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Arch Pediatr Adolesc Med. 2004;158:1089-1090.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Cow’s milk allergy is the single most common food allergy in children; it manifests with eczema, urticaria, gastrointestinal symptoms, respiratory symptoms, or anaphylaxis.¹ Current management relies on avoidance and treatment of allergic reactions. Most reactions occur after milk ingestion; however, cutaneous exposure can also elicit symptoms. Pediatricians should be aware that children who are allergic to milk need protection not only from accidental ingestion of milk but also from topical exposures. Skin care and cosmetic products represent a clinically significant source of food allergens. We report 2 children with milk allergies who developed allergic reactions caused by cosmetic products containing milk proteins.

Case 1

A 2-year-old boy with severe eczema and milk allergy (serum milk IgE level, 17.5 kIU/L, using ImmunoCAP [Pharmacia Diagnostics AB, Kalamazoo, Mich]; a level >15 kIU/L has a 95% positive predictive value for acute allergic reactions) developed a diffuse pruritic rash and emesis 2 to 3 hours . . . [Full Text of this Article]

Case 2

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AUTHOR INFORMATION
Julie Wang, MD; Anna Nowak-Wegrzyn, MD

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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Milk-containing cosmetics cause allergic reactions
Kemp
AAP News 2005;26:2-2.
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