Oral Immunotherapy in an Adult with Cow's Milk Allergy

Cosmin Boteanu, Calle Puerto de Maspalomas, Maria del Mar Reaño Martos, Esther Lourdes Pérez González, Alexandra Maria Yago Meniz, Alfredo Iglesias Cadarso and Matilde Rodriguez Mosquera

Department of Allergy and Immunology, Hospital “Puerta de Hierro” Majadahonda, Spain
Department of Allergy and Immunology, Hospital “Central de la Cruz Roja San Jose y Santa Adela”, Spain

^*Correspondance to: Calle Puerto de Maspalomas 

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Abstract:

Background: Cow’s milk allergy is the most common food allergy in infants and young children. Oral immunotherapy with food (OIT) is a therapeutic possibility to induce tolerance.Case
Presentation: We report a case of desensitization to cow's milk proteins in a 36-year- old patient diagnosed in childhood with allergy to cow's milk proteins.Results: We performed an allergy study with skin-prick tests (DIATER Madrid-Spain) and specific IgE (Cap System, Phadia, Uppsala, Sweden) with: cow’s milk, alpha-lactalbumin, beta-lactoglobulin, Casein, sheep’s milk, goat’s milk with positive results. The patient gave his informed consent and we performed the OIT with cow's milk following our protocol. The patient finally tolerated 200 mL of cow’s milk daily.Conclusions: Although the persistence of allergy to cow's milk protein in adults is rare, the OIT could be a good option in the treatment of these patients, improving the security and the quality of life of the patients and their families.

Keywords:

Cow´s milk allergy; Oral immunotherapy; Adult; Food allergy; Treatment

Cite the Article:

Boteanu C, de Maspalomas CP, del Mar Reaño Martos M, González ELP, Meniz AMY, Cadarso AI. Oral Immunotherapy in an Adult with Cow´s Milk Allergy. Ann Clin Case Rep. 2017; 2: 1308.