DIAGNOSIS AND MANAGEMENT OF COWS’ MILK PROTEIN ALLERGY IN INFANTS AND CHILDREN
Main Author: | |
---|---|
Publication Date: | 2014 |
Other Authors: | , , |
Format: | Article |
Language: | por |
Source: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Download full: | https://doi.org/10.29021/spdv.72.1.223 |
Summary: | Cow’s milk protein allergy is an increasingly prevalent and more prolonged disease. Cow’s milk protein allergy is the most common food allergy in infants with a prevalence of approximately 2% to 3%. It may develop even in exclusively breastfed infants. It can manifest through a wide variety of symptoms depending on whether the type of immune response is IgE or non-IgE mediated. Symptoms and signs related to cow’s milk protein allergy may involve many different organ systems, mostly the skin and the gastrointestinal tract. Among the skin manifestations, urticaria and angioedema are likely the most common, followed by atopic dermatitis, pruritus, diffuse erythema and maculopapular rash. Cow’s milk protein allergy is suspected clinically in a large number of children. An incorrect diagnostic workup often leads to unnecessary dietary restrictions that may affect growth and development of children. This article presents a practical approach for the diagnosis and management of suspected cow’s milk protein allergy according to age and symptom severity. |
id |
RCAP_e94d31d8fba77061beaba22848fe3f87 |
---|---|
oai_identifier_str |
oai:ojs.revista.spdv.com.pt:article/223 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
DIAGNOSIS AND MANAGEMENT OF COWS’ MILK PROTEIN ALLERGY IN INFANTS AND CHILDRENALERGIA A PROTEÍNAS DE LEITE DE VACA EM IDADE PEDIÁTRICA – ABORDAGEM DIAGNÓSTICA E TERAPÊUTICAChildInfantImmunoglobulin ELactose intoleranceMilk hypersensitivityMilk proteinsCriançaImunoglobulina EIntolerância à lactoseHipersensibilidade a leiteProteínas do leiteCow’s milk protein allergy is an increasingly prevalent and more prolonged disease. Cow’s milk protein allergy is the most common food allergy in infants with a prevalence of approximately 2% to 3%. It may develop even in exclusively breastfed infants. It can manifest through a wide variety of symptoms depending on whether the type of immune response is IgE or non-IgE mediated. Symptoms and signs related to cow’s milk protein allergy may involve many different organ systems, mostly the skin and the gastrointestinal tract. Among the skin manifestations, urticaria and angioedema are likely the most common, followed by atopic dermatitis, pruritus, diffuse erythema and maculopapular rash. Cow’s milk protein allergy is suspected clinically in a large number of children. An incorrect diagnostic workup often leads to unnecessary dietary restrictions that may affect growth and development of children. This article presents a practical approach for the diagnosis and management of suspected cow’s milk protein allergy according to age and symptom severity.A alergia a proteínas do leite de vaca é uma patologia cada vez mais prevalente e de duração mais prolongada. Constitui a alergia alimentar mais comum na primeira infância, atingindo 2 a 3% dos lactentes e crianças. Pode apresentar-se logo após o nascimento, inclusive em lactentes alimentados exclusivamente com leite materno. A apresentação clínica é heterogénea e inespecífica e depende do tipo de resposta imunológica ser IgE ou não IgE mediada. Pode atingir vários órgãos e sistemas, mais frequentemente a pele e o sistema gastrintestinal. Dentre as manifestações cutâneas, a urticária e o angioedema são as mais comuns, seguidas da dermite atópica, prurido, eritema generalizado e exantema máculo-papular. O elevado número de crianças alvo de suspeita clínica e a realização de um diagnóstico incorrecto da alergia a proteínas do leite de vaca, leva, muitas vezes, a dietas de evicção desnecessárias e até prejudiciais ao seu crescimento e desenvolvimento. Neste artigo é revista a marcha diagnóstica na suspeita de alergia a proteínas do leite de vaca e a abordagem terapêutica de acordo com a gravidade das manifestações e a idade das crianças.Sociedade Portuguesa de Dermatologia e Venereologia2014-07-17T00:00:00Zinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/otherinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://doi.org/10.29021/spdv.72.1.223oai:ojs.revista.spdv.com.pt:article/223Journal of the Portuguese Society of Dermatology and Venereology; Vol 72 No 1 (2014): Janeiro - Março; 23-33Revista da Sociedade Portuguesa de Dermatologia e Venereologia; v. 72 n. 1 (2014): Janeiro - Março; 23-332182-24092182-2395reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spdv.com.pt/index.php/spdv/article/view/223https://doi.org/10.29021/spdv.72.1.223https://revista.spdv.com.pt/index.php/spdv/article/view/223/206Salvador, MarleneRodrigues, MaríliaCordeiro, AnaPaiva Lopes, Maria Joãoinfo:eu-repo/semantics/openAccess2022-10-06T12:34:46Zoai:ojs.revista.spdv.com.pt:article/223Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:10:46.553630Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
DIAGNOSIS AND MANAGEMENT OF COWS’ MILK PROTEIN ALLERGY IN INFANTS AND CHILDREN ALERGIA A PROTEÍNAS DE LEITE DE VACA EM IDADE PEDIÁTRICA – ABORDAGEM DIAGNÓSTICA E TERAPÊUTICA |
title |
DIAGNOSIS AND MANAGEMENT OF COWS’ MILK PROTEIN ALLERGY IN INFANTS AND CHILDREN |
spellingShingle |
DIAGNOSIS AND MANAGEMENT OF COWS’ MILK PROTEIN ALLERGY IN INFANTS AND CHILDREN Salvador, Marlene Child Infant Immunoglobulin E Lactose intolerance Milk hypersensitivity Milk proteins Criança Imunoglobulina E Intolerância à lactose Hipersensibilidade a leite Proteínas do leite |
title_short |
DIAGNOSIS AND MANAGEMENT OF COWS’ MILK PROTEIN ALLERGY IN INFANTS AND CHILDREN |
title_full |
DIAGNOSIS AND MANAGEMENT OF COWS’ MILK PROTEIN ALLERGY IN INFANTS AND CHILDREN |
title_fullStr |
DIAGNOSIS AND MANAGEMENT OF COWS’ MILK PROTEIN ALLERGY IN INFANTS AND CHILDREN |
title_full_unstemmed |
DIAGNOSIS AND MANAGEMENT OF COWS’ MILK PROTEIN ALLERGY IN INFANTS AND CHILDREN |
title_sort |
DIAGNOSIS AND MANAGEMENT OF COWS’ MILK PROTEIN ALLERGY IN INFANTS AND CHILDREN |
author |
Salvador, Marlene |
author_facet |
Salvador, Marlene Rodrigues, Marília Cordeiro, Ana Paiva Lopes, Maria João |
author_role |
author |
author2 |
Rodrigues, Marília Cordeiro, Ana Paiva Lopes, Maria João |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Salvador, Marlene Rodrigues, Marília Cordeiro, Ana Paiva Lopes, Maria João |
dc.subject.por.fl_str_mv |
Child Infant Immunoglobulin E Lactose intolerance Milk hypersensitivity Milk proteins Criança Imunoglobulina E Intolerância à lactose Hipersensibilidade a leite Proteínas do leite |
topic |
Child Infant Immunoglobulin E Lactose intolerance Milk hypersensitivity Milk proteins Criança Imunoglobulina E Intolerância à lactose Hipersensibilidade a leite Proteínas do leite |
description |
Cow’s milk protein allergy is an increasingly prevalent and more prolonged disease. Cow’s milk protein allergy is the most common food allergy in infants with a prevalence of approximately 2% to 3%. It may develop even in exclusively breastfed infants. It can manifest through a wide variety of symptoms depending on whether the type of immune response is IgE or non-IgE mediated. Symptoms and signs related to cow’s milk protein allergy may involve many different organ systems, mostly the skin and the gastrointestinal tract. Among the skin manifestations, urticaria and angioedema are likely the most common, followed by atopic dermatitis, pruritus, diffuse erythema and maculopapular rash. Cow’s milk protein allergy is suspected clinically in a large number of children. An incorrect diagnostic workup often leads to unnecessary dietary restrictions that may affect growth and development of children. This article presents a practical approach for the diagnosis and management of suspected cow’s milk protein allergy according to age and symptom severity. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-07-17T00:00:00Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/other |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.29021/spdv.72.1.223 oai:ojs.revista.spdv.com.pt:article/223 |
url |
https://doi.org/10.29021/spdv.72.1.223 |
identifier_str_mv |
oai:ojs.revista.spdv.com.pt:article/223 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revista.spdv.com.pt/index.php/spdv/article/view/223 https://doi.org/10.29021/spdv.72.1.223 https://revista.spdv.com.pt/index.php/spdv/article/view/223/206 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Dermatologia e Venereologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Dermatologia e Venereologia |
dc.source.none.fl_str_mv |
Journal of the Portuguese Society of Dermatology and Venereology; Vol 72 No 1 (2014): Janeiro - Março; 23-33 Revista da Sociedade Portuguesa de Dermatologia e Venereologia; v. 72 n. 1 (2014): Janeiro - Março; 23-33 2182-2409 2182-2395 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799130564244013056 |