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February 2020 -
Volume 18, Issue 2

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From the Editor

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Original Contribution

[Abstract]
Parents' perception and understanding of Non-steroidal anti-inflammatory use in children with Chicken Pox infection and its associated risks
[pdf]
Mir Saad Hussain, Mirza Anwarulhaq
DOI: 10.5742MEWFM.2020.93759

[Abstract]
Prevalence and patterns of complementary and alternative medicine practices among type 2 diabetics
[pdf]
Abdulrahman S. Solaiman, Mohammed A. Alsaleem, Safar A. Alsaleem
DOI: 10.5742MEWFM.2020.93755

[Abstract]
Reproductive risk factors of breast cancer
[pdf]
Sarab K.Abedalrahman, Besmah M.Ali, Ali S. Al-Hashimi, Abid Issa Al-Khalidy
DOI: 10.5742MEWFM.2020.93764

[Abstract]
Risk Factors for Obesity among Psychiatric Patients
[pdf]
Abdullah Qasem Almalki, Safar A. Al-Saleem, Awad S. Al-Samghan
DOI: 10.5742MEWFM.2020.93756

[Abstract]
Public Awareness and Utilization of the Primary Health Care Services in Al-Madinah, Saudi Arabia
[pdf]
Khalid Saad Alghamdi, Jumana Abdullah Taha, Lina Abdulsamad Qari, Montaha Waleed Demyati, Sumayyah AbdulAziz Alzahrani
DOI: 10.5742MEWFM.2020.93757

[Abstract]
Awareness, Knowledge and Attitude of Hand Hygiene Practices among Healthcare workers in Kirkuk Pediatric Hospital
[pdf]
Nife Rajab Mahmood, Mohammed Kh. Abduawahid, Ahmed J Hassan K.
DOI: 10.5742MEWFM.2020.93765

[Abstract]
Epidemiology of falls among elderly people attending primary healthcare centers in Abha City, Saudi Arabia
[pdf]
Eman H. Assiri, Majed H. Assiri, Safar A. Alsaleem, Ahmed H. Assiri, Afrah H. Assiri, Razia Aftab Ahmed, Ossama A. Mostafa
DOI: 10.5742MEWFM.2020.93766

[Abstract]
The Allergic Diseases Commonly Associated with Cow Milk Protein Sensitization: A Retrospective Study (Jeddah - Saudi Arabia)
[pdf]
Moufag Mohammed Saeed Tayeb, Bakr Alhussaini, Mashhoor Saleem Waked, Marwan Nabeel E Flimban, Anas Muwaffaq Tayeb, Abdulmajeed Osamah Rajkhan, Badr Saad Nasser Alaufey, Anas Abdulraheem Almaghrabi, Ahmed Suhail Maimani, Faisal Ali Ibrahim Alghamdi, Omar Abdullah Omar Basfar
DOI: 10.5742MEWFM.2020.93760

Population and Community Studies

[Abstract]
Prevalence of migraine headache and its associated factors among male secondary school teachers
[pdf]
Al-Moatasem A. Al-Hazmi, Safar A. Al-Saleem, Nabil Joseph Awadallah
DOI: 10.5742MEWFM.2020.93751

[Abstract]
Prevalence and Risk Factors of Musculoskeletal Pain among Governmental Male Secondary School Teachers
[pdf]
Thakir A. Alharbi, Safar Abadi, Nabil J. Awadallah
DOI: 10.5742MEWFM.2020.93752

[Abstract]
Prevalence and risk factors for overweight and obesity among primary care physicians
[pdf]
Wesam A. Al-Sadiq, Awad S. Alsamghan, Safar A. Alsaleem
DOI: 10.5742MEWFM.2020.93753

[Abstract]

Physical and Verbal Assault on Medical Staff in Emergency Hospital Departments in Abha City, Saudi Arabia
[pdf]
Mohammed A. Alqahtani, Safar A. Alsaleem, Mohammed Y. Qassem
DOI: 10.5742MEWFM.2020.93754

[Abstract]
What a low sensitivity of high density lipoproteins in the metabolic syndrome
[pdf]
Mehmet Rami Helvaci, Abdulrazak Abyad, Lesley Pocock
DOI: 10.5742MEWFM.2020.93750

[Abstract]
Knowledge, Attitude and Practice of Primary Health Care Physicians in Abha City about Common Psychiatric Disorders
[pdf]
Ayoub Ali Alshaikh
DOI: 10.5742MEWFM.2020.93758

[Abstract]
Postnatal Care Of Patients With Gestational Diabetes In Primary Care
[pdf]
Mirza Anwarulhaq, Mir Saad Hussain
DOI: 10.5742MEWFM.2020.93761

[Abstract]
Relation of thyroid function and gestational hypertension
[pdf]
Fatehiya Majeed Noori, Alya Abdul-Rahman Sharef, Samira Sherzad Hussien
DOI: 10.5742MEWFM.2020.93763

Education and Training

[Abstract]
Role of Health Literacy and Motivational Interviewing in Building Insight for Self-management of Diabetes Mellitus
[pdf]
Mir Saad Hussain
DOI: 10.5742MEWFM.2020.93762

Case Report

[Abstract]
Spontaneous uterine rupture in first trimester: A case report
[pdf]
Nansi dari Alfayez, Ala Aldin Hindawi, Ahmad Dweekat, Safa Almomani, Nancy Ghishan
DOI: 10.5742MEWFM.2020.93767

Office based family medicine

[Abstract]
Intra-articular injection of hyaluronic acid in patients with knee osteoarthritis in Aden, Yemen
Abdulsalam Abdullah Hadi Mohsen
[pdf]
DOI: 10.5742MEWFM.2020.93767



Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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Advertising Enquiries -
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The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.

February 2020 - Volume 18, Issue 2

The Allergic Diseases Commonly Associated with Cow M ilk Protein Sensitization: A Retrospective Study (Jeddah – Saudi Arabia)

Corresponding author:
Moufag Mohammed Saeed Tayeb
Consultant, Associate Professor Family Medicine (Allergy Special Clinical Interest)
Faculty of Medicine, University of Jeddah,
Saudi Arabia
Mobile: +966-555517123
Email: mmtayeb@uj.edu.sa

Received: December 2019; Accepted: January 2020; Published: February 1, 2020. Citation: Moufag Mohammed Saeed Tayeb et al. The Allergic Diseases Commonly Associated with Cow Milk Protein Sensitization: A Retrospective Study (Jeddah – Saudi Arabia). World Family Medicine. 2020; 18(2): 60-66. DOI: 10.5742MEWFM.2020.93760

Abstract


Background:
Cow milk allergy (CMA) is the clinical presentation of cow milk protein (CMP) sensitization. CMA is a prevalent morbidity worldwide especially in children.

Objective: To identify common allergic diseases associated with CMP sensitization.

Methods: This was a retrospective chart review conducted. Data from 83 patients were included in the study. Patients included in this study were those diagnosed with CMA at the allergy clinics of Laluna, a private medical center in Jeddah, Saudi Arabia. All in vitro tests of 83 CMA cases were performed retrospectively in 2018 utilizing a RIDA® system panel, which contains 30 common food sensitizers unique to Saudi Arabia. CMPs and other food sensitizations were determined based on the clinical allergic disease diagnoses taken from a local database in Laluna clinic.

Results: SIgE food allergy tests for 83 patients were evaluated. Gender distribution was 51 females (61.5%) and 32 males (38.5%). The most common CMP sensitizations, order were alpha lactalbumin, 59 (71%); casein, 48 (58%); milk, 38 (46%); beta lactoglobulin, 29 (35%); and assorted cheeses mix 13 (16%). Allergic diseases associated with CMP sensitization were atopic dermatitis, 40 (48%); allergic rhinosinusitis, 36 (43%); asthma, 26 (31%); allergic conjunctivitis, 12 (14%); urticaria and angioedema, 10 (12%). As for the most common associated food sensitizers, in the category of nuts, cashews and peanuts caused the most severe reaction. In the category of grains, wheat was also implicated in severe reactions, and egg in the protein category.

The severity of CMP sensitizations are as follows, in descending order: alpha lactalbumin (94.3); casein (58.54); milk (51.19); beta lactoglobulin (29.11) and assorted cheeses mix.

Conclusion: Alpha lactalbumin and casein, followed by milk are the most common sensitizers and also cause the most severe allergic reactions. Atopic dermatitis and allergic rhinosinusitis, followed by asthma are the most common clinical allergic diseases associated with CMP sensitization. Cashew, peanut, wheat and egg were the most common food sensitizers associated with CMP sensitization. It should be noted that the most severe food sensitizer of all associated with CMP sensitization is cashew.

Key words: allergic diseases, Cow Milk Protein Sensitization



 


 

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