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Cow's milk allergy is associated with recurrent otitis media during childhood.

Abstract

To determine whether cow's milk allergy (CMA) in infancy is associated with recurrent otitis media (ROM) or other chronic ear infections, we conducted a cohort study by enrolling 56 milk-allergic and 204 control schoolchildren. We also studied the association between ear problems and different atopic manifestations. A higher proportion of children with CMA had had ROM. defined as at least 15 acute otitis media episodes by the age of 10 years (27%, vs 12%, p = 0.009), and had undergone adenoidectomy and or tympanostomy compared with the controls (48%, vs 28%, p = 0.005). However, this was only true of the children who had developed respiratory atopy. Asthma and/or allergic rhinitis, but not atopic dermatitis, posed a significant risk for ROM, while all the three atopic manifestations enhanced the risk for secretory otitis media. Positive skin prick tests with food, but not with inhaled allergens, tended to be associated with ear problems. In conclusion, we found that children with CMA in infancy, even when properly treated, had experienced significantly more ROM, the risk associating with concomitant development of respiratory atopy.

Authors+Show Affiliations

,

Department of Pediatrics, University Hospital of Oulu, Finland.

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Source

Acta oto-laryngologica 119:8 1999 pg 867-73

MeSH

Acute Disease
Asthma
Child
Cohort Studies
Female
Humans
Hypersensitivity, Immediate
Male
Milk Hypersensitivity
Otitis Media
Recurrence
Rhinitis, Allergic, Seasonal
Risk Factors

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

10728925

Citation

Juntti, H, et al. "Cow's Milk Allergy Is Associated With Recurrent Otitis Media During Childhood." Acta Oto-laryngologica, vol. 119, no. 8, 1999, pp. 867-73.
Juntti H, Tikkanen S, Kokkonen J, et al. Cow's milk allergy is associated with recurrent otitis media during childhood. Acta Otolaryngol. 1999;119(8):867-73.
Juntti, H., Tikkanen, S., Kokkonen, J., Alho, O. P., & Niinimäki, A. (1999). Cow's milk allergy is associated with recurrent otitis media during childhood. Acta Oto-laryngologica, 119(8), pp. 867-73.
Juntti H, et al. Cow's Milk Allergy Is Associated With Recurrent Otitis Media During Childhood. Acta Otolaryngol. 1999;119(8):867-73. PubMed PMID: 10728925.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cow's milk allergy is associated with recurrent otitis media during childhood. AU - Juntti,H, AU - Tikkanen,S, AU - Kokkonen,J, AU - Alho,O P, AU - Niinimäki,A, PY - 2000/3/23/pubmed PY - 2000/5/16/medline PY - 2000/3/23/entrez SP - 867 EP - 73 JF - Acta oto-laryngologica JO - Acta Otolaryngol. VL - 119 IS - 8 N2 - To determine whether cow's milk allergy (CMA) in infancy is associated with recurrent otitis media (ROM) or other chronic ear infections, we conducted a cohort study by enrolling 56 milk-allergic and 204 control schoolchildren. We also studied the association between ear problems and different atopic manifestations. A higher proportion of children with CMA had had ROM. defined as at least 15 acute otitis media episodes by the age of 10 years (27%, vs 12%, p = 0.009), and had undergone adenoidectomy and or tympanostomy compared with the controls (48%, vs 28%, p = 0.005). However, this was only true of the children who had developed respiratory atopy. Asthma and/or allergic rhinitis, but not atopic dermatitis, posed a significant risk for ROM, while all the three atopic manifestations enhanced the risk for secretory otitis media. Positive skin prick tests with food, but not with inhaled allergens, tended to be associated with ear problems. In conclusion, we found that children with CMA in infancy, even when properly treated, had experienced significantly more ROM, the risk associating with concomitant development of respiratory atopy. SN - 0001-6489 UR - https://www.unboundmedicine.com/medline/citation/10728925/full_citation L2 - https://medlineplus.gov/earinfections.html DB - PRIME DP - Unbound Medicine ER -