[Cow's milk allergy treatment. An expert consensus].
Study Goal
The researchers aimed to outline the treatment approach for cow's milk protein allergy, focusing on dietary elimination and appropriate formula options for infants.
Results Summary
The study found that complete elimination of cow's milk protein is necessary for symptom remission and future tolerance, with extensively hydrolysed formulas recommended for mild/moderate cases and amino acid-based formulas for severe cases. Treatment duration and tolerance acquisition vary based on clinical and immunological factors.
Population
Infants with cow's milk protein allergy, particularly formula-fed infants.
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
complete elimination of cow's milk protein from the diet | neutral | treatment of cow's milk protein allergy | - | - | is based on | #1 |
complete elimination of cow's milk protein from the diet | increase | remission of symptoms and future tolerance | - | - | must be total | #2 |
extensively hydrolysed formula | neutral | - | formula fed infants with mild or moderate forms of cow's milk protein allergy | - | is the most appropriate option | #3 |
formulas based on amino acids | neutral | - | formula fed infants with the most severe cases of cow's milk protein allergy | - | are reserved for | #4 |
The treatment of cow's milk protein allergy is based on the complete elimination of cow's milk protein from the diet. To achieve remission of symptoms and future tolerance, exclusion must be total. In formula fed infants the extensively hydrolysed formula is the most appropriate option in mild or moderate forms, while those based on amino acids are reserved for the most severe cases. The treatment time, the acquisition of tolerance and the moment for the oral provocation test will vary according to the clinical picture, the immunological mechanism involved and the age of the patient. The aim of this consensus has been to reflect the updated knowledge together with the experience of neonatologists, pediatricians, experts in allergy, nutrition and gastroenterology.