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Cow's Milk AllergyMJ - Edit
Cow's Milk AllergyMJ - Edit
Nutritional Intervention
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He completed his medical degree at the University of Indonesia, Jakarta, Indonesia and residency in paediatrics.
Professor Munasir subsequently became a pediatric consultant in allergy and immunology for the Indonesian Pediatric
Society.
Professor Munasir is a member of the working group on allergy and immunology for the Indonesian Pediatric Society and also
a member of the Indonesian Allergy and Immunology Association.
He is a member of the European Pediatric Allergy Rheumatology, the World Allergy Organization, the European Academy of
Allergy and Clinical Immunology and board member of Asia Pacific Association of Pediatric Allergy, Respirology & Immunology
(APAPARI).
He is also an editor for the Asia Pacific Allergy Journal.
Allergy-Prevalence
Cow’s milk protein is the second most Indonesia national data is lacking.
common food allergen in young Asian
children, after egg.
CMPA-suspected symptoms
Gastro-
Atopic esophageal Other GI
Dermatitis Infantile colic symptoms
reflux
Boyce JA, Assa’ad A, Burks AW, et al: Guidelines for the diagnosis and management of food allergy in the United States: report of the NIAID-sponsored expert panel. J. Allergy Clin Immunol 2010;126(6 suppl):S1-S58.
Diet
• Free of cow’s milk protein.
Sensitization
Extensive
Hydrolysate
CM Protein
Formula
(HFs)
• Formulas contain cow milk proteins (CMPs) that are subjected to chemical and enzymatic
hydrolysis to reduce the molecular weight, the peptide size, and, consequently, the allergenicity
of the proteins.
Cow’s milk based formulas with intact 14 kD (α-lactabumin) to 67 kD (bovine serum
proteins albumin)
However they state that a soy formula may be considered under certain
circumstances in an infant with cow’s milk protein allergy who is older than 6
months.
Selection of Formula
Three types of infant formula (soy, extensively hydrolysed and amino acid) may be
appropriate for treating cows milk protein allergy.
Extensively hydrolysed formula is recommended as first choice for infants under 6 months
of age for treating immediate cows milk allergy (non-anaphylactic), food protein-induced
enterocolitis syndrome, atopic eczema, gastrointestinal symptoms and food protein-induced
proctocolitis.
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