PMID- 29576253
OWN - NLM
STAT- MEDLINE
DCOM- 20181106
LR  - 20181106
IS  - 1769-664X (Electronic)
IS  - 0929-693X (Linking)
VI  - 25
IP  - 3
DP  - 2018 Apr
TI  - Nutritional management of cow's milk allergy in children: An update.
PG  - 236-243
LID - S0929-693X(18)30050-2 [pii]
LID - 10.1016/j.arcped.2018.01.007 [doi]
AB  - Cow's milk is one of the most common foods responsible for allergic reactions in 
      children. Cow's milk allergy (CMA) involves immunoglobulin E (IgE)- and 
      non-IgE-mediated reactions, the latter being both variable and nonspecific. 
      Guidelines thus emphasize the need for physicians to recognize the specific 
      syndromes of CMA and to respect strict diagnostic modalities. Whatever the 
      clinical pattern of CMA, the mainstay of treatment is the elimination from the 
      diet of cow's milk proteins. The challenge is that both the disease and the 
      elimination diet may result in insufficient height and weight gain and bone 
      mineralization. If, during CMA, the mother is not able or willing to breastfeed, 
      the child must be fed a formula adapted to CMA dietary management, during infancy 
      and later, if the disease persists. This type of formula must be adequate in 
      terms of allergic efficacy and nutritional safety. In older children, when CMA 
      persists, the use of cow's milk baked or heated at a sufficient temperature, 
      frequently tolerated by children with CMA, may help alleviate the stringency of 
      the elimination diet. Guidance on the implementation of the elimination diet by 
      qualified healthcare professionals is always necessary. This guidance should also 
      include advice to ensure adequate bone growth, especially relating to calcium 
      intake. Specific attention should be given to children presenting with several 
      risk factors for weak bone mineral density, i.e., multiple food allergies, 
      vitamin D deficiency, poor sun exposure, steroid use, or severe eczema. When CMA 
      is outgrown, a prolonged elimination diet may negatively impact the quality of 
      the diet over the long term.
CI  - Copyright (c) 2018 Elsevier Masson SAS. All rights reserved.
FAU - Dupont, C
AU  - Dupont C
AD  - Universite Paris Descartes, 75006 Paris, France. Electronic address: 
      christophe.dupont@aphp.fr.
FAU - Chouraqui, J-P
AU  - Chouraqui JP
AD  - Universite Joseph-Fourier, 38000 Grenoble, France.
FAU - Linglart, A
AU  - Linglart A
AD  - Service d'endocrinologie-diabete de l'enfant, CHU de Bicetre, 94275 
      Kremlin-Bicetre, France.
FAU - Bocquet, A
AU  - Bocquet A
AD  - Universite de Franche-Comte, 25000 Besancon, France.
FAU - Darmaun, D
AU  - Darmaun D
AD  - Universite Nantes-Atlantique, 44300 Nantes, France.
FAU - Feillet, F
AU  - Feillet F
AD  - Universite de Lorraine, 54000 Nancy, France.
FAU - Frelut, M-L
AU  - Frelut ML
AD  - Endocrinologie-diabete de l'enfant, CHU de Bicetre, 94270 Le Kremlin-Bicetre, 
      France.
FAU - Girardet, J-P
AU  - Girardet JP
AD  - Universite Pierre-et-Marie-Curie Paris-6, 75005 Paris, France.
FAU - Hankard, R
AU  - Hankard R
AD  - Inserm U 1069, universite de Tours, CHU de Tours, 37000 Tours, France.
FAU - Roze, J-C
AU  - Roze JC
AD  - Universite Nantes-Atlantique, 44300 Nantes, France.
FAU - Simeoni, U
AU  - Simeoni U
AD  - Universite de Lausanne, 1011 Lausanne, Switzerland.
FAU - Briend, A
AU  - Briend A
AD  - Institut de recherche pour le developpement, 13572 Marseille, France.
CN  - Committee on Nutrition of the French Society of Pediatrics
LA  - eng
PT  - Journal Article
DEP - 20180322
PL  - France
TA  - Arch Pediatr
JT  - Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
JID - 9421356
SB  - IM
MH  - Animals
MH  - Bone Diseases, Metabolic/prevention & control
MH  - Breast Feeding
MH  - Cooking
MH  - Dietary Services
MH  - Growth Disorders/etiology/prevention & control
MH  - Humans
MH  - Infant
MH  - Infant Formula
MH  - Milk Hypersensitivity/immunology/*therapy
MH  - Practice Guidelines as Topic
MH  - Risk Factors
OTO - NOTNLM
OT  - Allergy
OT  - Baked milk
OT  - Cow's milk
OT  - Enterocolitis
OT  - Eosinophilic esophagitis
OT  - Nutrition
EDAT- 2018/03/27 06:00
MHDA- 2018/11/07 06:00
CRDT- 2018/03/27 06:00
PHST- 2018/01/13 00:00 [received]
PHST- 2018/01/29 00:00 [accepted]
PHST- 2018/03/27 06:00 [pubmed]
PHST- 2018/11/07 06:00 [medline]
PHST- 2018/03/27 06:00 [entrez]
AID - S0929-693X(18)30050-2 [pii]
AID - 10.1016/j.arcped.2018.01.007 [doi]
PST - ppublish
SO  - Arch Pediatr. 2018 Apr;25(3):236-243. doi: 10.1016/j.arcped.2018.01.007. Epub 
      2018 Mar 22.