Case Report: A Case of Edema and Severe Iron Deficiency Anemia Due to Cow’s Milk Al- Lergy

Abstract

A 18-month-old-girl presented with five months history of progressive edema and pallor. Nutritional his-tory revealed long-standing excessive cow milk intake. She was found to be profoundly severe iron deficiency anemia and hypoproteinemic, gastroendoscopy revealed many lessions in duodenum. RIDA qLine Allergy test is positive with cow milk, casein and bovin serum albumin. She was treated with cow milk restriction and oral iron supplements, which resulted in resolution of her edema and laboratory anomalies within two month. Cow’s milk allergy frequently presents with eczema, diarrhea, wheezing…while iron deficiency and hypopro-teinemic are quite rare. We report this case with the aim of providing clues for pediatricians for diagnosis and treatment of this disease. Key words: edema, hypoproteinemic, iron deficiency, cow’s milk allergy