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Published on: August 6, 2018
[Cow's milk protein allergy in disability children]
Ivonne Audiffred-González1, Blanca María Morfín-Maciel, Rafael José García-Juárez
1Servicio de Pediatría, Centro de Rehabilitación Infantil Teletón, Puebla, Pue. audiffred@teleton-pue.org.mx.
Insights
Cow's milk protein allergy (CMPA) is common in disabled children, affecting 18% of those studied. A cow's milk protein suppression diet proved useful for diagnosis and treatment.
Area of Science:
- Pediatric Allergy
- Clinical Immunology
- Disability Research
Context:
- Cow's milk protein allergy (CMPA) is the most prevalent food allergy in children.
- The prevalence and clinical presentation of CMPA in children with disabilities remain understudied.
- This research addresses a critical knowledge gap concerning CMPA in a vulnerable pediatric population.
Purpose:
- To determine the frequency of CMPA in children with disabilities.
- To evaluate the effectiveness of a cow's milk protein suppression diet in managing CMPA symptoms.
- To identify common clinical manifestations of CMPA in this cohort.
Summary:
- A cohort study of 145 children (6 months to 5 years) with suspected CMPA symptoms was conducted.
- 18% (26 children) were diagnosed with CMPA, with respiratory and gastrointestinal symptoms being most prevalent.
- A cow's milk protein suppression diet was employed as both a diagnostic and therapeutic intervention.
Impact:
- Highlights the significant prevalence of CMPA in children with disabilities.
- Underscores the utility of dietary intervention in diagnosing and managing CMPA in this population.
- Provides foundational data for future research and clinical guidelines for managing CMPA in disabled children.
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.
Material And 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.
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