Journal of Allergy and Clinical Immunology Volume 125, Issue 2, Supplement 1, Page AB87, February 2010
Clinical Features of Food Allergic Children with Malnutrition
T. Takamasu, M. Miyagawa,M. Wada,S. Harada,K. Hiroki,K. KuriharaKanagawa Children’s Medical Center, Yokohama-shi, JAPAN
RATIONALE: The prevalence of food allergy is 7% in Japan. Elimination diet is the only measure for food allergy, and sometimes causes malnutrition. We investigated the background of malnutrition in food allergic children.
METHODS: We sampled 24 food allergic children with malnutrition, which is found by growth curve. Growth curve showed loss of weight gain in 15 cases, and weight loss in 9 cases. Medical records for these patients were examined.
RESULTS: Subjects were 20 boys and 4 girls. Mean age of the subjects was 1.3±0.8 years. Mean SD for standard height was -1.0±1.2, and mean SD for standard weight was -1.3±0.9. Mean number of foods which should be eliminated was 2.9. The cause of malnutrition was over-elimination in 11 cases, umbalanced diet in 6 cases, reject of weaning food in 4 cases, and exercerbation of atopic dermatitis in 3 cases. Serum albumin was examined in 21 cases, and showed below 3.0g/dl only in 2 cases. Prealbumin was examined in 10 cases, and showed below 20mg/dl in all cases, and below 15mg/dl in 6 cases.
CONCLUSIONS: Most cases of food allergy with malnutrition had psychological or social problems. Therefore psychological or social counseling were needed for these cases. Growth curve and prealbumin was useful for nutritional assessment.