Refractory proctocolitis in the exclusively breast-fed infants.
The arm of this review was to help general pediatricians and primary care physicians in diagnosing and managing cow's milk protein allergy in exclusively breast-fed infants. Allergic proctocolitis is a cause of rectal bleeding in exclusively breast-fed infants aged from 1 to 6 months.It is due to cow's milk protein transferred via breast milk. Diagnosis is based on clinical features and recovery after dietetic therapy. Rectal bleeding generally resolves within 72-96 hours of cow's milk protein maternal avoidance. Most infants tolerate cow's milk by their first birthday.
University Children's Hospital, Medical Faculty University of Belgrade, Serbia. marinaa@eunet.rs.
Marina
M
Atanaskovic-Markovic
D000818:Animals; D001942:Breast Feeding / Q000009:adverse effects*; D002417:Cattle; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008892:Milk / Q000276:immunology; D016269:Milk Hypersensitivity / Q000150:complications* / Q000175:diagnosis / Q000178:diet therapy / Q000276:immunology; D008895:Milk, Human / Q000276:immunology*; D011350:Proctocolitis / Q000175:diagnosis / Q000178:diet therapy / Q000209:etiology* / Q000276:immunology