Cow’s milk allergy: a cohort of patients from a university hospital

Hdl Handle:
http://hdl.handle.net/10147/605446
Title:
Cow’s milk allergy: a cohort of patients from a university hospital
Authors:
Reynolds, A; O’Driscoll, J; Quinn, S; Coghlan, D
Journal:
Irish Medical Journal
Issue Date:
Mar-2016
URI:
http://hdl.handle.net/10147/605446
Abstract:
Our aim was to establish the feeding history, presentation, management and rate of resolution for an Irish cohort of children with cow’s milk protein allergy (CMPA) attending a hospital-based outpatient service. This was a cohort study consisting of two parts: a retrospective chart review and a follow-up questionnaire. Fifty-one infants (male: 61%, n=31) were enrolled. Twenty-one (41%) had IgE-mediated allergy. Twenty-nine (57%) had non-IgE mediated allergy. Twenty-two (49%) had tried ≥3 different formulas prior to diagnosis. Of the children who had reached two years, the overall rate of tolerance was 53% (IgE: 35%, non-IgE: 67%). Mild cases of CMPA can be managed in the community. Potential severe complications include faltering growth and anaphylaxis. CMPA should be managed using a multi-disciplinary approach. Increased awareness of CMPA may speed diagnosis and decrease the use of inappropriate formulas.
Item Type:
Article
Language:
en
Keywords:
NUTRITION; ALLERGIES; DIET

Full metadata record

DC FieldValue Language
dc.contributor.authorReynolds, Aen
dc.contributor.authorO’Driscoll, Jen
dc.contributor.authorQuinn, Sen
dc.contributor.authorCoghlan, Den
dc.date.accessioned2016-04-15T13:25:02Zen
dc.date.available2016-04-15T13:25:02Zen
dc.date.issued2016-03en
dc.identifier.urihttp://hdl.handle.net/10147/605446en
dc.description.abstractOur aim was to establish the feeding history, presentation, management and rate of resolution for an Irish cohort of children with cow’s milk protein allergy (CMPA) attending a hospital-based outpatient service. This was a cohort study consisting of two parts: a retrospective chart review and a follow-up questionnaire. Fifty-one infants (male: 61%, n=31) were enrolled. Twenty-one (41%) had IgE-mediated allergy. Twenty-nine (57%) had non-IgE mediated allergy. Twenty-two (49%) had tried ≥3 different formulas prior to diagnosis. Of the children who had reached two years, the overall rate of tolerance was 53% (IgE: 35%, non-IgE: 67%). Mild cases of CMPA can be managed in the community. Potential severe complications include faltering growth and anaphylaxis. CMPA should be managed using a multi-disciplinary approach. Increased awareness of CMPA may speed diagnosis and decrease the use of inappropriate formulas.en
dc.language.isoenen
dc.subjectNUTRITIONen
dc.subjectALLERGIESen
dc.subjectDIETen
dc.titleCow’s milk allergy: a cohort of patients from a university hospitalen
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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