Recommendations for treatment
Thre are alternatives if your child has cow's
milk protein allergy
THE incidence of cow's milk protein allergy (CM PA) is estimated to be from
1.8% to 7.5%, with the wide range reflecting differences in diagnostic criteria and respective study designs.
The symptoms of CMPA include:
• Cutaneous: Atopic dermatitis, urticaria
• Gastrointestinal: Diarrhoea, vomiting, colic, nausea
• Respiratory: Wheezing, coughing, sneezing, rhinitis
Treatment of the condition:
• Complete elimination of cow's milk in the diet
• Soy-based formula is the preferred choice for CMPA
• Free of cow's milk protein
• Nutritionally complete with essential vitamins and minerals
• Clinically tested and expert recommended.
• If CMPA is confirmed for formula-fed infants, parents should
ensure the use of hypoallergenic (extensively hydrolysed protein or if allergic symptoms persist, a free amino acid-based
formula) or soy-based formula.
• Benefit should be seen within two to four weeks and the formulas continued until age one year.
• The American Academy of Paediatrics believes that a trial of
soy-based formula in infants with CMPA is warranted if concur-
rent soy allergy is ruled out.
• Partially hydrolysed formulas (PHF) in CMPA should be
avoided as they have 1,000-100,000 times higher concentrations of intact cow's milk proteins than extensively hydrolysed
proteins. It provokes significant reactions in a high percentage
of infants that are allergic to cow's milk.