J Korean Med Sci.  2007 Dec;22(6):993-997. 10.3346/jkms.2007.22.6.993.

Indexes of Suspicion of Typical Cow's Milk Protein-Induced Enterocolitis

• Hwang JB
• Lee SH
• Kang YN
• Kim SP
• Suh SI
• Kam S

• KMID: 1785759
• DOI: http://doi.org/10.3346/jkms.2007.22.6.993

Abstract

This study was performed to identify clinical factors that facilitate the diagnosis of typical cow's milk protein-induced enterocolitis (CMPIE). Data from 142 consecutive patients (aged 15 to 45 days, cow's milk formula- or cow's milk and breast milk mixed-fed) admitted due to vomiting and/or diarrhea were retrospectively analyzed. These 142 subjects were divided into three groups: the CMPIE, infection, and non-infection group. Each group was composed of 16 (11.3%), 102 (71.8%), and 24 (16.9%) patients, respectively. On admission, poor weight gain (p=0.003), hypoalbuminemia (p=0.035), peripheral leukocytosis (p=0.012), and metabolic acidosis (p=0.015) were found to be more significant in the CMPIE group than those in other two groups. In CMPIE, serum albumin levels decreased from 3.3+/-0.9 g/dL on admission to 2.6+/-0.3 g/dL during admission (p<0.05), and methemoglobinemia was observed in 3 patients (18.8%) (p=0.012). Multiple logistic regression analysis showed that the independent predictors of CMPIE versus the infection group were failure to gain weight (OR, 10.75 [95% CI, 1.53-66.12]) (p= 0.014) and hypoalbuminemia (OR, 9.53 [95% CI, 1.62-49.01]) (p=0.010). The early recognition of indexes of suspicion for CMPIE may be of help in the diagnosis and treatment of this disorder.

Keyword

Cow's Milk Protein-Induced Enterocolitis; Index of Suspicion

MeSH Terms

Acidosis/etiology
Animals
Cattle
Enterocolitis/*diagnosis/etiology
Female
Humans
Infant
Infant, Newborn
Leukocyte Count
Logistic Models
Male
Methemoglobinemia/etiology
Milk Hypersensitivity/*diagnosis
Milk Proteins/*immunology
Serum Albumin/analysis
Weight Gain

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