title: Multiple bone fractures in an 8-year-old child with cow's milk allergy and inappropriate calcium supplementation.
abstract: The case of an 8-year-old boy with severe bone mass reduction and 4 fractures as a result of an unsupervised diet established to treat cow's milk allergy is presented. Endocrine, genetic and orthopedic pathologies were excluded. While vitamin D intake had always been appropriate, his calcium intake had been inadequate for many years. This clinical report suggests that both vitamin D and calcium supplementation are necessary when a cow's milk protein-free diet is prescribed, even when a hypo- or non-allergenic formula is provided.
authors.affiliation: Food Allergy Service, Department of Pediatric and Adolescence Science, Regina Margherita Children's Hospital, Turin, Italy.
authors.forename: Giovanna
authors.initials: G
authors.lastname: Monti
authors.forename: Valentina
authors.initials: V
authors.lastname: Libanore
authors.forename: Letizia
authors.initials: L
authors.lastname: Marinaro
authors.forename: Roberto
authors.initials: R
authors.lastname: Lala
authors.forename: Roberto
authors.initials: R
authors.lastname: Miniero
authors.forename: Francesco
authors.initials: F
authors.lastname: Savino
mesh_terms: D002118:Calcium / Q000172:deficiency* / Q000378:metabolism / Q000627:therapeutic use*; D002136:Calcium, Dietary / Q000008:administration & dosage*; D002648:Child; D019587:Dietary Supplements; D050723:Fractures, Bone / Q000209:etiology*; D006801:Humans; D008297:Male; D016269:Milk Hypersensitivity / Q000150:complications*; D014807:Vitamin D / Q000008:administration & dosage
chemical_list: D002136:Calcium, Dietary; D014807:Vitamin D; D002118:Calcium