Cow's milk protein intolerance

Question 1

Clinical features

Answer 1

MaNote: overdiagnosed
Vomiting, diarrhoea (watery stools, may be bloody), failure to thrive
May have urticarial, stridor or bronchospasm
Very rarely anaphylaxis
PMH of eczema, FH of allergies

Question 2

Diagnosis

Answer 2

Clinical, symptoms should subside within a week of withdrawing cow’s milk
Child should be rechallenged after a period of time (in hospital if original symptoms severe)

Question 3

Management

Answer 3

Hydrolysed protein formula milk

In most cases, resolves withing 1-2 years