Very rare. Association of allergy to cow's milk and pulmonary hemosiderosis (see this topic) in infants. 

Clinical signs:

-         dyspnea, cough, sometimes blood-tinged sputum

-         more or less important anemia, growth retardation

-         sometimes blood eosinophilia

-         pulmonary infiltrates at chest XRay

-         antibodies against cow's milk proteins

-         spectacular response to the eviction of cow's milk

Anesthetic implications: 

check hemoglobin levels; chest XRay; SpO2 at room air

References : 

-         Moissidis I, Chaidaroon D, Vichyanond P, Bahna SL. 
Milk-induced pulmonary disease in infants (Heiner syndrome). 
Pediatr Allergy Immunol 2005; 16: 545-52.

Updated: April 2019