MILK ALLERGY

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Abstract
During two consecutive calendar years, a series of 403 babies receiving routine well-baby care were followed and records kept of all symptoms and illness occurring during their first 2 years of life. Gastrointestinal disorders and eczematous rash were the symptoms most frequently encountered which appeared to be due to allergy. Many minor digestive, skin and respiratory symptoms were recorded which did not prove to be allergic manifestations during the 2 years of observations. Colic was present in 52 well babies, of whom 2 were sensitive to milk. The incidence of allergy to cow's milk in this series of infants was 4 in 403 or 1%. Scratch tests were negative in 66 of 72 well babies tested, and no strongly positive reactions were observed. The allergens used were cow's milk, bovine lactalbumin, casein and egg. No correlation could be made between skin tests and clinical symptoms. Three infants showed a few scattered eosinophils in the stool smear, among 156 from whom stool smears were made. These babies had colic but no symptoms suggestive of allergy later.

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