Cow’s milk protein allergy is one of the most common food allergies in young children, diagnosed in 1/200 breastfed infants. Both underdiagnosis and overdiagnosis can have negative implications for mother and child, underlining the importance of a timely and correct diagnosis. An adequate management of a cow’s milk protein allergy should not only focus on the correct elimination of cow’s milk proteins, but also on practical advice on adaption of family meals and nutritional adequacy for the breastfeeding mother and infant.
Research shows that 85% of children develop tolerance to cow’s milk proteins, on average between the age of one and three years old. This presentation will include when and how reintroduction with cow’s milk should occur to determine acquisition of tolerance in the breastfed infant.
Finally, we will discuss whether the development of a cow’s milk protein allergy can be prevented and which factors raise the risk of developing a cow’s milk protein allergy.
Learning Objectives:
1: Describe the clinical manifestations of both types of CMPA
2: Apply the gold standard for CMPA diagnosis in breastfed infants
3: Create a strategy to eliminate and substitute cow’s milk protein in the maternal diet
4: Describe how and when cow’s milk can be reintroduced in a safe way to assess tolerance acquisition
5: List 3 risk and protective factors for the development of CMPA
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