IGHE and anaphylaxis: During his first outpatient visit, CMA was confirmed by SPT (milk 7 mm, Bos d 4 = 12 mm, Bos d 5 = 6 mm, Bos d 8 = 11 mm, PBP 15 mm), sIgE (milk 25.1 KU/L, Bos d 8 = 16 KU/L, Bos d 4 = 5.99 KU/L, Bos d 5 = 4.24 KU/L, with total IgE 79.9 IU/mL), and a positive OFC (anaphylaxis after 3 mL of milk) (Table 1).