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Revised Guidelines for Diagnosis, Therapy and Prevention Cow Milk Protein Allergy


Authors: P. Frühauf
Authors‘ workplace: Klinika dětského a dorostového lékařství UK 1. LF a VFN, Praha přednosta prof. MUDr. J. Zeman, DrSc.
Published in: Čes-slov Pediat 2010; 65 (7-8): 466-471.
Category: Opinion of expert / working groups

Overview

Separate algorithms cover breast-fed and formula-fed infants. The recommendations emphasise the importance of comprehensive history taking and careful physical examination. Patients with severe symptoms need to be referred to a specialist. Elimination of cow’s milk protein from the infant’s or mother’s diet and challenges are the gold standard for diagnosis.

Key words:
cow milk allergy, extensive hydrolyzed formulas, aminoacid formulas


Sources

1. Fabianová J, Frühauf P. Epidemiologická studie intolerance kravského mléka. 18.pracovní dny dětské gastroenterologie a výživy, Hrubá Skála, 4. 10.–6. 10. 2007. Čes.-slov. Pediat. 2008; 63: 49.

2. Greer FR, et al. Effects of early nutritional interventions on the development of atopic disease in infants and children: The role of maternal dietary restriction, breastfeeding, timing of introduction of complementary foods, and hydrolyzed formulas. Pediatrics 2008; 121: 183–191.

3. Heine RG. Allergic gastrointestinal motility disorders in infancy and early childhood. Pediatr. Allergy Immunol. 2008; 19: 383–391.

4. Majamaa H, et al. Cow’s milk allergy: Diagnostic accuracy of skin prick and patch tests and specific IgE. Eur. J. Allergy Clin. Immunol. 1999; 54: 346–351.

5. Saarinen KM, et al. Suplementary feeding in maternity hospitals and the risk of cow’s milk allergy: A prospective study of 6209 infants. J. Alergy Clin. Imunol. 1999; 104: 457–461.

6. Vandenplas Y, et al. Guidelines for the diagnosis and management of cow´s milk protein allergy in infants. Arch. Dis. Child. 2007; 92: 902–908.

Labels
Neonatology Paediatrics General practitioner for children and adolescents
Topics Journals
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