Abstract

FERREIRA, Sofia et al. Cow’s milk protein allergy with gastrointestinal manifestations. Nascer e Crescer [online]. 2014, vol.23, n.2, pp.72-79. ISSN 0872-0754.

Cow’s milk protein allergy (CMPA) is the leading cause of food allergy in children under three years of age, although its gastrointestinal manifestations may occur in all age groups. In the suspicion of CMPA based on the anamnesis and physical examination, an elimination diet should be initiated for a variable length of time according to the clinical picture, followed by an oral food challenge (OFC) confirming or excluding the diagnosis. Complementary exams such as skin prick tests and specific IgE may be necessary. Treatment is based on an elimination diet and demands nutritional counselling and growth monitoring. Usually an OFC is repeated after three to 12 months of elimination diet. Tolerance is achieved at three years of age in more than 80% of the children. The aim of this work is to make a brief review and update on CMPA in pediatric age, proposing a management approach based on recent international recommendations.

Keywords : Children; cow’s milk protein allergy; gastrointestinal manifestations; management.

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