AI Article Synopsis

  • A 15-year-old boy developed eosinophilic esophagitis (EoE) while undergoing cow's milk oral immunotherapy (CM-OIT), leading to a modified diet that included baked milk.
  • Despite including baked milk, the boy only achieved histological remission of EoE after strictly removing cow's milk from his diet, without using medication.
  • The study emphasizes the need for more research to determine whether a strict cow's milk-free diet is always necessary for EoE patients undergoing OIT or if a baked milk-inclusive diet could also help.

Article Abstract

We report the case of a 15-year-old boy who developed eosinophilic esophagitis (EoE) during cow's milk oral immunotherapy (CM-OIT). In order to not completely invalidate OIT benefits, baked milk-containing foods were allowed instead of a strict CM-free diet. However, histological remission of EoE was reached only after a strict cow's milk-free diet, not associated to pharmacological treatment. Nevertheless, given the limited data on real incidence of food OIT related EoE and potential beneficial treatment for this condition, we highlight the need of prospective studies aimed to evaluate if a strict CM free diet in OIT related EoE is always necessary to obtain remission of the disease or similarly to CM EoE, baked milk-containing foods" diet could be abeneficial treatment also in these patients.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8343733PMC
http://dx.doi.org/10.23750/abm.v92i3.10050DOI Listing

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