title: [Cow's milk protein allergy in disability children].
abstract: BACKGROUND
  Cow's milk protein allergy (CMPA) is the most common food allergy in children. However, the prevalence of CMPA in disability children is unknown.
  
  
  OBJECTIVE
  To know the frequency of CMPA in disability children and to assess the clinical improvement after a suppression diet.
  
  
  METHODS
  We conducted a cohort study at the Children's Rehabilitation Center Telethon of Puebla, in which children aged 6 months to 5 years with clinical symptoms of CMPA were included, between January and September 2012. An exploratory questionnaire about clinical symptoms of CMPA was applied before and after the cow's milk proteins suppression diet.
  
  
  RESULTS
  We identified 26 cases among 145 assessed children (18%). The mean age was 2 years and 7 months. All children had a history of multiple clinical symptoms. Respiratory symptoms were the most common, follows for gastrointestinal symptoms, including regurgitation, which suggests the association with gastroesophageal reflux.
  
  
  CONCLUSIONS
  CMPA is frequent in disability children. Respiratory and gastrointestinal symptoms were the most common. Cow's milk proteins suppression diet was a useful diagnostic and therapy tool for these children.
authors.affiliation: Servicio de Pediatría, Centro de Rehabilitación Infantil Teletón, Puebla, Pue. audiffred@teleton-pue.org.mx.
authors.forename: Ivonne
authors.initials: I
authors.lastname: Audiffred-González
authors.forename: Blanca María
authors.initials: BM
authors.lastname: Morfín-Maciel
authors.forename: Rafael José
authors.initials: RJ
authors.lastname: García-Juárez
authors.forename: Cristina
authors.initials: C
authors.lastname: Simón-Gómez
authors.forename: Magaly
authors.initials: M
authors.lastname: Flores-Fuentes
mesh_terms: D000818:Animals; D001238:Asphyxia Neonatorum / Q000453:epidemiology; D001921:Brain / Q000002:abnormalities; D002417:Cattle; D002547:Cerebral Palsy / Q000453:epidemiology; D002675:Child, Preschool; D015331:Cohort Studies; D015897:Comorbidity; D019988:Children with Disabilities; D005260:Female; D005764:Gastroesophageal Reflux / Q000209:etiology; D030342:Genetic Diseases, Inborn / Q000453:epidemiology; D006801:Humans; D006969:Hypersensitivity, Immediate / Q000453:epidemiology; D007223:Infant; D008297:Male; D008800:Mexico / Q000453:epidemiology; D016269:Milk Hypersensitivity / Q000150:complications / Q000178:diet therapy / Q000453:epidemiology*; D015995:Prevalence; D012120:Respiration Disorders / Q000209:etiology; D012307:Risk Factors; D011795:Surveys and Questionnaires; D063189:Symptom Assessment
keywords: Allergy; Cow’s milk protein; Disability