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Lait et atopie
Institution:1. Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China;2. Department of Child, Adolescent and Women''s Health, School of Public Health, Peking University, Beijing 100191, China;1. Service de pédiatrie, Pavillon médicochirurgical de pédiatrie, boulevard Lacordaire, 59056 Roubaix, France;2. Unité de pneumologie et allergologie pédiatriques, Hôpital Jeanne-de-Flandre, 2 avenue Oscar-Lambret, 59037 CHRU Lille et Université Lille 2, France
Abstract:Cow's milk allergy occurs frequently in infants and children. Its clinical manifestations are heterogeneous, making diagnosis sometimes difficult. The diagnosis is based on elimination-reintroduction of cow's milk proteins. Measurement of specific IgE and skin prick and patch tests may contribute to the diagnosis. Substitution of an extensively hydrolysed protein formula for cow’s milk represents the mainstay of treatment. In case of allergy to such a formula, an amino acid-based formula should be used. The course of cow's milk allergy is more prolonged than previously thought and seems even more protracted in children with multiple food allergies.
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