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Heiner Syndrome and Milk Hypersensitivity: An Updated Overview on the Current Evidence

Authors: Stefania Arasi; Carla Mastrorilli; Luca Pecoraro; Mattia Giovannini; Francesca Mori; Simona Barni; Lucia Caminiti; +5 Authors

Heiner Syndrome and Milk Hypersensitivity: An Updated Overview on the Current Evidence

Abstract

Infants affected by Heiner syndrome (HS) display chronic upper or lower respiratory tract infections, including otitis media or pneumonia. Clinically, gastrointestinal signs and symptoms, anemia, recurrent fever and failure to thrive can be also present. Chest X-rays can show patchy infiltrates miming pneumonia. Clinical manifestations usually disappear after a milk-free diet. The pathogenetic mechanism underlying HS remains unexplained, but the formation of immune complexes and the cell-mediated reaction have been proposed. Patients usually outgrow this hypersensitivity within a few years. The aim of this review is to provide an updated overview on the current evidence on HS in children, with a critical approach on the still undefined points of this interesting disease. Finally, we propose the first structured diagnostic approach for HS.

Country
Italy
Keywords

Male, Allergy, non-IgE-mediated food allergy, Immunology, 610, Review, cow’s milk, immunology, Pulmonary hemosiderosi, children, Pulmonary infiltrates, pulmonary infiltrates, 616, Respiratory Hypersensitivity, pneumonia, Humans, Cow’s milk, Children, Infant, Newborn, Infant, Anemia, Non-IgE-mediated food allergy, Pneumonia, Syndrome, allergy, Milk Proteins, anemia, allergy; anemia; children; cow’s milk; immunology; non-IgE-mediated food allergy; pneumonia; pulmonary hemosiderosis; pulmonary infiltrates, Female, Milk Hypersensitivity, pulmonary hemosiderosis

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    citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    11
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
11
Top 10%
Average
Top 10%
Green
gold