Secondary Adrenal Insufficiency Related To High Doses Of Inhaled Corticosteroids In Severe Asthma Patients

episodes continued. Latex allergy was considered but her latex IgE mula was sent to the Food Allergy Research and Resource Program at contamination. Given these findings, her reactions were attributed to new batch of elemental formula, she did not have further episodes of anaphylaxis during her hospitalization or after discharge. On discharge follow-up, her IgE levels to alpha lactalbum, beta lactoglobulin, and casein were <0.35 kU/L whereas her IgE level to milk remained elevated (1.91 kU/L). The result of her skin prick test to milk was positive (9 mm wheal, 22 mm flare). Her tryptase level after discharge was 6.5 ng/mL. She continues to take her elemental formula by tube feed and avoids milk in all forms. A full food allergy Even though milk allergy is a common food allergy in the 0 to 3patient's recurrent anaphylactic episodes proved challenging owing and did not partake in solid food introduction in a standard fashion, eosinophil level after her episodes prompted concerns for other an elemental formula so food allergy was not initially considered given that hypersensitivity reactions to elemental formulas are tion of her elemental formula for cross contamination with milk revealed the cause of her anaphylaxis, illustrating hidden food allerwith unexplained anaphylaxis.