Goat milk skin products may cause the development of goat milk allergy

Clinical presentation Anaphylaxis with throat tightness, dyspnoea, widespread rash and presyncope within 10 min of ingestion with resolution of symptoms after IM adrenaline Initial episode of throat tightness, with two subsequent episodes causing widespread urticaria with dyspnoea and wheeze requiring IM adrenaline Recurrent episodes of urticaria and angioedema associated with goat's milk cheese ingestion Anaphylaxis with dyspnoea/ wheeze, throat tightness and urticaria within minutes of ingestion, responsive to IM adrenaline Anaphylaxis with flushing, dyspnoea and collapse requiring IM adrenaline Prior to this event has had multiple mild reactions to goat's milk containing food products with throat itch for years Four episodes of acute urticaria and angioedema with dyspnoea and wheeze treated with oral antihistamines and corticosteroids. Recurrent anaphylaxis with cutaneous (urticaria and angioedema) and respiratory features (wheeze and dyspnoea) following the ingesting of goat's milk cheese, responsive to adrenaline