[Cow's milk allergy: guidelines for the diagnostic evaluation].
About 2% of the general population and up to 6% of children suffer from food allergy. Cow's milk is charged with a important role in infancy after weaning, since conventional formula are based on its procession. IgE-mediated and Non-IgE- mediated allergic reactions, which are different in manifestation and pathogenesis, can be distinguished. A special role play the exacerbation of atopic dermatitis and the gastrointestinal-food-hypersensitivity-reactions. Skin-prick-test and determination of specific IgE are important diagnostic tools beside medical history. The golden standard of diagnosis is the double-blind-placebo-controlled-food- challenge. The clear result from food-challenge allows to verify suspected food allergies or, on the other hand, to avoid unnecessary diets. Extensively-hydrolysed-formula or Amino-acidformula are a high nutritional value alternative in case of proved cow's milk allergy in infancy.
Medizinische Universität Wien, Universitätsklinik für Kinder- und Jugendheilkunde, Abteilung für Allgemeine Pädiatrie, Währinger Gürtel 18-20.
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Kirchlechner
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Dehlink
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Szepfalusi
D000818:Animals; D002417:Cattle; D002648:Child; D002675:Child, Preschool; D015897:Comorbidity; D019091:Critical Pathways; D003876:Dermatitis, Atopic / Q000175:diagnosis / Q000178:diet therapy / Q000276:immunology; D021181:Egg Hypersensitivity / Q000175:diagnosis / Q000178:diet therapy / Q000276:immunology; D005512:Food Hypersensitivity / Q000175:diagnosis / Q000178:diet therapy / Q000276:immunology; D006801:Humans; D007073:Immunoglobulin E / Q000097:blood; D007223:Infant; D007428:Intradermal Tests; D016269:Milk Hypersensitivity / Q000175:diagnosis* / Q000178:diet therapy / Q000276:immunology; D011379:Prognosis
D007073:Immunoglobulin E