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European Journal of Pediatrics

, Volume 144, Issue 4, pp 298–300 | Cite as

Cow's milk protein allergy and gastro-oesophageal reflux

  • P. Forget
  • J. W. Arends
Original Investigations

Abstract

Evidence for cow's milk allergy was looked for prospectively in 15 children with recurrent vomiting. Whereas radiological examination showed gastro-oesophageal reflux to be present in all patients, 3 out of 15 children presented an enteropathy associated with an increased number of IgE plasmocytes in small intestinal biopsy tissue. These three patients did not improve with conventional medical therapy but a striking improvement occurred within 24 h on a cow's milk-free diet. We conclude that diagnostic confusion between gastrooesophageal reflux and cow's milk allergy can occur and that the presence of IgE plasmocytes in small intestinal biopsy tissue indicates IgE-mediated cow's milk protein allergy. All cases of “intractable” gastro-oesophageal reflux should be suspected of cow's milk allergy and investigated acrodingly.

Key words

Gastro-oesophageal reflux Cow's milk protein allergy 

Abbreviation

GER

gastro-oesophageal reflux

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Copyright information

© Springer-Verlag 1985

Authors and Affiliations

  • P. Forget
    • 1
  • J. W. Arends
    • 2
  1. 1.Department of PaediatricsUniversity HospitalLiègeBelgium
  2. 2.Department of PathologyUniversity HospitalMaastrichtThe Netherlands

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