Title |
Cow’s milk allergy: evidence-based diagnosis and management for the practitioner
|
---|---|
Published in |
European Journal of Pediatrics, September 2014
|
DOI | 10.1007/s00431-014-2422-3 |
Pubmed ID | |
Authors |
Carlos Lifschitz, Hania Szajewska |
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. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 20% |
Netherlands | 1 | 20% |
United Kingdom | 1 | 20% |
Australia | 1 | 20% |
Unknown | 1 | 20% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 4 | 80% |
Scientists | 1 | 20% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Portugal | 1 | <1% |
France | 1 | <1% |
United Kingdom | 1 | <1% |
Mexico | 1 | <1% |
Denmark | 1 | <1% |
Japan | 1 | <1% |
Unknown | 405 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 83 | 20% |
Student > Master | 58 | 14% |
Student > Ph. D. Student | 27 | 7% |
Student > Postgraduate | 26 | 6% |
Other | 23 | 6% |
Other | 71 | 17% |
Unknown | 123 | 30% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 130 | 32% |
Nursing and Health Professions | 48 | 12% |
Agricultural and Biological Sciences | 31 | 8% |
Biochemistry, Genetics and Molecular Biology | 15 | 4% |
Chemistry | 9 | 2% |
Other | 39 | 9% |
Unknown | 139 | 34% |