Research Update: Treatment of Cow’s Milk Protein Allergy

A summary of the current evidence related to cow’s milk protein allergy, including a symptom-based score which may aid in its diagnosis.

Published in the journal Pediatric Gastroenterology, Hepatology & Nutrition, this concise article provides an overview on cow’s milk protein allergy (CMPA) and its treatment, based on a systematic review of the literature.

The authors noted that the epidemiology of CMPA in primary care is unclear and its diagnosis is challenging as none of the symptoms of CMPA is specific. A recently developed symptom-based score was highlighted, which has been found to have good predictive value and may contribute to the diagnosis of CMPA.

In terms of treatment, extensively hydrolysed formulas are indicated in both the treatment and prevention of CMPA. Partially hydrolysed formulas are commonly used for prevention of allergy. Amino acid formulas are only indicated for treatment and should be reserved for the most difficult cases. Rice hydrolysates and soy formulas are shown to be safe alternatives in the treatment of CMPA, whereas milk from other mammalians cannot be recommended.


 

Last updated on 13 Aug 2014

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