Lactose intolerance, detected by the hydrogen breath test, in infants and children with chronic diarrhoea.
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Biomedical subjects
Publications and source records attributed to S Herman.
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4 infants, suspected of cow's milk protein intolerance, were placed on an elimination diet and then challenged with cow's milk. None reacted clinically, yet in 2 of the 4 patients jejunal biopsy revealed clear histological, ultrastructural, and immunological changes. It is suggested that these changes are the objective criteria on which the diagnosis of cow's milk intolerance should be based, and that the clinical evidence derived from milk challenge after an elimination diet may be unreliable.
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The occasional unsatisfactory results after reduction mammaplasty are classified and analyzed. Methods of revision in 4 illustrative cases are presented and discussed.
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