title: A workshop report on the development of the Cow's Milk-related Symptom Score awareness tool for young children.
abstract: Clinicians with expertise in managing children with gastrointestinal problems and/or atopic diseases attended a workshop in Brussels in September 2014 to review the literature and determine whether a clinical score derived from symptoms associated with the ingestion of cow's milk proteins could help primary healthcare providers. The Cow's Milk-related Symptom Score (CoMiSS), which considers general manifestations, dermatological, gastrointestinal and respiratory symptoms, was developed as an awareness tool for cow's milk-related symptoms. It can also be used to evaluate and quantify the evolution of symptoms during therapeutic interventions, but does not diagnose cow's milk protein allergy and does not replace a food challenge. Its usefulness needs to be evaluated by a prospective randomised study.
  
  
  CONCLUSIONS
  The CoMiSS provides primary healthcare clinicians with a simple, fast and easy-to-use awareness tool for cow's milk-related symptoms.
authors.affiliation: UZ Brussel, Free University of Brussels, Brussels, Belgium.
authors.forename: Yvan
authors.initials: Y
authors.lastname: Vandenplas
authors.forename: Christophe
authors.initials: C
authors.lastname: Dupont
authors.forename: Philippe
authors.initials: P
authors.lastname: Eigenmann
authors.forename: Arne
authors.initials: A
authors.lastname: Host
authors.forename: Mikael
authors.initials: M
authors.lastname: Kuitunen
authors.forename: Carmen
authors.initials: C
authors.lastname: Ribes-Koninckx
authors.forename: Neil
authors.initials: N
authors.lastname: Shah
authors.forename: Raanan
authors.initials: R
authors.lastname: Shamir
authors.forename: Annamaria
authors.initials: A
authors.lastname: Staiano
authors.forename: Hania
authors.initials: H
authors.lastname: Szajewska
authors.forename: Andrea
authors.initials: A
authors.lastname: Von Berg
mesh_terms: D000818:Animals; D006801:Humans; D007223:Infant; D008892:Milk / Q000009:adverse effects; D016269:Milk Hypersensitivity / Q000175:diagnosis*; D063189:Symptom Assessment / Q000592:standards*
keywords: atopic dermatitis; awareness tool; constipation; cow's milk protein allergy; regurgitation