ABSTRACT WATCH 2012 : Diagnosis and management of cow’s milk protein allergy in infants.

World J Pediatr. 2012 Feb;8(1):19-24. Epub  2012 Jan 27.

Diagnosis and management of cow’s milk protein allergy in infants.

De Greef E, Hauser B, Devreker T, Veereman-Wauters G, Vandenplas Y.

Abstract

BACKGROUND:

Cow’s milk protein allergy (CMPA) is frequently suspected in infants with a variety of symptoms. A thorough history and careful clinical examination are necessary to exclude other underlying diseases and to evaluate the severity of the suspected allergy. Care should be taken to diagnose CMPA adequately to avoid an unnecessary diet.

DATA SOURCES:

We make recommendations based on systematic literature searches using the best-available evidence from PubMed, Cumulative Index to Nursing and Allied Health Literature, and bibliographies.

RESULTS:

Skin prick tests, patch tests and serum specific IgE are only indicative of CMPA. Breastfed infants have a decreased risk of developing CMPA; an elimination diet for the mother is indicated if CMPA is confirmed. If a food challenge is positive in formula fed infants, an extensively hydrolysed formula and cow’s milk-free diet is recommended. If symptoms do not improve, an amino acid based formula should be considered. In severe CMPA with life-threatening symptoms, an amino-acid formula is recommended.

CONCLUSIONS:

Elimination diet by a double-blind placebo controlled food challenge is the gold standard for diagnosis. Elimination of the offending allergen from the infants’ diet is the main treatment principle.

Source Department of Pediatrics, UZ Brussel, Brussels, Belgium.

Provided by

CHILDREN ALLERGY CLINIC ONLINE

Yudhasmara Foundation

htpp://www.allergyclinic.wordpress.com/

  • CLINIC FOR CHILDREN JL Taman bendungan Asahan 5 Jakarta Pusat, Jakarta Indonesia 10210 Phone : (021) 70081995 – 5703646
  • CHILDREN GROW UP CLINIC , MENTENG SQUARE Jl Matraman 30 Jakarta Pusat

Clinical and Editor in Chief : Dr Widodo judarwanto, pediatrician email : judarwanto@gmail.com,

Information on this web site is provided for informational purposes only and is not a substitute for professional medical advice. You should not use the information on this web site for diagnosing or treating a medical or health condition. You should carefully read all product packaging. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider.

Copyright © 2012, Children Allergy Clinic Online Information Education Network. All rights reserved

Tinggalkan Balasan

Isikan data di bawah atau klik salah satu ikon untuk log in:

Logo WordPress.com

You are commenting using your WordPress.com account. Logout / Ubah )

Gambar Twitter

You are commenting using your Twitter account. Logout / Ubah )

Foto Facebook

You are commenting using your Facebook account. Logout / Ubah )

Foto Google+

You are commenting using your Google+ account. Logout / Ubah )

Connecting to %s