Navegando por Palavras-chave "Milk hypersensitivity"
Agora exibindo 1 - 6 de 6
Resultados por página
Opções de Ordenação
- ItemAcesso aberto (Open Access)Características clínicas, estado nutricional e alimentação de lactentes em dieta de exclusão das proteínas do leite de vaca em comparação com lactentes sem restrições alimentares(Universidade Federal de São Paulo (UNIFESP), 2019-05-30) Augusto, Erika Ozela [UNIFESP]; Morais, Mauro Batista de [UNIFESP]; http://lattes.cnpq.br/5056114729141952; http://lattes.cnpq.br/4286407032320780; Universidade Federal de São Paulo (UNIFESP)Objective: To study the clinical characteristics, anthropometry and nourishment of infants in a cows' milk exclusion diet. Methods: A cross-sectional study comparing two groups: 1. in a cows' milk exclusion diet (n = 60) and 2. without dietary restrictions (n=60). During the interview, clinical, nutritional and economic information were collected. Weight and length were measured. Results: 41.7% of infants in the study group had restriction to other foods besides cow's milk. Infants in the exclusion diet, compared to the control group, had lower values (p <0.05) for length-age z score (-0.4 ± 1.6 vs + 0.2 ± 1.3) lower daily energy intake (1253.7 vs 1364.5 calories), lipids (41.9 vs 55.5 g); phosphorus (476.7 mg vs. 618.5 mg); sodium (794.7 vs 1118.5 mg) and potassium (1099.3 vs. 1525.6 mg). Macronutrients intake from all infants of both groups reached the recommendations for sex and age. Between 12 and 24 months, the proportions of infants in the exclusion diet who never consumed beef (14.7% vs. 0.0%), fish (23.5% vs 3.0%), cereals (41.2% vs 6.01%) and egg (14.7% vs 0.0%) were higher in relation to the control group (p <0.05). Conclusions: The group in the exclusion diet presented lower linear growth, according to the z scores of length-age. The diet of all infants with lactose intolerance reached the macronutrient recommendations. It was also observed a delay in the introduction of several foods in the diet of patients on exclusion diet.
- ItemAcesso aberto (Open Access)Colite alérgica: características clínicas e morfológicas da mucosa retal em lactentes com enterorragia(Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE Colégio Brasileiro de Cirurgia Digestiva - CBCD Sociedade Brasileira de Motilidade Digestiva - SBMD Federação Brasileira de Gastroenterologia - FBGSociedade Brasileira de Hepatologia - SBHSociedade Brasileira de Endoscopia Digestiva - SOBED, 2002-10-01) Diaz, Norys Josefina [UNIFESP]; Patricio, Francy Reis da Silva [UNIFESP]; Fagundes-Neto, Ulysses [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Instituto Paulista de Gastroenterologia Pediátrica e NutriçãoBACKGROUND: Recent studies indicate the importance of eosinophilis infiltrated in the rectal mucous which jointly with the clinical features can serve to establish the diagnostic of allergic colitis. AIM: To describe prospectively, the clinical features and morphological abnormalities of the rectal mucosa in patients with rectal bleeding and clinical diagnosis of cow's milk allergy. METHODS: Clinical features of 20 infants under 6 months of age were described. Morphological findings in rectal mucosa were compared with control group, with suspicion of congenital megacolon. RESULTS: The mean age of the patients was 97 ± 47 days, rectal bleeding started before 120 days in 85% of them; 40% were breastfed, 60% cow's milk formula or both. The most striking morphological feature, in 18 patients, was eosinophilic infiltration in the rectal mucosa. There was a significant statistical difference when these values were compared with control group. CONCLUSIONS: The increased number of eosinophils in the rectal mucosa represent the most important characteristic of allergic colitis, in patients under 6 months, with rectal bleeding, when breastfed, cow's milk formula or both.
- ItemAcesso aberto (Open Access)Eosinophilic colitis in infants(Sociedade Brasileira de Pediatria, 2014-01-01) Lozinsky, Adriana Chebar [UNIFESP]; Morais, Mauro Batista de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE:To review the literature for clinical data on infants with allergic or eosinophilic colitis.DATA SOURCE:MEDLINE search of all indexes was performed using the words ''colitis or procto-colitis and eosinophilic'' or ''colitis or proctocolitis and allergic'' between 1966 and February of 2013. All articles that described patients' characteristics were selected.DATA SYNTHESIS:A total of 770 articles were identified, of which 32 met the inclusion criteria. The 32 articles included a total of 314 infants. According to the available information, 61.6% of infants were male and 78.6% were younger than 6 months. Of the 314 patients, 49.0% were fed exclusively breast milk, 44.2% received cow's milk protein, and 6.8% received soy protein. Diarrheal stools were described in 28.3% of patients. Eosinophilia was found in 43.8% (115/263) of infants. Colonic or rectal biopsy showed infiltration by eosinophils (between 5 and 25 perhigh-power field) in 89.3% (236/264) of patients. Most patients showed improvement with theremoval of the protein in cow's milk from their diet or the mother's diet. Allergy challenge tests with cow's milk protein were cited by 12 of the 32 articles (66 patients).CONCLUSIONS:Eosinophilic colitis occurs predominantly in the first six months of life and in males. Allergy to cow's milk was considered the main cause of eosinophilic colitis. Exclusion of cow'smilk from the diet of the lactating mother or from the infant's diet is generally an effective therapeutic measure.
- ItemSomente MetadadadosEosinophilic colitis in infants(Soc Brasil Pediatria, 2014-01-01) Lozinsky, Adriana Chebar [UNIFESP]; Morais, Mauro Batista de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective: to review the literature for clinical data on infants with allergic or eosinophilic colitis.Data source: MEDLINE search of all indexes was performed using the words colitis or proctocolitis and eosinophilic or colitis or proctocolitis and allergic between 1966 and February of 2013. All articles that described patients' characteristics were selected.Data synthesis: a total of 770 articles were identified, of which 32 met the inclusion criteria. the 32 articles included a total of 314 infants. According to the available information, 61.6% of infants were male and 78.6% were younger than 6 months. of the 314 patients, 49.0% were fed exclusively breast milk, 44.2% received cow's milk protein, and 6.8% received soy protein. Diarrheal stools were described in 28.3% of patients. Eosinophilia was found in 43.8% (115/263) of infants. Colonic or rectal biopsy showed infiltration by eosinophils (between 5 and 25 per high-power field) in 89.3% (236/264) of patients. Most patients showed improvement with the removal of the protein in cow's milk from their diet or the mother's diet. Allergy challenge tests with cow's milk protein were cited by 12 of the 32 articles (66 patients).Conclusions: eosinophilic colitis occurs predominantly in the first six months of life and in males. Allergy to cow's milk was considered the main cause of eosinophilic colitis. Exclusion of cow's milk from the diet of the lactating mother or from the infant's diet is generally an effective therapeutic measure. (C) 2013 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.
- ItemAcesso aberto (Open Access)Ingestão de nutrientes e estado nutricional de crianças em dieta isenta de leite de vaca e derivados(Sociedade Brasileira de Pediatria, 2004-01-01) Medeiros, Lilian C. S. [UNIFESP]; Speridião, Patrícia da Graça Leite [UNIFESP]; Sdepanian, Vera Lucia [UNIFESP]; Fagundes-neto, Ulysses [UNIFESP]; Morais, Mauro Batista de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: To assess the food intake and the nutritional status of children on a cow's milk and cow's milk by-products free diet. METHODS: Twenty-six children receiving a cow's milk and cow's milk by-products free diet were assessed during their first visit to the Pediatric Gastroenterology Clinic (mean age = 19.1 months). Thirty children with no food restriction (mean age = 16.8 months) were also assessed. The usual daily food intake method was used to make the dietary assessment. The food intake was compared between the groups and in relation to the Dietary Reference Intakes (DRIs). The z-scores for weight/age, height/age and weight/height were used to evaluate the nutritional status. RESULTS: The cow's milk free diet group presented lower energy (p = 0.005), protein (p < 0.001), lipid (p < 0.001), calcium (p < 0.001) and phosphorous (p < 0.001) intake when compared to the control group. The number of children who had energy, calcium and phosphorous intake below the DRIs was higher in the cow's milk free diet group than in the control group. The z-score means for the cow's milk free diet and control groups were, respectively: height/age -0.81±1.06 vs +0.42±1.25 (p < 0.001), weight/age -1.03±1.21 vs +0.02+0.91 (p < 0.001), and weight/height -0.63+1.08 vs +0.30+1.11 (p = 0.004). CONCLUSIONS: During the cow's milk and cow's milk by-products exclusion therapy, qualitative and quantitative food intake monitoring must be carried out periodically, so as to prevent inadequacies in meeting nutritional requirements and impairment of growth and development.
- ItemSomente MetadadadosOpen oral food challenge in the confirmation of cow's milk allergy mediated by immunoglobulin E(Elsevier B.V., 2012-01-01) Mendonça, Raquel Bicudo [UNIFESP]; Motta Franco, J.; Cocco, Renata Rodrigues [UNIFESP]; Suano de Souza, F. I. [UNIFESP]; Lopes de Oliveira, L. C. [UNIFESP]; Sarni, Roseli Oselka Saccardo [UNIFESP]; Solé, Dirceu [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Univ Fed SergipeBackground: the most reliable method to diagnose food allergy or to determine tolerance is the oral food challenge.Objectives: the aim of this study was to describe the open oral food challenge applied to children with suspicion of cow's milk allergy mediated by immunoglobulin E, and evaluate the relation between the clinical history and skin prick test with the challenge outcomes. Patients and methods: Forty-six children (median age 13.8 months), with clinical history of immediate reactions to cow's milk and positive skin prick test, underwent an open oral food challenge with cow's milk.Results: the challenge was positive in 41.3%. Cutaneous reactions were the most common (73.7%), followed by respiratory (57.9%) and gastrointestinal reactions (36.8%). According to the severity of the reactions, 57.9%, 36.8% and 5.3% had mild, moderate and severe reactions, respectively. Oral antihistamine was sufficient as treatment in all positive cases. A higher frequency of positive skin prick test with total milk and casein was observed in children with positive oral food challenge. There was a significant agreement between the reactions reported by the family history and those observed during the challenge for 68.4% of children with positive results (Kappa = 0.728; p < 0.001).Conclusions: the method was considered suitable for children up to three years of age, and is safe and easy to perform. There was a significant correlation between the clinical history and the challenge outcomes. A positive skin prick test with total milk and casein was significantly associated with positive challenge results. (C) 2010 SEICAP. Published by Elsevier Espana, S.L. All rights reserved.