title: Allergy to the heat-labile proteins alpha-lactalbumin and beta-lactoglobulin in mare's milk.
abstract: BACKGROUND
  Allergy to mare's milk is rare. Recently, however, mare's milk has been recommended for treatment of various ailments by practitioners of "alternative medicine," and it is available in health food stores.
  
  
  OBJECTIVE
  We report a case of allergic reaction to mare's milk in a 51-year-old woman who was able to tolerate cow's milk.
  
  
  METHODS
  The protein composition of mare's milk was determined by methods based on measurement of nitrogen content. The patient underwent prick and intracutaneous tests with commercially available bovine milk proteins and several mare's milk preparations, including mare's milk granulate and boiled mare's milk. RAST and immunoblotting were also performed.
  
  
  RESULTS
  Results of skin testing and RAST with cow's milk were negative but demonstrated an IgE-mediated allergy to mare's milk. Immunoblotting revealed two allergen bands with molecular weights of 16 and 18 kd, most likely representing the whey proteins alpha-lactalbumin and beta-lactoglobulin. The bands disappeared after the mare's milk was boiled, indicating that the proteins are heat-labile.
  
  
  CONCLUSIONS
  The results of this study demonstrate the existence of an IgE-mediated mare's milk allergy caused by low molecular weight heat-labile proteins, most likely alpha-lactalbumin and beta-lactoglobulin, which do not cross-react with the corresponding whey proteins in cow's milk.
authors.affiliation: Department of Dermatology, University of Ulm, Germany.
authors.forename: H
authors.initials: H
authors.lastname: Gall
authors.forename: C M
authors.initials: CM
authors.lastname: Kalveram
authors.forename: H
authors.initials: H
authors.lastname: Sick
authors.forename: W
authors.initials: W
authors.lastname: Sterry
mesh_terms: D000485:Allergens / Q000737:chemistry*; D000818:Animals; D005260:Female; D006736:Horses; D006358:Hot Temperature; D006801:Humans; D007768:Lactalbumin / Q000276:immunology*; D007782:Lactoglobulins / Q000276:immunology*; D008875:Middle Aged; D016269:Milk Hypersensitivity / Q000276:immunology*; D008894:Milk Proteins / Q000276:immunology*; D008970:Molecular Weight; D011852:Radioallergosorbent Test; D012882:Skin Tests
chemical_list: D000485:Allergens; D007782:Lactoglobulins; D008894:Milk Proteins; D007768:Lactalbumin