쌀 단독 알레르기 1예
A Case of Isolated Rice Allergy
박문호, 최병규, 강유나, 손수민, 김여향, 최원정, 김애석, 황진복,
소속 상세정보
박문호 ( Park Moon-Ho )
계명대학교 의과대학 소아과학교실
최병규 ( Choi Byung-Kyu )
계명대학교 의과대학 소아과학교실
강유나 ( Kang Yu-Na )
계명대학교 의과대학 병리학교실
손수민 ( Shon Su-Min )
계명대학교 의과대학 소아과학교실
김여향 ( Kim Yeo-Hyang )
계명대학교 의과대학 소아과학교실
최원정 ( Choi Won-Joung )
계명대학교 의과대학 효성아동병원
김애석 ( Kim Ae-Suk )
동국대학교 의과대학 소아과학교실
황진복 ( Hwang Jin-Bok )
계명대학교 의과대학 소아과학교실
KMID : 0816120060090010080
Abstract
Rice allergen has low antigenicity, and thus, anaphylactoid reactions to rice are exceedingly rare. We experienced a case of isolated rice allergy in a 5 month-old girl who had been fed a milk formula without incident. However, after feeding a powdered weaning milk formula containing rice, she developed symptoms of projectile vomiting and diarrhea, at this time rice specific antigen tests were all negative. One month later a challenge test was performed using a rice gruel, and her symptoms recurred. Endoscopic and microscopic findings showed hyperemic mucosa in the duodenum and subtotal villous atrophy. Thereafter, she showed no adverse reaction to almost all foods appropriate for her age, but after feeding rice gruel at 10 months, she developed symptoms of cyanosis and vomiting. However, none of the allergic symptoms were demonstrated at 13 months upon repeated challenge test. Currently, she is 28 months old and tolerates all foods including rice.
키워드
Rice;Allergy;Vomiting;Wheezing
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