Update References Cow Milk Allergy

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The estimated prevalence of cow’s milk allergy (CMA) varies between 0.25% and 4.9%, being higher in children than adults.1 The prevalence is higher in referral populations, depending on the nature of the basic condition. For instance, in a consecutive series with moderate atopic eczema referred to a University-affiliated dermatology department, SPT showed 16% of infants with IgE against CMP.2 In a group of infants and children with AD and no other allergic manifestations, 37% had a diagnosis of CMA.3 Cow’s milk allergy can develop in exclusively or partially breast-fed infants, when cow’s milk protein is introduced into the feeding regime. The incidence of CMA is lower in exclusively breast-fed infants compared to formula-fed or mixed-fed infants, and clinical reactions in the breast-fed group are mostly mild to moderate. This might be related to lower levels of CMP in breast milk compared to cow’s milk. Immunomodulators in breast milk and differences in gut flora between breast-fed and formula-fed infants may also play a role.

References Cow Milk Allergy

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