Unbound MEDLINE

Severe malnutrition resulting from use of rice milk in food elimination diets for atopic dermatitis.

Abstract

BACKGROUND: Alternatives to cow's milk and soy milk are often necessary for children with food allergies. Although hydrolyzed and elemental formulas are appropriate replacements, other milk products such as rice and almond milk are insufficient protein sources for children under 2 years of age. A chart review on three patients treated for protein malnutrition in association with multiple diagnosed food allergies that resulted in refractory eczema revealed adverse outcomes that resulted from elimination diets. The use of rice milk resulted in hypoalbuminemia and poor weight gain in all cases, and multiple secondary infections in one patient. These cases illustrate the need for careful nutritional guidance in the management of food allergy, as well as the importance of cautious use and interpretation of testing for food allergies in the absence of a clear clinical history of reaction.

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  • Publisher Full Text
  • Authors

    Keller MD, Shuker M, Heimall J, Cianferoni A

    Institution

    Division of Allergy & Immunology, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA. kellermd@email.chop.edu

    Source

    The Israel Medical Association journal : IMAJ 14:1 2012 Jan pg 40-2

    MeSH

    Dermatitis, Atopic
    Dietary Proteins
    Female
    Food Hypersensitivity
    Humans
    Infant
    Infant Formula
    Male
    Malnutrition
    Nutritive Value
    Oryza sativa

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    22624441