and ethereal . N Engl J Med 1980;302:1142-1143.Crossref 2. Bahna SL, Heiner DC: Allergies to Milk . New York, Grune & Stratton, 1980, pp 83-84. 3. May CD, Bock SA: A modern clinical approach to food hypersensitivity . Allergy 1978;33: 166-188.Crossref 4. Smith TF, Ireland TA, Zaatari GS, et al: Characteristics of children with endoscopically proved chronic bronchitis . AJDC 1985;139:1039-1044.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Apr 1, 1986

References