[牛奶过敏引起支气管哮喘和高铁血红蛋白血症]。

N Mojsoski
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引用次数: 0

摘要

报告一例34岁男性因牛奶过敏引起支气管哮喘和高铁血红蛋白血症。非常明显的紫绀,高铁血红蛋白15.3%,E- 7.2,血红蛋白272%,红细胞压积52%,重度支气管哮喘,PaO2- 7.63 kPa,饱和度89%,PaCO2- 4.46 kPa。胸骨及骨活检显示骨髓增生性疾病。过敏测试显示牛奶的早期和晚期反应呈阳性。牛奶血清IgE 1670 mu/ml, RAST、沉淀试验阳性。牛奶支气管激发试验显示哮喘反应阳性。在从食物中消除奶制品后,所有的症状很快恢复正常,患者已经两年没有支气管哮喘和紫绀了。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Bronchial asthma and methemoglobinemia caused by milk allergy].

Bronchial asthma and methemoglobinemia due to the allergy on milk was described in 34-year old man. Very marked cyanosis with 15.3% methemoglobin, E--7.2, 272% hemoglobin, 52% hematocrit, severe form of bronchial asthma with PaO2--7.63 kPa, 89% saturation, PaCO2--4.46 kPa were found. Sternal and bone biopsy showed myeloproliferative disease. Allergy testing showed positive early and late reaction on milk. Serum IgE was 1670 mu/ml, RAST and precipitin test were positive on milk. Bronchoprovocation test on milk showed positive asthmatic reaction. After elimination of milk products from food all findings were soon normalised and the patient has not had bronchial asthma and cyanosis for two years now.

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