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Open Access 01-02-2015 | Review

Cow’s milk allergy: evidence-based diagnosis and management for the practitioner

Authors: Carlos Lifschitz, Hania Szajewska

Published in: European Journal of Pediatrics | Issue 2/2015

Abstract

This review summarizes current evidence and recommendations regarding cow’s milk allergy (CMA), the most common food allergy in young children, for the primary and secondary care providers. The diagnostic approach includes performing a medical history, physical examination, diagnostic elimination diets, skin prick tests, specific IgE measurements, and oral food challenges. Strict avoidance of the offending allergen is the only therapeutic option. Oral immunotherapy is being studied, but it is not yet recommended for routine clinical practice. For primary prevention of allergy, exclusive breastfeeding for at least 4 months and up to 6 months is desirable. Infants with a documented hereditary risk of allergy (i.e., an affected parent and/or sibling) who cannot be breastfed exclusively should receive a formula with confirmed reduced allergenicity, i.e., a partially or extensively hydrolyzed formula, as a means of preventing allergic reactions, primarily atopic dermatitis. Avoidance or delayed introduction of solid foods beyond 4–6 months for allergy prevention is not recommended.

Conclusion: For all of those involved in taking care of children’s health, it is important to understand the multifaceted aspects of CMA, such as its epidemiology, presentation, diagnosis, and dietary management, as well as its primary prevention.

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Title: Cow’s milk allergy: evidence-based diagnosis and management for the practitioner
Authors: Carlos Lifschitz
Hania Szajewska
Publication date: 01-02-2015
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Pediatrics / Issue 2/2015
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI: https://doi.org/10.1007/s00431-014-2422-3

At a glance: The STEP trials

Springer Medicine

Cow’s milk allergy: evidence-based diagnosis and management for the practitioner

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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