cows milk protein. allergy

Question 1

prevalence of cows milk portein intolerance/allergy
-when does it present

Answer 1

around 3-6% of all children

-within first 3 months of life in formula fed infants
-rarely seen in exclusviely breastfed infants

Question 2

type of hypersensitivty reactions seen in cows milk portein intolerance/allergy 2

Answer 2

immediate- IgE mediated- this is CMPA

delayed- non IgE mediated- this is CMPI

Question 3

features of cows milk portein intolerance/allergy 6

Answer 3

1. regurg and vomiting
2. diarrhoea
3. urticaria, atopi ceczema
4. colic symptoma-irritability,crying
5. wheeze, chronic cough
6. rarely angioemda or anaphylaxis

Question 4

diagnosis of cows milk portein intolerance/allergy3

Answer 4

1. usually clinical
2. skin prick/patch testing
3. total IgE and specic IgE (RAST) for cows milk protein

Question 5

specific IgE for cows milk portein intolerance/allergy

Answer 5

IgE (RAST)

Question 6

management of cows milk portein intolerance/allergy in formula fed babies with mild-moderate syx 1

Answer 6

extensive hydrolysed formula

Question 7

management of cows milk portein intolerance/allergy in formula fed babies with severe syx or no response to extensive hydrolysed formula

Answer 7

aminio acid-based formula

Question 8

what other kind of milk are aorund 10% of infants also intolerant to

Answer 8

soya milk

Question 9

managment of cow protein intolerance/allergy in breastfed babies 4

Answer 9

continue breastfeeding
eliminate cows milk protein from maternal diet
consider prescribing calcium supplements to mothers to prevent defiecny (for both mother and baby)

use extensive hydrolysed milk when breastfeeding stops
-until 12 months oif age and at least for 6 months

Question 9

managment of cow protein intolerance/allergy in breastfed babies 4

Answer 9

continue breastfeeding
eliminate cows milk protein from maternal diet
consider prescribing calcium supplements to mothers to prevent defiecny (for both mother and baby)

use extensive hydrolysed milk when breastfeeding stops
-until 12 months oif age and at least for 6 months